Torzewski Michael
Department of Laboratory Medicine and Hospital Hygiene, Robert Bosch-Hospital, Stuttgart, Germany.
Front Cardiovasc Med. 2022 Mar 24;9:797116. doi: 10.3389/fcvm.2022.797116. eCollection 2022.
Animal C-reactive protein (CRP) has a widespread existence throughout phylogeny implying that these proteins have essential functions mandatory to be preserved. About 500 million years of evolution teach us that there is a continuous interplay between emerging antigens and components of innate immunity. The most archaic physiological roles of CRP seem to be detoxication of heavy metals and other chemicals followed or accompanied by an acute phase response and host defense against bacterial, viral as well as parasitic infection. On the other hand, unusual antigens have emerged questioning the black-and-white perception of CRP as being invariably beneficial. Such antigens came along either as autoantigens like excessive tissue-stranded modified lipoprotein due to misdirected food intake linking CRP with atherosclerosis with an as yet open net effect, or as foreign antigens like SARS-CoV-2 inducing an uncontrolled CRP-mediated autoimmune response. The latter two examples impressingly demonstrate that a component of ancient immunity like CRP should not be considered under identical "beneficial" auspices throughout phylogeny but might effect quite the reverse as well.
动物C反应蛋白(CRP)在整个系统发育过程中广泛存在,这意味着这些蛋白质具有必须保留的基本功能。大约5亿年的进化历程告诉我们,新出现的抗原与先天免疫成分之间存在持续的相互作用。CRP最古老的生理作用似乎是重金属和其他化学物质的解毒作用,随后或伴随着急性期反应以及针对细菌、病毒和寄生虫感染的宿主防御。另一方面,出现了一些不同寻常的抗原,这对将CRP一概视为有益的黑白认知提出了质疑。这些抗原要么是自身抗原,如由于食物摄入错误导致过多组织滞留的修饰脂蛋白,将CRP与动脉粥样硬化联系起来,其净效应尚待明确;要么是外来抗原,如严重急性呼吸综合征冠状病毒2(SARS-CoV-2),引发不受控制的CRP介导的自身免疫反应。后两个例子令人印象深刻地表明,像CRP这样古老免疫的一个组成部分,在整个系统发育过程中不应被视为始终处于相同的“有益”条件下,其影响也可能恰恰相反。