The Role of Complement in Age-Related Macular Degeneration: Heparan Sulphate, a ZIP Code for Complement Factor H?
Age-related macular degeneration (AMD) is the leading cause of blindness in developed nations and has been associated with complement dysregulation in the central retina. The Y402H polymorphism in the complement regulatory protein factor H (CFH) can confer a >5-fold increased risk of developing A...
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description | Age-related macular degeneration (AMD) is the leading cause of blindness in developed nations and has been associated with complement dysregulation in the central retina. The Y402H polymorphism in the complement regulatory protein factor H (CFH) can confer a >5-fold increased risk of developing AMD and is present in approximately 30% of people of European descent. CFH, in conjunction with other factors, regulates complement activation in host tissues, and the Y402H polymorphism has been found to alter the protein's specificity for heparan sulphate (HS) - a complex polysaccharide found ubiquitously in mammals. HS, which is present on the cell surface and also in the extracellular matrix, exhibits huge structural diversity due to variations in the level/pattern of sulphation, where particular structures may act as ‘ZIP codes' for different tissue/cellular locations. Recent work has demonstrated that CFH contains two HS-binding domains that each recognize specific HS ZIP codes, allowing differential recognition of Bruch's membrane (in the eye) or the glomerular basement membrane (in the kidney). Importantly, the Y402H polymorphism impairs the binding of CFH to the HS in Bruch's membrane, which could result in increased complement activation and chronic local inflammation (in 402H individuals) and thereby contribute to AMD pathology. |
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The Y402H polymorphism in the complement regulatory protein factor H (CFH) can confer a >5-fold increased risk of developing AMD and is present in approximately 30% of people of European descent. CFH, in conjunction with other factors, regulates complement activation in host tissues, and the Y402H polymorphism has been found to alter the protein's specificity for heparan sulphate (HS) - a complex polysaccharide found ubiquitously in mammals. HS, which is present on the cell surface and also in the extracellular matrix, exhibits huge structural diversity due to variations in the level/pattern of sulphation, where particular structures may act as ‘ZIP codes' for different tissue/cellular locations. Recent work has demonstrated that CFH contains two HS-binding domains that each recognize specific HS ZIP codes, allowing differential recognition of Bruch's membrane (in the eye) or the glomerular basement membrane (in the kidney). Importantly, the Y402H polymorphism impairs the binding of CFH to the HS in Bruch's membrane, which could result in increased complement activation and chronic local inflammation (in 402H individuals) and thereby contribute to AMD pathology.</description><identifier>ISSN: 1662-811X</identifier><identifier>EISSN: 1662-8128</identifier><identifier>DOI: 10.1159/000356513</identifier><identifier>PMID: 24335201</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Animals ; Bruch Membrane - metabolism ; Complement Activation - genetics ; Complement Factor H - genetics ; Complement Factor H - immunology ; Genetic Predisposition to Disease ; Heparitin Sulfate - metabolism ; Humans ; Macular Degeneration - immunology ; Polymorphism, Genetic ; Protein Binding - genetics ; Protein Interaction Domains and Motifs - genetics ; Retina - immunology ; Retina - pathology ; Review</subject><ispartof>Journal of innate immunity, 2014-01, Vol.6 (4), p.407-416</ispartof><rights>2013 S. Karger AG, Basel</rights><rights>2013 S. Karger AG, Basel.</rights><rights>Copyright (c) 2014 S. Karger AG, Basel</rights><rights>Copyright © 2013 by S. Karger AG, Basel 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-2776b242d7fcc7cf5cc9e4bf101506b2a439bd5b77614132f964bf800f6424a23</citedby><cites>FETCH-LOGICAL-c485t-2776b242d7fcc7cf5cc9e4bf101506b2a439bd5b77614132f964bf800f6424a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086042/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086042/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24335201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Langford-Smith, Alex</creatorcontrib><creatorcontrib>Keenan, Tiarnan D.L.</creatorcontrib><creatorcontrib>Clark, Simon J.</creatorcontrib><creatorcontrib>Bishop, Paul N.</creatorcontrib><creatorcontrib>Day, Anthony J.</creatorcontrib><title>The Role of Complement in Age-Related Macular Degeneration: Heparan Sulphate, a ZIP Code for Complement Factor H?</title><title>Journal of innate immunity</title><addtitle>J Innate Immun</addtitle><description>Age-related macular degeneration (AMD) is the leading cause of blindness in developed nations and has been associated with complement dysregulation in the central retina. The Y402H polymorphism in the complement regulatory protein factor H (CFH) can confer a >5-fold increased risk of developing AMD and is present in approximately 30% of people of European descent. CFH, in conjunction with other factors, regulates complement activation in host tissues, and the Y402H polymorphism has been found to alter the protein's specificity for heparan sulphate (HS) - a complex polysaccharide found ubiquitously in mammals. HS, which is present on the cell surface and also in the extracellular matrix, exhibits huge structural diversity due to variations in the level/pattern of sulphation, where particular structures may act as ‘ZIP codes' for different tissue/cellular locations. Recent work has demonstrated that CFH contains two HS-binding domains that each recognize specific HS ZIP codes, allowing differential recognition of Bruch's membrane (in the eye) or the glomerular basement membrane (in the kidney). Importantly, the Y402H polymorphism impairs the binding of CFH to the HS in Bruch's membrane, which could result in increased complement activation and chronic local inflammation (in 402H individuals) and thereby contribute to AMD pathology.</description><subject>Animals</subject><subject>Bruch Membrane - metabolism</subject><subject>Complement Activation - genetics</subject><subject>Complement Factor H - genetics</subject><subject>Complement Factor H - immunology</subject><subject>Genetic Predisposition to Disease</subject><subject>Heparitin Sulfate - metabolism</subject><subject>Humans</subject><subject>Macular Degeneration - immunology</subject><subject>Polymorphism, Genetic</subject><subject>Protein Binding - genetics</subject><subject>Protein Interaction Domains and Motifs - genetics</subject><subject>Retina - immunology</subject><subject>Retina - pathology</subject><subject>Review</subject><issn>1662-811X</issn><issn>1662-8128</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqN0c-L1DAUB_AiivtDD95FAntxwWp-t_GgLKPrjKw_WFcQLyFNX2a6mzbdtBX8780wa1nFg6eEvE--vORl2SOCnxMi1AuMMRNSEHYn2ydS0rwktLw778m3vexgGC4xlpyr4n62RzljgmKyn11fbACdBw8oOLQIbe-hhW5ETYdO1pCfgzcj1OiDsZM3Eb2BNXQQzdiE7iVaQm-i6dCXyfeb5J4hg76vPqecGpAL8XbgqbFjOlm-fpDdc8YP8PBmPcy-nr69WCzzs0_vVouTs9zyUow5LQpZUU7rwllbWCesVcArRzAROFUMZ6qqRZUY4YRRp2Sqlhg7ySk3lB1mr3a5_VS1UNvURDRe97FpTfypg2n0n5Wu2eh1-KE5LiXm24CnNwExXE8wjLptBgvemw7CNGgiBFdCMCr-gzLFpSKKJ3r0F70MU-zSTyTF06OklFt1vFM2hmGI4Oa-Cdbbmet55sk-uf3QWf4ecgKPd-DKxDXEGcz3j_5Zfr_6uBO6rx37BdU2uWs</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Langford-Smith, Alex</creator><creator>Keenan, Tiarnan D.L.</creator><creator>Clark, Simon J.</creator><creator>Bishop, Paul N.</creator><creator>Day, Anthony J.</creator><general>S. 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The Y402H polymorphism in the complement regulatory protein factor H (CFH) can confer a >5-fold increased risk of developing AMD and is present in approximately 30% of people of European descent. CFH, in conjunction with other factors, regulates complement activation in host tissues, and the Y402H polymorphism has been found to alter the protein's specificity for heparan sulphate (HS) - a complex polysaccharide found ubiquitously in mammals. HS, which is present on the cell surface and also in the extracellular matrix, exhibits huge structural diversity due to variations in the level/pattern of sulphation, where particular structures may act as ‘ZIP codes' for different tissue/cellular locations. Recent work has demonstrated that CFH contains two HS-binding domains that each recognize specific HS ZIP codes, allowing differential recognition of Bruch's membrane (in the eye) or the glomerular basement membrane (in the kidney). Importantly, the Y402H polymorphism impairs the binding of CFH to the HS in Bruch's membrane, which could result in increased complement activation and chronic local inflammation (in 402H individuals) and thereby contribute to AMD pathology.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>24335201</pmid><doi>10.1159/000356513</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Animals Bruch Membrane - metabolism Complement Activation - genetics Complement Factor H - genetics Complement Factor H - immunology Genetic Predisposition to Disease Heparitin Sulfate - metabolism Humans Macular Degeneration - immunology Polymorphism, Genetic Protein Binding - genetics Protein Interaction Domains and Motifs - genetics Retina - immunology Retina - pathology Review |
title | The Role of Complement in Age-Related Macular Degeneration: Heparan Sulphate, a ZIP Code for Complement Factor H? |
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