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细菌和病毒为抵御人类补体系统而形成的策略。

Strategies developed by bacteria and virus for protection from the human complement system.

作者信息

Blom A M

机构信息

Department of Clinical Chemistry, Lund University, The Wallenberg Laboratory, University Hospital Malmö, Sweden.

出版信息

Scand J Clin Lab Invest. 2004;64(5):479-96. doi: 10.1080/00365510410002904.

Abstract

The complement system is an important part of innate immunity providing immediate protection against pathogens without a need for previous exposure. Its importance is clearly shown by the fact that patients lacking complement components suffer from fulminant and recurring infections. Complement is an explosive cascade, and in order to control it there are inhibitors present on every human cell and also circulating in blood. However, many infectious agents have developed strategies to prevent clearance and destruction by complement. Some pathogens simply hijack the host's complement inhibitors, while others are able to produce their own homologues of human inhibitors. Knowledge of these mechanisms on a molecular level may aid development of vaccines and novel therapeutic strategies that would be more specific than the use of antibiotics that, apart from causing resistance problems, also affect the normal flora, the outcome of which could be devastating. In this study the structural requirements and functional consequences of interactions between the major soluble inhibitor of complement C4b-binding protein and Neisseria gonorrhoeae, Bordetella pertussis, Streptococcus pyogenes, Escherichia coli K1, Moraxella catarrhalis and Candida albicans are described. Furthermore, a novel inhibitor produced by Kaposi's sarcoma-associated herpesvirus is identified and characterized in detail: KCP. It is shown that KCP inhibits classical C3-convertase and presents activated complement factors C4b and C3b for destruction by a serine proteinase, factor I. Using molecular modelling and site-directed mutagenesis, it was possible to localize sites on the surface of KCP required for complement inhibition and it is concluded that KCP uses molecular mechanisms identical to human inhibitors.

摘要

补体系统是固有免疫的重要组成部分,无需预先接触病原体即可对其提供即时保护。缺乏补体成分的患者易患暴发性和复发性感染,这一事实清楚地表明了其重要性。补体是一个爆发性的级联反应,为了控制它,每个人类细胞上都存在抑制剂,并且它们也在血液中循环。然而,许多感染因子已经开发出策略来防止补体的清除和破坏。一些病原体只是劫持宿主的补体抑制剂,而其他病原体则能够产生它们自己的人类抑制剂同源物。在分子水平上了解这些机制可能有助于疫苗和新型治疗策略的开发,这些策略将比使用抗生素更具特异性,因为抗生素除了会导致耐药性问题外,还会影响正常菌群,其后果可能是毁灭性的。在这项研究中,描述了补体C4b结合蛋白的主要可溶性抑制剂与淋病奈瑟菌、百日咳博德特氏菌、化脓性链球菌、大肠杆菌K1、卡他莫拉菌和白色念珠菌之间相互作用的结构要求和功能后果。此外,还详细鉴定和表征了一种由卡波西肉瘤相关疱疹病毒产生的新型抑制剂:KCP。结果表明,KCP抑制经典C3转化酶,并将活化的补体因子C4b和C3b呈递给丝氨酸蛋白酶I进行破坏。通过分子建模和定点诱变,有可能定位KCP表面上补体抑制所需的位点,并得出结论,KCP使用与人类抑制剂相同的分子机制。

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