C-Reactive Protein (CRP) and Autoimmune Disease: Facts and Conjectures

C-reactive protein (CRP) is a blood component comprised of five identical subunits with a combined molecular mass of 110 kDa; in the presence of Ca++ it binds phosphocholine (PC) with high affinity. Ligand-bound CRP activates complement and the protein reportedly...

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Main Author: Alexander J. Szalai
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1080/17402520400001751
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author Alexander J. Szalai
author_facet Alexander J. Szalai
author_sort Alexander J. Szalai
collection DOAJ
description C-reactive protein (CRP) is a blood component comprised of five identical subunits with a combined molecular mass of 110 kDa; in the presence of Ca++ it binds phosphocholine (PC) with high affinity. Ligand-bound CRP activates complement and the protein reportedly binds various Fc receptors. Coincident with a now decade-long resurgence in clinical interest in associations of CRP with disease, our laboratory has been investigating the biology of CRP in vivo using human CRP transgenic mice (CRPtg). At that time we confirmed that CRP affects a host defense function mediated at least in part through the elimination of pathogens. Less appreciated and not as well understood as CRP's ability to bind antigen and aid in the elimination of microbes, is its known ability to bind autoantigens and presumed capacity to promote clearance of apoptotic cells. These latter properties of CRP have long been suspected to contribute to homeostasis and to autoimmune disease. In this article we review and update the evidence generated in CRPtg by our group and in vitro by others' that indicates CRP is more than just an antimicrobial molecule and convenient marker of inflammation - rather, it protects against autoimmunity. A mechanistic hypothesis is presented to account for this cause-and-effect relationship.
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spelling doaj-art-1bb4474b3bc54303b129106e0ee1564e2025-02-03T06:12:32ZengWileyClinical and Developmental Immunology1740-25221740-25302004-01-0111222122610.1080/17402520400001751C-Reactive Protein (CRP) and Autoimmune Disease: Facts and ConjecturesAlexander J. Szalai0Division of Clinical Immunology and Rheumatology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USAC-reactive protein (CRP) is a blood component comprised of five identical subunits with a combined molecular mass of 110 kDa; in the presence of Ca++ it binds phosphocholine (PC) with high affinity. Ligand-bound CRP activates complement and the protein reportedly binds various Fc receptors. Coincident with a now decade-long resurgence in clinical interest in associations of CRP with disease, our laboratory has been investigating the biology of CRP in vivo using human CRP transgenic mice (CRPtg). At that time we confirmed that CRP affects a host defense function mediated at least in part through the elimination of pathogens. Less appreciated and not as well understood as CRP's ability to bind antigen and aid in the elimination of microbes, is its known ability to bind autoantigens and presumed capacity to promote clearance of apoptotic cells. These latter properties of CRP have long been suspected to contribute to homeostasis and to autoimmune disease. In this article we review and update the evidence generated in CRPtg by our group and in vitro by others' that indicates CRP is more than just an antimicrobial molecule and convenient marker of inflammation - rather, it protects against autoimmunity. A mechanistic hypothesis is presented to account for this cause-and-effect relationship.http://dx.doi.org/10.1080/17402520400001751
spellingShingle Alexander J. Szalai
C-Reactive Protein (CRP) and Autoimmune Disease: Facts and Conjectures
Clinical and Developmental Immunology
title C-Reactive Protein (CRP) and Autoimmune Disease: Facts and Conjectures
title_full C-Reactive Protein (CRP) and Autoimmune Disease: Facts and Conjectures
title_fullStr C-Reactive Protein (CRP) and Autoimmune Disease: Facts and Conjectures
title_full_unstemmed C-Reactive Protein (CRP) and Autoimmune Disease: Facts and Conjectures
title_short C-Reactive Protein (CRP) and Autoimmune Disease: Facts and Conjectures
title_sort c reactive protein crp and autoimmune disease facts and conjectures
url http://dx.doi.org/10.1080/17402520400001751
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