Szalai Alexander J
Division of Clinical Immunology and Rheumatology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL 35294-0006, USA.
Clin Dev Immunol. 2004 Sep-Dec;11(3-4):221-6. doi: 10.1080/17402520400001751.
C-reactive protein (CRP) is a blood component comprised of five identical subunits with a combined molecular mass of 110 kDa; in the presence of Ca++ it binds phosphocholine (PC) with high affinity. Ligand-bound CRP activates complement and the protein reportedly binds various Fc receptors. Coincident with a now decade-long resurgence in clinical interest in associations of CRP with disease, our laboratory has been investigating the biology of CRP in vivo using human CRP transgenic mice (CRPtg). At that time we confirmed that CRP affects a host defense function mediated at least in part through the elimination of pathogens. Less appreciated and not as well understood as CRP's ability to bind antigen and aid in the elimination of microbes, is its known ability to bind autoantigens and presumed capacity to promote clearance of apoptotic cells. These latter properties of CRP have long been suspected to contribute to homeostasis and to autoimmune disease. In this article we review and update the evidence generated in CRPtg by our group and in vitro by others' that indicates CRP is more than just an antimicrobial molecule and convenient marker of inflammation-rather, it protects against autoimmunity. A mechanistic hypothesis is presented to account for this cause-and-effect relationship.
C反应蛋白(CRP)是一种血液成分,由五个相同的亚基组成,总分子量为110 kDa;在Ca++存在的情况下,它以高亲和力结合磷酸胆碱(PC)。配体结合的CRP激活补体,据报道该蛋白还能结合多种Fc受体。随着临床对CRP与疾病关联的兴趣在过去十年中再度兴起,我们实验室一直在利用人CRP转基因小鼠(CRPtg)研究体内CRP的生物学特性。当时我们证实,CRP影响宿主防御功能,至少部分是通过清除病原体来实现的。与CRP结合抗原并协助清除微生物的能力相比,其结合自身抗原的已知能力以及推测的促进凋亡细胞清除的能力较少受到关注且了解程度较低。CRP的这些后者特性长期以来一直被怀疑与体内平衡和自身免疫性疾病有关。在本文中,我们回顾并更新了我们小组在CRPtg中以及其他人在体外产生的证据,这些证据表明CRP不仅仅是一种抗菌分子和方便的炎症标志物,相反,它能预防自身免疫。我们提出了一个机制假说来解释这种因果关系。