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Inter-alpha-trypsin inhibitor attenuates complement activation and complement-induced lung injury.

Abstract
Complement activation is a central component of inflammation and sepsis and can lead to significant tissue injury. Complement factors are serum proteins that work through a cascade of proteolytic reactions to amplify proinflammatory signals. Inter-alpha-trypsin inhibitor (IaI) is an abundant serum protease inhibitor that contains potential complement-binding domains, and has been shown to improve survival in animal sepsis models. We hypothesized that IaI can bind complement and inhibit complement activation, thus ameliorating complement-dependent inflammation. We evaluated this hypothesis with in vitro complement activation assays and in vivo in a murine model of complement-dependent lung injury. We found that IaI inhibited complement activation through the classical and alternative pathways, inhibited complement-dependent phagocytosis in vitro, and reduced complement-dependent lung injury in vivo. This novel function of IaI provides a mechanistic explanation for its observed salutary effects in sepsis and opens new possibilities for its use as a treatment agent in inflammatory diseases.
AuthorsStavros Garantziotis, John W Hollingsworth, Rami B Ghanayem, Sarah Timberlake, Lisheng Zhuo, Koji Kimata, David A Schwartz
JournalJournal of immunology (Baltimore, Md. : 1950) (J Immunol) Vol. 179 Issue 6 Pg. 4187-92 (Sep 15 2007) ISSN: 0022-1767 [Print] United States
PMID17785858 (Publication Type: Journal Article, Research Support, N.I.H., Intramural)
Chemical References
  • Alpha-Globulins
  • Complement Inactivator Proteins
  • Protein Subunits
  • inter-alpha-inhibitor
  • Complement System Proteins
Topics
  • Alpha-Globulins (deficiency, genetics, metabolism, physiology)
  • Animals
  • Complement Activation (genetics, immunology)
  • Complement Inactivator Proteins (deficiency, genetics, metabolism, physiology)
  • Complement System Proteins (metabolism, toxicity)
  • Female
  • Immune Complex Diseases (immunology, metabolism, pathology, prevention & control)
  • Lung (immunology, metabolism, pathology)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Phagocytosis (immunology)
  • Protein Binding (immunology)
  • Protein Subunits (deficiency, genetics, metabolism, physiology)

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