DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVER

Abstract. During attacks of familial mediterranean fever (FMF), multiple systemic events are triggered, most of which promote autoinflammatory reactions. A molecular pattern of immune abnormalities in FMF is yet unclear. There is an increasing evidence to suggest an involvement of the complement sys...

Full description

Saved in:
Bibliographic Details
Main Authors: G. M. Mkrtchyan, L. P. Hovhannisyan, A. A. Ayvazyan, E. Y. Nazaretyan, A. S. Boyajyan
Format: Article
Language:Russian
Published: St. Petersburg branch of the Russian Association of Allergologists and Clinical Immunologists 2014-07-01
Series:Медицинская иммунология
Subjects:
Online Access:https://www.mimmun.ru/mimmun/article/view/221
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849241432574918656
author G. M. Mkrtchyan
L. P. Hovhannisyan
A. A. Ayvazyan
E. Y. Nazaretyan
A. S. Boyajyan
author_facet G. M. Mkrtchyan
L. P. Hovhannisyan
A. A. Ayvazyan
E. Y. Nazaretyan
A. S. Boyajyan
author_sort G. M. Mkrtchyan
collection DOAJ
description Abstract. During attacks of familial mediterranean fever (FMF), multiple systemic events are triggered, most of which promote autoinflammatory reactions. A molecular pattern of immune abnormalities in FMF is yet unclear. There is an increasing evidence to suggest an involvement of the complement system, the major inflammatory mediator, in FMF pathogeneses. In present study, we examined functional activities of the alternative and the classical complement cascades, and some relationships between alterations in the functional activities of these cascades in FMF. To this purpose, we measured hemolytic activities of classic (CH50) and alternative complement pathways (AH50), and of the complement components C3 (C3H50), factor B (fBH50) and factor D (fDH50) in blood serum of twenty-eight colchicine-free FMF patients and twenty-five healthy subjects. According to the data obtained, a decrease in serum levels of AH50 and increase in CH50 and C3H50 were detected in FMF patients, as compared to normal values. No significant difference was detected between the affected persons and healthy subjects for fBH50 and fDH50. Correlation analysis revealed a positive relationship between alterations in CH50 and C3H50 and a negative correlation between alterations in AH50 and CH50. From the data obtained, following conclusions have been made: 1) pathogenesis of FMF is characterized by a complement dysfunction, including hyperactivation of classical complement pathway and hypoactivation state of alternative pathway; 2) alterations in functional activities of classical and alternative complement activation pathways in FMF are interdependent; 3) the alternative pathway is suppressed on the initial stage of its activation; 4) high blood levels of C-reactive protein, serum amyloid P component, and circulating immune complexes, associated with FMF, might be responsible for hyperactivation of classical complement pathway in this disease.
format Article
id doaj-art-c707b270c16e44c184e53f834f5c00c1
institution Kabale University
issn 1563-0625
2313-741X
language Russian
publishDate 2014-07-01
publisher St. Petersburg branch of the Russian Association of Allergologists and Clinical Immunologists
record_format Article
series Медицинская иммунология
spelling doaj-art-c707b270c16e44c184e53f834f5c00c12025-08-20T04:00:09ZrusSt. Petersburg branch of the Russian Association of Allergologists and Clinical ImmunologistsМедицинская иммунология1563-06252313-741X2014-07-01111859010.15789/1563-0625-2009-1-85-90218DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVERG. M. Mkrtchyan0L. P. Hovhannisyan1A. A. Ayvazyan2E. Y. Nazaretyan3A. S. Boyajyan4Институт молекулярной биологии Национальной академии наук Республики Армения, г. ЕреванИнститут молекулярной биологии Национальной академии наук Республики Армения, г. ЕреванЕреванский государственный медицинский университетЕреванский государственный медицинский университетИнститут молекулярной биологии Национальной академии наук Республики Армения, г. ЕреванAbstract. During attacks of familial mediterranean fever (FMF), multiple systemic events are triggered, most of which promote autoinflammatory reactions. A molecular pattern of immune abnormalities in FMF is yet unclear. There is an increasing evidence to suggest an involvement of the complement system, the major inflammatory mediator, in FMF pathogeneses. In present study, we examined functional activities of the alternative and the classical complement cascades, and some relationships between alterations in the functional activities of these cascades in FMF. To this purpose, we measured hemolytic activities of classic (CH50) and alternative complement pathways (AH50), and of the complement components C3 (C3H50), factor B (fBH50) and factor D (fDH50) in blood serum of twenty-eight colchicine-free FMF patients and twenty-five healthy subjects. According to the data obtained, a decrease in serum levels of AH50 and increase in CH50 and C3H50 were detected in FMF patients, as compared to normal values. No significant difference was detected between the affected persons and healthy subjects for fBH50 and fDH50. Correlation analysis revealed a positive relationship between alterations in CH50 and C3H50 and a negative correlation between alterations in AH50 and CH50. From the data obtained, following conclusions have been made: 1) pathogenesis of FMF is characterized by a complement dysfunction, including hyperactivation of classical complement pathway and hypoactivation state of alternative pathway; 2) alterations in functional activities of classical and alternative complement activation pathways in FMF are interdependent; 3) the alternative pathway is suppressed on the initial stage of its activation; 4) high blood levels of C-reactive protein, serum amyloid P component, and circulating immune complexes, associated with FMF, might be responsible for hyperactivation of classical complement pathway in this disease.https://www.mimmun.ru/mimmun/article/view/221alternative complement pathwayclassic complement pathwayfamilial mediterranean fever
spellingShingle G. M. Mkrtchyan
L. P. Hovhannisyan
A. A. Ayvazyan
E. Y. Nazaretyan
A. S. Boyajyan
DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVER
Медицинская иммунология
alternative complement pathway
classic complement pathway
familial mediterranean fever
title DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVER
title_full DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVER
title_fullStr DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVER
title_full_unstemmed DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVER
title_short DYSFUNCTION OF COMPLEMENT SYSTEM IN FAMILIAL MEDITERRANEAN FEVER
title_sort dysfunction of complement system in familial mediterranean fever
topic alternative complement pathway
classic complement pathway
familial mediterranean fever
url https://www.mimmun.ru/mimmun/article/view/221
work_keys_str_mv AT gmmkrtchyan dysfunctionofcomplementsysteminfamilialmediterraneanfever
AT lphovhannisyan dysfunctionofcomplementsysteminfamilialmediterraneanfever
AT aaayvazyan dysfunctionofcomplementsysteminfamilialmediterraneanfever
AT eynazaretyan dysfunctionofcomplementsysteminfamilialmediterraneanfever
AT asboyajyan dysfunctionofcomplementsysteminfamilialmediterraneanfever