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Complement-Related Diseases Classification of Complement Deficiencies Targeting Complement Pathways Related Products Resources

Complement-Related Diseases

The complement system historically has been recognized as a component of immune defense against foreign invaders (e.g. bacteria, viruses, and fungi) by opsonization and cytolysis. Recent studies showed that its versatile functions extend far beyond the elimination of microbes. The complement has verified as a surveillance system to discriminate healthy and altered host cells (e.g. apoptotic and necrotic cells and their fragments), because of the capacity to recognize and dispel the damaged "self" components.

By sending "danger" signals and orchestrating immune responses, complement system contributes substantially to homeostasis, but it may damage healthy host cells and tissues if not properly controlled. With a major functional linkage with other systems, including coagulation, adaptive immunity, Fc receptors, TLRs, and noninflammatory disposal mechanisms, the intricate complement network requires rigorous regulation to maintain appropriate homeostasis. Excessive or insufficient activation will break the delicate balance between complement activation and regulation, leading a variety of disease, including:

Classification of Complement Deficiencies

The complement system consists of more than 30 proteins and regulators that play a key role in innate immunity by mediating processes such as conditioning, pathogen lysis, and inflammation. Nearly 50% of all complement proteins serve as regulators or inhibitors in the amplification cascade, so any absence or suboptimal function of the proteins gives rise to severe clinical disease.

Based on the pathway of complement activation, complement deficiencies can broadly be categorized into the following three groups.

By Pathway Type of Complement Deficiency
Classical Pathway Deficiency C1q deficiency is associated with an increased susceptibility to systemic lupus erythematosus (SLE) or SLE-like syndrome with fever, rash, arthritis, and glomerulonephritis. The investigation revealed that C1q deficiency contributes to the encapsulated bacteria induced infection and high morbidity in childhood from recurrent bacterial/viral infections.
C2 deficiency is the most common homozygous complement deficiency, which also relates to SLE-like illness, infections, rheumatic disorders, and atherosclerosis.
C3 deficiency may be a reason for recurrent pyogenic infections and membrano-proliferative glomerulonephritis.
Alternative Pathway Deficiency Patients with properdin deficiency present hypersensitivity to Neisseria infections (meningococcus and gonococcus) which can be fulminant and life-threatening.
Factor D deficiency shows an insufficiency of alternative pathway hemolytic activity, and it can greatly reduce opsonization of encapsulated bacteria, Streptococcus pneumoniae. While there is no evidence for the association between factor D deficiency and autoimmunity.
Lectin Pathway Deficiency Children with MBL deficiency are high-risk group for infection, especially in the period that the passive immunity (acquired from maternal IgG) has been lost, while the protective antibody has not formed yet. MBL deficiency has a very high prevalence with increased susceptibility and clinical severity of fungal, protozoal, and viral infections as well as community-acquired pneumonia and Neisseria meningitis.

Complement deficiencies can broadly be broadly categorized as primary or secondary based on their origin and underlying mechanisms.

Primary Deficiencies Secondary Deficiencies
Origin Genetic mutations Acquired conditions or diseases
Mechanism Structural or functional defects Dysregulation or depletion
Examples C3 deficiency, Properdin deficiency SLE, infections, malignancies
Clinical Onset Early in life (often hereditary) Varied, depending on the underlying cause
Management Enzyme replacement, prophylactic antibiotics Treat underlying disease, complement modulation
Research Tools

Clinical studies reveal that excessive activation of complement system causes massive accumulation of complement components in the serum of rheumatoid arthritis (RA). In addition, age-related macular degeneration (AMD) and coagulation disorders are related to the excessive accumulation of complement.

Fig. 1 Infection-induced complement activation in the CNS and potential links to neurodegeneration and dementia. (Shinjyo, Kagaya & Pekna, 2021)

Fig. 1 Illustration of complement system related CNS diseases.1, 2

Targeting Complement Pathways for Drug Discovery

By targeting complement pathways, developing biologics to modulate complement activity, and harnessing the power of gene therapy, researchers and biopharmaceutical companies are opening new avenues for treating these complex diseases. At Creative Biolabs, we are dedicated to complement systems research, providing cutting-edge solutions to advance complement therapies.

Based on our experienced team of experts and well-established complement platform, Creative Biolabs provides a great variety of therapeutic antibodies, inhibitors, soluble complement regulators, as well as customized services to help our customers develop novel drugs for complement-related diseases.

Related Products

Our comprehensive complement platform offers a great number of complement-related products in a rapid and cost-effective manner. If you are interested, please feel free to contact us for more details.

Cat.No Product Name Purity Applications
CTA-756 Mouse Anti-Human Cl Inhibitor Mono- clonal Antibody ≥95% ELISA; WB; IP
CTA-526 Mouse Anti-Human Complement C1q Monoclonal Antibody ≥95% WB; ELISA
CTA-009 Mouse Anti-Human Complement C3a/C3a desArg Monoclonal Antibody ≥95% FC; IHC; Neut
CTA-004 Mouse Anti-Human Complement C3 Monoconal Antibody ≥95% ELISA; WB
CTA-093 Mouse Anti-Rat Complement C3b Monoclonal Antibody ≥95% WB; IA
CTA-118 Mouse Anti-Human Complement C5a Monoclonal Antibody ≥95% WB; ELISA; Neut
CTA-053 Mouse Anti-Human Complement C9 Monoclonal Antibody ≥95% WB; ELISA; ICC/IF; IHC; ICC/IF
CTA-551 Mouse Anti-Rat C5b-9 complex Mono- clonal Antibody ≥95% WB; ELISA; IHC; FC; I
CTP-461 Native Human Complement Clg Protein >95% by SDS-PAGE ELISA, Functional Assays
CTP-033 Recombinant Human Complement 1 Inhibitor >95% by SDS-PAGE Activity Assays
CTP-460 Native Human Complement C1 Complex Protein >95% by SDS-PAGE ELISA, Functional Assays
CTP-505 Native Human Complement C3 Protein >95% by SDS-PAGE ELISA, Functional Assays
CTP-044 Recombinant Human Complement C3a Protein >95% by SDS-PAGE Bioactivity Assays
CTP-262 Native Human Complement C5 Protein >95% by SDS-PAGE ELISA, Functional Assays
CTP-268 Native Human Complement C5a Protein >95% by SDS-PAGE ELISA, Functional Assays
CTP-293 Native Human Complement SC5b-9 Complex Protein >95% by SDS-PAGE ELISA, Functional Assays
CTI-001 SB290157 (Trifluoroacetate) 95% Inhibit ~90% complement activity in a hemolytic assay at Conc. 0.77mM
CTI-002 PMX-53 98% C5a receptor antagonist, inhibits C3aR with the IC50 of 20 nM.
CTI-005 W-54011 98% C5a receptor antagonist, it inhibits C5aR with the Ki value of 2.2 nM.
CTI-006 Complement C5-lN-1 98% Potent C5 inhibitor, it blocks zymosan-induced the membrane-attack complex (MAC) deposition in 50% human whole blood with an IC50 of 0.77 μM.
CT1-009 FD-IN-1 98% Pfactor D antagonist, it inhibits factor D with the IC50 of 12 nM.
CTI-010 Compstatin 98% Inhibits C3 convertase with the lc50 of 28 uM and the activation of classical and alternative complement pathways with the lC50 of 63 and 12 uM, respectively.
CTI-012 ADH-503 98% Potent CDllb agonist, it can induce the repolarization of tumor-associated macrophages.

Resources

References

  1. Shinjyo, Noriko, Wataru Kagaya, and Marcela Pekna. "Interaction between the complement system and infectious agents–a potential mechanistic link to neurodegeneration and dementia." Frontiers in Cellular Neuroscience 15 (2021): 710390.
  2. under Open Access license CC BY 4.0, without modification.
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