Complement Therapeutic Target-C8A

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Complement Therapeutic Target C8A

As part of the innate immune system, the complement system enhances the ability of the body to eliminate microbes and debris of the cells from an organism. It promotes inflammation and attacks the pathogen’s cell membrane through the membrane attack complex (MAC). MAC is composed of several complement components, C5, C6, C7, C8, and C9. The C5-C9 complex results in the transmembrane pore and eventual cell lysis of the pathogen. C8 initiates the membrane penetration and coordinates MAC pore formation. A number of research reports revealed that C8 is a heterotrimer which consists of C8A, C8B, and C8G. The deficiency of C8A leads to the type I of C8 deficiency, resulting in the dysfunction of MAC.

Fig. 1 Assembly of the membrane attack complex. (Barnum et al., 2020)

Fig. 1 Assembly of the membrane attack complex.1

Function

The MAC is responsible for the lysis of the invading pathogens. When the complement system is triggered, the complement component C3 is transformed into C3a and C3b after several sequential cleavages and activation of other components. Furthermore, C3b binds C3 convertase to form the C5 convertase which cleaves C5 into C5a and C5b. The C5bC6 assembly then binds to C7, a membrane anchor, and the C5-7 complex binds to C8 which is composed of three subunits (C8A, C8B, and C8G). The function of C8A is to insert into the membrane of the target pathogen but does not form pores by itself. Eventually, C9 associates with the C5-8 complex through the interaction with a C9 specific site on the α-chain.

C8A-Related Disease

C8 deficiency is classified into two types - types I and II. Types I is caused by the deficiency of C8A and the Types II is caused by the deficiency of C8B. However, it’s worth noting that the signs and symptoms of these two types are indistinguishable. C8A deficiency is a rare defect of the complement. Patients with C8A deficiency suffer from the susceptibility to several recurrent infections, predominantly with Meningococcal Meningitis. Most patients are discovered to capture such disorder when they had their first episode of meningitis at the age of about 10 years old.

Fig. 2 C8A related diseases. (Creative Biolabs Authorized)

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References
1. Barnum, Scott R., Doryen Bubeck, and Theresa N. Schein. "Soluble membrane attack complex: biochemistry and immunobiology." Frontiers in Immunology (2020): 2891.

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Questions & Answer

A: Researchers are using advanced techniques such as structural biology, cryo-electron microscopy, and computational modeling to elucidate the molecular interactions involving C8a. This knowledge helps in designing drugs that specifically interfere with C8a's function without causing off-target effects.

A: The future of complement therapeutics may involve personalized medicine approaches that consider an individual's complement system profile. Advancements in C8a-targeted therapies may include novel drug delivery methods and combination therapies to enhance treatment efficacy.

A: C8a-targeted gene therapy is an exciting avenue being explored. By introducing therapeutic genes that regulate C8a expression, researchers aim to provide a long-lasting and highly specific treatment option for complement-related disorders, potentially revolutionizing the field of complement therapeutics.

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Complement System

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