中枢神经系统中的补体激活:疾病状态下免疫失调的生物物理模型。
Complement Activation in the Central Nervous System: A Biophysical Model for Immune Dysregulation in the Disease State.
作者信息
Peoples Nicholas, Strang Candace
机构信息
Baylor College of Medicine, Houston, TX, United States.
IPPIN Biomarkers, Inc., Arlington, MA, United States.
出版信息
Front Mol Neurosci. 2021 Mar 4;14:620090. doi: 10.3389/fnmol.2021.620090. eCollection 2021.
Complement, a feature of the innate immune system that targets pathogens for phagocytic clearance and promotes inflammation, is tightly regulated to prevent damage to host tissue. This regulation is paramount in the central nervous system (CNS) since complement proteins degrade neuronal synapses during development, homeostasis, and neurodegeneration. We propose that dysregulated complement, particularly C1 or C3b, may errantly target synapses for immune-mediated clearance, therefore highlighting regulatory failure as a major potential mediator of neurological disease. First, we explore the mechanics of molecular neuroimmune relationships for the regulatory proteins: Complement Receptor 1, C1-Inhibitor, Factor H, and the CUB-sushi multiple domain family. We propose that biophysical and chemical principles offer clues for understanding mechanisms of dysregulation. Second, we describe anticipated effects to CNS disease processes (particularly Alzheimer's Disease) and nest our ideas within existing basic science, clinical, and epidemiological findings. Finally, we illustrate how the concepts presented within this manuscript provoke new ways of approaching age-old neurodegenerative processes. Every component of this model is testable by straightforward experimentation and highlights the untapped potential of complement dysregulation as a driver of CNS disease. This includes a putative role for complement-based neurotherapeutic agents and companion biomarkers.
补体是先天免疫系统的一个特征,它可靶向病原体进行吞噬清除并促进炎症反应,其受到严格调控以防止对宿主组织造成损伤。这种调控在中枢神经系统(CNS)中至关重要,因为补体蛋白在发育、稳态和神经退行性变过程中会降解神经元突触。我们提出,补体失调,尤其是C1或C3b失调,可能会错误地将突触作为免疫介导清除的靶点,因此突出了调控失败作为神经疾病的主要潜在介导因素。首先,我们探讨调节蛋白(补体受体1、C1抑制剂、H因子和CUB-寿司多结构域家族)的分子神经免疫关系机制。我们认为生物物理和化学原理为理解失调机制提供了线索。其次,我们描述对中枢神经系统疾病过程(特别是阿尔茨海默病)的预期影响,并将我们的观点置于现有的基础科学、临床和流行病学研究结果之中。最后,我们说明本手稿中提出的概念如何引发处理古老神经退行性过程的新方法。该模型的每个组成部分都可通过直接实验进行验证,并突出了补体失调作为中枢神经系统疾病驱动因素的未开发潜力。这包括基于补体的神经治疗药物和伴随生物标志物的假定作用。