A potential anti-coagulant role of complement factor H

Mol Immunol. 2014 Jun;59(2):188-93. doi: 10.1016/j.molimm.2014.02.012. Epub 2014 Mar 13.

Abstract

Anti-phospholipid syndrome (APS) is a complex autoimmune disease, associated with recurrent venous and arterial thrombosis in various tissues. APS is associated with specific antibodies against plasma beta-2 glycoprotein 1 (β2-GP1), and these antibodies react with β2-GP1 bound to negatively charged phospholipids (e.g. cardiolipin) on cell membranes. Some APS patients also have autoantibodies to complement factor H (FH), a homologue of β2-GP1, which also binds to anionic phospholipids. β2-GP1 has earlier been shown to inhibit the intrinsic (contact) activated blood coagulation pathway, promoted by anionic phospholipids. Here we examine whether FH could have similar anti-thrombotic properties. In vitro experiments with surface-bound phospholipids and human plasma, in the presence of FH, confirm this hitherto unreported property of FH.

Keywords: Factor H; anti-phospholipid syndrome; coagulation; complement.

MeSH terms

  • Antibodies, Antiphospholipid / immunology*
  • Anticoagulants / pharmacology
  • Antiphospholipid Syndrome / immunology
  • Autoantibodies / immunology
  • Blood Coagulation / drug effects
  • Blood Coagulation / physiology*
  • Cardiolipins / immunology
  • Complement Factor H / immunology
  • Complement Factor H / pharmacology
  • Complement Factor H / physiology
  • Factor XII / antagonists & inhibitors
  • Factor XII / metabolism
  • Humans
  • Phosphatidic Acids / immunology
  • Phosphatidylserines / immunology
  • Phospholipids
  • Thrombosis / immunology
  • beta 2-Glycoprotein I / immunology*

Substances

  • Antibodies, Antiphospholipid
  • Anticoagulants
  • Autoantibodies
  • CFH protein, human
  • Cardiolipins
  • Phosphatidic Acids
  • Phosphatidylserines
  • Phospholipids
  • beta 2-Glycoprotein I
  • Complement Factor H
  • Factor XII