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The Journal of Immunology, 2001, 167: 6593-6600.
Copyright © 2001 by The American Association of Immunologists

Surfactant Protein A Regulates Complement Activation1

Wendy T. Watford*, Jo Rae Wright2,*, C. Garren Hester{dagger}, Haixiang Jiang{dagger} and Michael M. Frank{dagger}

Departments of * Cell Biology and {dagger} Pediatrics, Duke University Medical Center, Durham, NC 27710


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Complement proteins aid in the recognition and clearance of pathogens from the body. C1, the first protein of the classical pathway of complement activation, is a calcium-dependent complex of one molecule of C1q and two molecules each of C1r and C1s, the serine proteases that cleave complement proteins. Upon binding of C1q to Ag-bound IgG or IgM, C1r and C1s are sequentially activated and initiate the classical pathway of complement. Because of structural and functional similarities between C1q and members of the collectin family of proteins, including pulmonary surfactant protein A (SP-A), we hypothesized that SP-A may interact with and regulate proteins of the complement system. Previously, SP-A was shown to bind to C1q, but the functional significance of this interaction has not been investigated. Binding studies confirmed that SP-A binds directly to C1q, but only weakly to intact C1. Further investigation revealed that the binding of SP-A to C1q prevents the association of C1q with C1r and C1s, and therefore the formation of the active C1 complex required for classical pathway activation. This finding suggests that SP-A may share a common binding site for C1r and C1s or Clq. SP-A also prevented C1q and C1 from binding to immune complexes. Furthermore, SP-A blocked the ability of C1q to restore classical pathway activity to C1q-depleted serum. SP-A may down-regulate complement activity through its association with C1q. We hypothesize that SP-A may serve a protective role in the lung by preventing C1q-mediated complement activation and inflammation along the delicate alveolar epithelium.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Surfactant proteins A and D (SP-A and SP-D)3 are components of pulmonary surfactant, a mixture of lipids and proteins that covers the pulmonary epithelium and reduces surface tension at end expiration. SP-A and SP-D are members of the collectin family of proteins, so named because they contain both collagen-like sequences at the N terminus and calcium-dependent lectin domains at the C terminus. The collectins bind to a variety of carbohydrates abundant on the surfaces of microorganisms via their lectin domains and also interact with cell surface receptors on phagocytic cells to mediate uptake of the bound particle. Both SP-A and SP-D have been shown to function in innate immunity in the lung by interacting with and enhancing the clearance of a variety of pathogens by phagocytic cells (reviewed in Refs. 1 and 2).

Although SP-A and SP-D are present predominantly in the lung, another collectin named mannose-binding lectin (MBL) is found in serum and is capable of activating complement (3, 4, 5, 6). Like the collectins, complement also aids in the recognition and clearance of microorganisms from the body, although the mechanisms are much more complicated and highly regulated. The complement system is a group of >30 proteins present in serum that participates in innate immunity through a variety of mechanisms, such as activating immune cells, promoting inflammation at the site of infection, opsonizing pathogens, and directly lysing susceptible microorganisms. Within the complement system, there are three highly ordered activation pathways through which pathogens can be recognized and targeted for clearance: the classical pathway, the lectin pathway, and the alternative pathway (reviewed in Ref. 7). The classical pathway of complement is the most extensively studied pathway and is initiated by the binding of a subcomponent of the first complement protein, C1q, to the target microorganism. The lectin pathway is activated when microorganisms are recognized by MBL via its calcium-dependent lectin domains. Finally, activation can occur through the alternative pathway, which is viewed as somewhat less specific than the other two pathways, since there is no pathogen-specific recognition molecule in this pathway.

SP-A, MBL, and C1q all have a similar overall structure that resembles a bouquet of flowers. SP-A and MBL have globular C-terminal lectin domains that bind to sugars on microorganisms in a calcium-dependent manner. These globular lectin domains are contiguous with long triple-helical collagen-like domains that appear to be the stalks of the flowers. C1q also has collagen stalks, and the three proteins have sequence homology throughout this region where they share a common Gly-X-Y repeating sequence that forms the helical structure of their collagen-like domains (8). C1q, however, does not have the lectin domains that SP-A and MBL have and is not classified as a collectin. Instead, C1q has globular Ab binding domains that recognize Ag-bound IgG and IgM.

As predicted by similar overall protein structures, SP-A, MBL, and C1q have some functional similarities as well. For example, all three molecules have been shown to function in innate immunity by enhancing the phagocytosis of microorganisms (9, 10, 11, 12). All three proteins interact with the same C1q receptors (13, 14, 15, 16), further demonstrating their functional similarities. Recently, SP-A was shown to enhance the clearance of apoptotic cells (17), a function previously described for C1q (18, 19). Because of the significant structural and functional similarities between the lung collectins and the known complement activators, MBL and C1q, we investigated the hypothesis that SP-A may interact with and regulate proteins of the complement system.

Complement proteins are present in the lung, where they may play a role in host defense. Lung-specific cells, including alveolar macrophages and type II epithelial cells, synthesize and secrete in culture specific complement proteins of the classical and alternative pathways (20, 21, 22). In addition, functional classical pathway activity was demonstrated in human (23) and rabbit (24) bronchoalveolar lavage fluid, although the level of functional complement activity is less than that predicted by the complement protein levels in the lavage fluid. The reduced activity is at least partly explained by a complement inhibitor in rabbit lavage fluid as proposed by Giclas et al. (24). We investigated whether SP-A, the most abundant of the surfactant proteins, may be able to regulate complement activity in such a way in the lung.

Previous studies have confirmed that SP-A does not directly substitute for C1q to activate complement, since SP-A cannot restore classical pathway activity to C1q-depleted serum (23, 25). However, an interaction between SP-A and C1q has been reported, although the significance of this interaction has not yet been elucidated (26). We hypothesized that SP-A can bind to C1q and prevent it from activating complement, thereby preventing inflammation and damage to the delicate pulmonary epithelium.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Purified proteins

Purified complement proteins, including C1q, activated C1s, and proenzyme C1r were purchased from Advanced Research Technologies (San Diego, CA). Human serum albumin (HSA) and BSA were purchased from Sigma (St. Louis, MO). SP-A was purified from the alveolar lavage fluid of pulmonary alveolar proteinosis patients (27). SP-A was treated with polymyxin agarose to reduce endotoxin contamination, and SP-A preparations used in these studies contained <=0.2 pg endotoxin/µg protein. Recombinant rat SP-D (RrSP-D) was purified as previously described (28). The state of multimerization of RrSP-D has been characterized previously and consists primarily of dodecamers and a small subpopulation of multimers (29). Rat MBL was purified from rat serum (30).

Buffers

Isotonic veronal buffers were prepared as previously described (31). Normal ionic strength veronal-buffered saline contained 1 mM MgCl2, 0.15 mM CaCl2, and gelatin (GVBS++), and low ionic strength dextrose-GVBS++ contained either 1 mM MgCl2 and 0.15 mM CaCl2 (DGVBS++) or 10 mM EDTA (EDTA-DGVBS).

Iodination of proteins

Proteins were labeled with 125I using Iodobeads (Pierce, Rockford, IL). Two beads were washed with phosphate-buffered water (pH 7.0) and placed in the reaction test tube along with 50 µl of phosphate-buffered water (pH 7.0). Two microliters of 125I (0.2 mCi) was added to the reaction tube and incubated for 5 min at room temperature, after which 50 µl of the protein to be labeled was also added. The reaction proceeded for 30 min at room temperature. To remove the free unconjugated iodine, the entire volume was applied to a prewashed Micro Bio-Spin 6 chromatography column (Bio-Rad, Hercules, CA) and centrifuged over a collection tube for 4 min at 1500 x g. Three microliters of the collected sample was counted to determine the specific activity of the labeled protein. In addition, the concentration of the labeled proteins was determined by the bicinchoninic acid protein assay (Pierce) to calculate the specific activity of the labeled protein.

SP-A binding studies

A microtiter plate binding assay was used to compare SP-A binding to C1q vs intact C1. All incubations in microtiter wells were performed with a volume of 200 µl. Intact C1 (Advanced Research Technologies) was bound to immune complexes coated onto microtiter plate wells. Immune complexes were formed near equivalence on the wells of a 96-well MaxiSorp BreakApart microtiter plate (Nunc, Rochester, NY) as described below. BSA was dissolved in Dulbecco’s PBS (DPBS; Life Technologies, Gaithersburg, MD) at a concentration of 10 mg/ml and heat-aggregated at 56°C for 30 min. Heat-aggregated BSA was diluted 200-fold in 0.1 M sodium bicarbonate buffer (pH 9.75) to a final concentration of 50 µg/ml. Two hundred microliters (10 µg) of heat-aggregated BSA was added to each well and incubated for 1 h at 37°C. Following the incubation, wells were washed three times in DPBS containing 0.05% Tween 20 (DPBS-T). Immune complexes were formed on the plate by adding anti-BSA Ab at 18 µg/ml in DPBS to the wells and incubating for 1 h at 37°C. Again, wells were washed three times with DPBS-T.

Purified C1 was diluted 100-fold to 2 µg/ml in DGVBS++ and incubated with the preformed immune complexes, which resulted in C1 bound to the microtiter wells. Some wells were then incubated for 30 min at 37°C in DGVBS++ buffer to retain intact C1 on the wells. Other wells were incubated in EDTA-DGVBS buffer to release the associated C1r and C1s molecules that require calcium for binding to C1q, resulting in wells coated with C1q only. All wells were washed twice in the same buffer and then once in DGVBS++. Iodinated SP-A was diluted 1/500 (~1 µg/ml final concentration) in DGVBS++ and incubated with the wells for 30 min at room temperature as described above. Alternatively, iodinated anti-human C1q Ab (The Binding Site, Birmingham, U.K.) was diluted 1000-fold in DGVBS++ and incubated with the wells. All wells were washed twice in DGVBS++ and counted in the gamma counter to determine how much SP-A or C1q was present.

To determine the molar ratio of SP-A binding to C1q, we used a microtiter plate binding assay. Iodinated C1q was diluted into unlabeled C1q as a tracer and incubated with microtiter plate wells at a concentration of 10 µg/ml (2 µg/well) in 0.1 M sodium bicarbonate buffer (pH 9.5). Wells were washed three times in DPBS-T. Using the specific activity of the iodinated protein, the amount of C1q bound was calculated to be 0.39 µg/well. To determine the maximal SP-A binding to wells coated with 0.39 µg unlabeled C1q under the same conditions as those described above, radiolabeled SP-A was diluted into unlabeled SP-A and added to C1q-coated wells at increasing concentrations in DGVBS++ buffer. Wells were incubated with radiolabeled SP-A for 30 min at room temperature. Wells were washed three times in the same buffer. Finally, wells were broken apart and counted in a gamma counter to determine the amount of SP-A associated with the wells. The maximal amount of SP-A bound to wells was calculated based on the specific activity of the protein. SP-A binding to MBL in DGVBS++ was also determined using the same microtiter plate binding assay in which wells were coated with 2 µg of rat MBL.

C1r2C1s2 binding studies

To determine whether C1r2C1s2 binds to SP-A as well as to C1q, microtiter plate wells were coated with 2 µg of purified C1q or SP-A in 0.1 M sodium bicarbonate buffer (pH 9.75) for 1 h at 37°C. Wells were washed three times in DPBS-T and then incubated with a mixture of excess unlabeled C1r (4 µg/ml; 1/250 dilution of stock) and iodinated C1s (~2 µg/ml; 1/500 dilution of stock) in DGVBS++ buffer for 30 min at room temperature. Wells were washed three times with DGVBS++ buffer and counted in the gamma counter to determine the amount of bound C1r2C1s2.

The ability of SP-A to inhibit C1 formation was tested using a modified C1r2C1s2 binding assay. Microtiter plate wells were coated with 2 µg of purified C1q in 0.1 M sodium bicarbonate buffer (pH 9.75) for 1 h at 37°C. Wells were then washed three times in DPBS-T and incubated with increasing concentrations of either SP-A or HSA in DGVBS++ buffer for 30 min at 37°C. The wells were washed once with DGVBS++, and a mixture of excess unlabeled C1r (1/250 dilution) and iodinated C1s (1/500) was added to all wells for 30 min at room temperature. Alternatively, SP-A or HSA was added to the wells at the same time as the C1r2[125I]C1s2 in some experiments. Wells were washed three times and counted in the gamma counter as described above.

C1 dissociation assay

Radiolabeled C1s was preincubated with a 2-fold molar excess of unlabeled C1q and C1r for 90 min in DGVBS++ buffer at room temperature to form intact C1. Two hundred microliters of the mixture was incubated with microtiter plate wells coated with immune complexes for 1 h at room temperature. Wells were washed three times in DGVBS++ buffer, and 200 µl of buffer containing no protein or containing 100 µg/ml HSA, C1 inhibitor, or SP-A was added to wells with C1. Following a 2-h incubation at room temperature, the supernatants were removed. The wells were washed twice with DGVBS++, and the washes were combined with the supernatants and counted in the gamma counter to determine how much 125I-labeled C1s dissociated from the wells. The wells were also broken apart and counted to determine how much C1r2125I-labeled C1s2 remained bound to C1q. The data were used to calculate the percentage of C1 dissociation.

C1q/C1 binding to immune complexes

We tested whether the binding of SP-A to C1q interfered with C1q binding to immune complexes. Purified C1q at 10 µg/ml was preincubated with SP-A in DGVBS++ buffer or with buffer alone for 90 min at room temperature before being added to microtiter plate wells coated with immune complexes. The C1q mixtures were incubated with immune complexes for 1 h at room temperature and subsequently washed three times with DGVBS++ buffer. The wells were incubated with radiolabeled anti-C1q Ab (1/500) at room temperature for 30 min to determine the amount of C1q bound to the immune complexes.

Similar studies were performed using purified C1 to determine whether SP-A also inhibited C1 binding to immune complexes. C1 was diluted 200-fold to 1 µg/ml in DGVBS++ and preincubated with increasing concentrations of either SP-A or HSA for 30 min at 37°C. Because of the high background binding of purified C1 to microtiter plate wells, wells were blocked for 2 h at 37°C with 1% gelatin in DPBS before addition of C1 to the wells in the presence or the absence of SP-A. The C1 mixtures were then added to microtiter plate wells coated with immune complexes and incubated for 30 min. C1 binding to immune complexes was detected with iodinated anti-C1q Ab (1/1000). Wells were washed three times with DGVBS++ buffer and counted in the gamma counter.

Complement activation assay

The ability of C1q to activate the classical pathway of complement in the presence and the absence of SP-A was tested in a microtiter plate assay using immune complexes as the complement target. This assay was developed and validated by Miletic et al. (32). Immune complexes were formed on microtiter plate wells as described above. Purified C1q (1 mg/ml stock) was diluted 1/8000 in DGVBS++ and coated onto the immune complexes by incubating 200 µl in each well for 30 min at 37°C. Control wells were incubated with DGVBS++ alone. Following the incubation, wells were washed three times with DGVBS++ and incubated with SP-A, HSA, or no protein in DGVBS++ for 30 min at 37°C. After the incubation, the buffer was removed, and the wells were washed three times in DGVBS++. C1q-depleted serum (Advanced Research Technologies) was diluted 1/100 in DGVBS++, and 200 µl was added to all wells. Complement activation by the C1q-depleted serum was allowed to proceed for 30 min at 37°C, after which time the wells were washed five times with DPBS-T.

The magnitude of complement activity in the wells was determined by measuring the amount of C4 bound to each well by ELISA using a biotinylated anti-C4 Ab (32). Biotinylated anti-C4 Ab was diluted 1/1000 in DPBS and added to all wells for 1 h at 37°C. Wells were washed three times in DPBS-T. Streptavidin peroxidase (1 mg/ml) was diluted 1/50,000 in DPBS and added to all wells for 1 h at 37°C. Wells were washed three times in DPBS-T, and the plate was developed for 1 h using Sigma FAST tablets according to the manufacturer’s instructions. The OD of all wells was read at 405 nm. Negative control wells coated with BSA, but no anti-BSA Ab, failed to activate complement. Also, wells coated with BSA/anti-BSA immune complexes did not activate complement when incubated with C1q-depleted serum.

Statistical analysis

All data are expressed as the mean ± SEM of three or more separate experiments unless otherwise stated in the figure legend. Statistical analysis was performed using two-tailed Student’s t test for unpaired samples with unequal variances or using a Tukey test. Differences were considered statistically significant at p <= 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
SP-A binds to C1q, but only weakly to intact C1

SP-A has previously been reported to bind directly to C1q, but the functional significance of this interaction has not been investigated. Experiments were conducted to determine whether SP-A also binds to C1q that is complexed with two molecules each of C1r and C1s as part of the intact C1 molecule. Two molecules each of C1r and C1s interact to produce a tetramer that binds to the collagenous region of C1q, forming the intact C1 molecule (33). Microtiter plate wells were coated with intact C1 and incubated either in DGVBS++ buffer to retain intact C1 or in EDTA-DGVBS buffer to dissociate C1r and C1s from C1q. This treatment resulted in some wells coated with intact C1 and some wells coated with C1q only. Microtiter plate binding assays using radiolabeled SP-A showed that SP-A bound to C1q to a much greater extent (>5-fold) than to intact C1, indicating that SP-A binding to C1q is greatly reduced by the presence of C1r and C1s (Fig. 1GoA). Duplicate wells incubated with radiolabeled anti-C1q Ab showed that the same amount of C1q was present on all wells (Fig. 1GoB) and that the decreased binding of SP-A to C1 is due solely to the presence of C1r and C1s. SP-A did not bind to wells coated with C1r and C1s alone (data not shown). To characterize the specificity of the interaction of SP-A with C1q, SP-A binding to the C1q homologue, MBL, was also examined. SP-A bound to MBL, although the level of binding was only 15% that of binding of SP-A to C1q (data not shown).



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FIGURE 1. SP-A binds to C1q, but not to intact C1. Microtiter plate wells with either C1q or intact C1 (see Materials and Methods) were incubated with iodinated SP-A (A) or iodinated anti-C1q in DGVBS++ (B). Following the incubation, wells were washed twice with DGVBS++, then broken apart and counted in the gamma counter to determine how much SP-A or C1q was bound. Although SP-A bound weakly to C1, SP-A bound to a much greater extent to C1q in the absence of C1r and C1s. The molar ratio of SP-A binding to C1q was also determined (C). Wells coated with 0.39 µg of C1q were incubated with increasing concentrations of SP-A. SP-A binding to C1q was saturable and plateaued at 0.32 µg of SP-A bound/well. This corresponds to a 1:1.7 molar ratio of SP-A to C1q. *, p < 0.05. n = 3 for A and B; n = 2 for C. The results from both experiments are shown.

 
The molar ratio of binding of SP-A to C1q was also investigated. Wells preincubated with 10 µg/ml C1q in 0.1 M sodium bicarbonate buffer (pH 9.5) retained 0.39 µg of C1q/well. Iodinated SP-A bound to C1q-coated wells in a concentration-dependent manner (Fig. 1GoC). SP-A binding to C1q-coated microtiter plate wells saturated at an SP-A concentration of 32 µg/ml. The maximal amount of SP-A bound to wells was 0.32 µg, based on the specific activity of the protein. This corresponds to a molar ratio of 1 SP-A molecule bound to 1.7 C1q molecules. Because the coating of C1q to the plate may obscure some SP-A binding sites, this ratio is approximate. The actual ratio may be closer to 1:1.

Surfactant protein A blocks C1 complex formation

Because SP-A binding to C1q was greatly reduced in the presence of the C1r2C1s2 tetramer, SP-A may bind to C1q in the same region that C1r and C1s bind to C1q. Therefore, we performed experiments to determine whether C1q that is bound to SP-A could also bind to C1r and C1s. C1q-coated microtiter wells were incubated with either SP-A or HSA and then tested for the ability to bind radiolabeled C1r2C1s2 tetramer (C1r2125I-labeled C1s2). Although preincubation of C1q-coated wells with HSA did not affect the ability of C1r2125I-labeled C1s2 to bind to C1q, SP-A significantly inhibited the association of C1r2 125I-labeled C1s2 with C1q in a dose-dependent manner, indicating a likely competition between SP-A and C1r2C1s2 for the same region of C1q (Fig. 2GoA). SP-A even inhibited C1 formation when it was added to C1q-coated wells at the same time (without preincubation) that C1r2125I-labeled C1s2 was added, although slightly higher SP-A concentrations were needed to achieve the same level of inhibition (Fig. 2GoB). RrSP-D, another pulmonary collectin, did not inhibit C1 formation in the same assay used in Fig. 2GoA at a concentration of 15 µg/ml (data not shown).



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FIGURE 2. SP-A inhibits C1 formation. C1q-coated microtiter plate wells were preincubated with SP-A or HSA and then tested for the ability to bind C1r2125I-labeled C1s2 (A). Alternatively, SP-A or HSA was added to the wells at the same time as C1r2 125I-labeled C1s2 (B). Wells were then washed, broken apart, and counted in the gamma counter to determine whether SP-A or HSA inhibited the interaction of C1r and C1s with C1q (C1 formation). *, p < 0.05 SP-A compared with no protein; {dagger}, p < 0.05 SP-A compared with same protein concentration of HSA; n = 3.

 
Because of the structural homology between C1q and SP-A, especially throughout the collagenous region, it has been suggested that SP-A may be able to associate with the serine proteases C1r and C1s that are normally associated with C1q in serum. Additional binding studies were performed to determine whether SP-A can interact with the complement serine proteases C1r and C1s. Either SP-A or C1q was immobilized onto the wells of a microtiter plate and incubated with radiolabeled C1r2C1s2 complex (C1r2 125I-labeled C1s2). C1r2C1s2 bound to C1q, but not to SP-A, demonstrating that SP-A cannot substitute for C1q in forming a C1-like complex (Fig. 3Go).



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FIGURE 3. C1r2C1s2 binds to C1q, but not to SP-A. SP-A, or C1q was immobilized onto the wells of a microtiter plate and incubated with radiolabeled C1r2 125I-labeled C1s2 complex in DGVBS++ buffer. Following the incubation, wells were washed and counted in a gamma counter to determine how much C1r2 125I-labeled C1s2 bound to each protein. *, p < 0.05; n = 3.

 
SP-A inhibits complement activation

Because SP-A does not interact with C1r2C1s2 to activate complement, and SP-A can block C1 formation from free C1q, C1r, and C1s, SP-A was tested for its ability to inhibit classical pathway complement activation. A microtiter plate assay for complement activation was used instead of a standard hemolytic assay because rather low concentrations of SP-A agglutinated target SRBC (data not shown). Immune complexes were coated onto microtiter plate wells and incubated with C1q. Wells were then incubated with SP-A or HSA, after which a dilution of C1q-depleted human serum was added. After 30 min the amount of C4 deposited onto the wells (a result of complement activation) was quantified by ELISA using a biotinylated anti-C4 Ab. Wells incubated with 200 µg/ml SP-A showed a 50% decrease in the amount of bound C4, demonstrating the ability of SP-A to inhibit complement activation by C1q (Fig. 4Go).



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FIGURE 4. SP-A inhibits complement activation by C1q. Microtiter plate wells precoated with immune complexes were incubated with C1q. Wells were then incubated with SP-A or HSA and washed, and a dilution of C1q-depleted human serum was added. After 30 min the amount of C4 deposited on the wells was determined as a measure of complement activation. *, p < 0.05 SP-A compared with no protein; n = 3.

 
SP-A does not dissociate preformed C1

To determine whether SP-A can dissociate preformed C1, radiolabeled C1 was prepared by incubating radiolabeled C1s with excess C1q and C1r. Radiolabeled C1 was bound to immune complexes on microtiter plate wells. Various proteins were incubated with the C1-coated wells and tested for the ability to dissociate C1, releasing radiolabeled C1s into the supernatant. C1 inhibitor was used as a positive control because of its ability to dissociate C1. C1-coated wells were incubated with 100 µg/ml HSA, SP-A, or C1 inhibitor in DGVBS++ buffer. Following the incubation, radioactivity associated with the supernatants and wells was determined and used to calculate the percent dissociation of C1. With the addition of no protein, 7% of the complexes were dissociated after 2 h. Although C1 inhibitor dissociated 73% of the C1, SP-A did not dissociate preformed C1 (Fig. 5Go).



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FIGURE 5. SP-A does not dissociate preformed C1. Radiolabeled C1s was incubated with unlabeled C1q and C1r in the presence of calcium to yield intact radiolabeled C1. This C1 was bound to immune complexes on microtiter plate wells. Microtiter wells coated with radiolabeled C1 complexes were then incubated with DGVBS++ buffer alone or with buffer containing 100 µg/ml HSA, SP-A, or C1 inhibitor. After several washes, both the pooled washes (Sups) and the wells were counted to determine the percentage of the 125I-labeled C1s that dissociated from C1q. *, p < 0.05; n = 3.

 
SP-A inhibits C1q/C1 binding to immune complexes

The effect of SP-A on additional C1q interactions was investigated. To investigate the ability of SP-A to affect the interaction of C1q with immune complexes, purified C1q was preincubated with SP-A and subsequently tested for the ability to bind to immune complexes. SP-A significantly inhibited the binding of C1q to immune complexes in a dose-dependent manner (Fig. 6Go). Effective inhibition occurred at a molar ratio of SP-A:C1q of 2:1. Because of the reported interaction of SP-A with IgG (34), we excluded the possibility that the inhibition was due to SP-A binding directly to the immune complexes by showing that preincubation of immune complexes with SP-A before the addition of C1q had no effect on C1q binding. SP-A similarly inhibited the recognition of immune complexes by intact C1 in a dose-dependent manner (Fig. 7Go). Significant inhibition could be seen at 3.2 µg/ml SP-A, which corresponds to approximately a 4-fold molar excess of SP-A compared with C1q present in intact C1. The inhibition was specific to SP-A, since excess HSA did not affect C1 binding.



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FIGURE 6. SP-A inhibits C1q binding to immune complexes (IC). Purified C1q was preincubated with increasing concentrations of SP-A at a molar ratio of SP-A:C1q from 1:1 to 5:1. After preincubation with SP-A, C1q was added to microtiter plate wells coated with immune complexes and tested for the ability to bind to immune complexes. Alternatively, microtiter plate wells coated with immune complexes were preincubated with SP-A and washed, and then purified C1q was added to the wells. The preincubation of C1q with SP-A significantly inhibited the ability of C1q to bind to immune complexes in a dose-dependent manner. However, preincubation of immune complexes with SP-A had no effect on purified C1q binding. *, p < 0.05; n = 3.

 


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FIGURE 7. SP-A inhibits C1 binding to immune complexes. C1 was preincubated with increasing concentrations of SP-A or HSA. After the incubation, C1 was tested for its ability to bind to immune complexes. SP-A significantly inhibited the binding of C1 to immune complexes. *, p < 0.05, SP-A compared with no protein; {dagger}, p < 0.05 SP-A compared with same protein concentration of HSA; n = 3, except for {ddagger}, where n = 1.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The epithelium of the lung is a very thin barrier that promotes rapid gas exchange between the external environment and the pulmonary blood. This structure is delicate and vulnerable to damage caused by inhaled microorganisms and other noxious particles that promote inflammation. It is critical that there are mechanisms within the lung that provide adequate host defense against infection while controlling the inflammatory response that could compromise lung function.

The complement system and the pulmonary collectins (SP-A and SP-D) both contribute to lung host defense. The role of complement in lung host defense is evident in complement-deficient animals that show a defect in the clearance of bacteria from their lungs (35, 36, 37). Similarly, SP-A- and SP-D-deficient mice are also more susceptible to both bacterial (38, 39, 40, 41) and viral (42) infections in the lung. SP-A and SP-D bind to numerous microorganisms and enhance their phagocytosis by alveolar macrophages (reviewed in Refs. 1 and 2) and neutrophils (43) and may minimize the need for complement activation in the lung under normal conditions.

Interaction between the surfactant proteins and the complement system has been hypothesized based on structural and functional similarities between SP-A and known complement activators, C1q and MBL. Despite these similarities, SP-A cannot substitute for C1q in activating the classical pathway of complement in C1q-depleted serum (23, 25), probably because SP-A lacks a binding site for C1r2C1s2 (Fig. 3Go). However, a direct interaction between SP-A and C1q has been described (26), although the functional significance of this interaction has not been investigated. We hypothesized that SP-A may regulate complement activity in the lung through its association with C1q.

In the present study, we present evidence that the interaction between SP-A and C1q regulates C1q-mediated complement activation via two different mechanisms. First, SP-A prevents C1q from associating with C1r and C1s to form the intact C1 complex that is required to activate complement (Fig. 2Go). This finding is supported by studies reported by Tenner and colleagues, who showed that SP-A inhibited the efficient assembly of hemolytic C1 by ~60% when SP-A was in 20-fold excess of C1q (25), which is easily within the physiological ratio for these two proteins within the lung (23). It was hypothesized that this inhibition was due to competition between SP-A and C1q for binding to C1r2C1s2, but our data indicate that SP-A binds to C1q and not to C1r2C1s2 (Fig. 3Go). Second, SP-A interferes with immune complex recognition by both C1q and C1 (Figs. 6Go and 7Go). This represents a novel, potentially important mechanism for regulation of complement activation. We showed that SP-A directly inhibited classical pathway complement activation by preventing C1q from restoring activity to C1q-depleted serum. The ability to prevent complement activation was specific to SP-A, because neither HSA nor the other pulmonary collectin, SP-D, was able to duplicate this effect (Fig. 4Go).

Prevention of C1 assembly appears to be a common mechanism for inhibiting complement activation at the earliest stage. For example, both soluble C1q receptor (44) and neutrophil defensin (45) have been shown to bind to the collagen-like region of C1q and inhibit C1q-mediated complement activation. Like SP-A, soluble C1q receptor binding to C1q inhibited the association of C1r and C1s with C1q and inhibited C1q-mediated complement activation.

Many regulatory mechanisms exist to minimize complement-induced damage to host tissues. Complement activation produces a number of inflammatory molecules, including the anaphylatoxins C3a, C4a, and C5a. These complement products promote inflammation and recruit phagocytic cells such as macrophages and neutrophils to the site of infection, both of which aid in the clearance of microorganisms but could have detrimental effects in the lung. Phagocytic infiltrates produce anti-microbial molecules that can also damage host tissues as well as target microorganisms. Both fluid phase molecules (C1 esterase inhibitor, factor H, and factor I) and membrane-bound molecules (complement receptor 1, decay-accelerating factor, and membrane cofactor protein) have been shown to regulate different stages of complement activation (reviewed in Ref. 46). The critical need for proper complement regulation can be seen in patients with inherited C1 inhibitor deficiency who develop the complement disorder hereditary angioedema (47).

SP-A may serve a protective role in the lung by preventing C1q-mediated complement activation and inflammation along the delicate alveolar epithelium. An anti-inflammatory role for SP-A has been reported previously. SP-A has been shown to serve a protective role in the lung by inhibiting the production of proinflammatory cytokines that damage lung tissue in response to LPS in vitro (48) and in vivo (49) or bacterial pathogens in vivo (40, 41). Similarly, SP-A may prevent inflammation in the lung by inhibiting complement activation.

The mechanism by which SP-A may regulate complement activity in vivo depends on whether C1q is free or bound to C1r and C1s in the lung. For SP-A to inhibit complement activation by preventing C1 formation, C1q in the lung must be free from C1r and C1s, since our data indicate that SP-A is unable to dissociate preformed C1 (Fig. 5Go). Very low levels of C1q have been detected in bronchoalveolar lavage fluids from healthy human volunteers (23), but there are no data concerning the amount of C1r and C1s in the lung. The presence of at least some intact C1 in the lung is suggested by the fact that there is classical pathway activity in lung lavage fluid (23, 24). C1q, C1r, and C1s are normally present in serum as a complex (50, 51), and it is estimated that only about 10% of C1 in serum is in the form of free C1q and free C1r2C1s2. However, intact C1 complex is very dilution sensitive to dissociation (52). In the lung the C1 concentration may be low enough that dissociation of the complex is favored, leaving most of the C1q available for regulation by SP-A. Our data also suggest another mechanism for complement regulation by SP-A in vivo; SP-A may prevent the recognition of immune complexes by C1. By this mechanism, SP-A may inhibit complement activation in the lung even if all the C1q in the lung is associated with C1r and C1s.

The specificity of the binding of SP-A to C1q was investigated by characterizing the binding of SP-A to the C1q homologue, MBL. SP-A bound to MBL, although the level of binding was only 15% that of SP-A binding to C1q. Under normal conditions in rats, MBL is absent from the alveolar airspaces where SP-A is predominantly found (23). SP-A binding to MBL may not be physiologically relevant, since the two proteins are not normally localized to the same compartment. However, it is possible that MBL levels in the alveolar compartment increase during inflammation as a consequence of enhanced alveolar epithelial or endothelial permeability, in which case the interaction may be physiologically significant.

The mechanism for the interaction between SP-A and C1q has not been determined. The collagen-like region of C1q contains the binding sites for C1r and C1s (53). The fact that SP-A readily binds to free C1q but only poorly to intact C1, containing C1r and C1s, is consistent with the hypothesis that SP-A binds to the collagen-like region of C1q. It is also possible that SP-A binds to the globular domain of C1q. Because SP-A binding to C1q and, to a lesser extent, C1 inhibits the binding of those molecules to immune complexes, it is likely that SP-A binds to the C1q globular domains or close enough to the globular domains to sterically hinder their interactions with Igs. The binding of SP-A to C1q could also induce a conformational change in the C1q molecule that no longer favors binding to Igs. Further studies that investigate the binding of SP-A to purified globular domains (45) or collagen-like regions of C1q (54) obtained by digestion of the molecule are necessary to define the SP-A binding site on C1q.

Like the binding of other collectins or C1q to ligands, SP-A binding to C1q is greater in low ionic strength DGVBS++ buffer that favors low-affinity interactions. Although weak, these interactions are physiologically important, since a defense collagen can bind to multiple motifs through its multiple binding domains to strengthen the overall affinity (55).

This study provides evidence that SP-A blocks the formation of the intact C1 complex required for classical pathway activation. In addition, SP-A inhibits immune complex recognition by C1. By these mechanisms, SP-A can inhibit detrimental complement activation along the delicate alveolar epithelium. These findings may explain why complement activity in bronchoalveolar lavage fluid is lower than predicted by complement protein levels in lung lavage fluid (23, 24); SP-A may be a lavage-specific complement inhibitor. Future studies will investigate whether SP-A regulates complement activity in the lung in vivo.


    Acknowledgments
 
We thank Hollie Garner for the purification of SP-A and MBL, and Eric Walsh for the purification of recombinant rat SP-D.


    Footnotes
 
1 This work was supported by National Institutes of Health Grants RO1HL51134 and RO1HL63937. Back

2 Address correspondence and reprint requests to Dr. Jo Rae Wright, Box 3709, Department of Cell Biology, Duke University Medical Center, Durham, NC 27710. E-mail address: j.wright{at}cellbio.duke.edu Back

3 Abbreviations used in this paper: SP-A, surfactant protein A; SP-D, surfactant protein D; C1qR, C1q receptor; CRD, carbohydrate recognition domain; DGVBS++, low ionic strength GVBS++; DPBS, Dulbecco’s PBS; E IgG, Ab-sensitized sheep erythrocytes; GVBS++, normal ionic strength veronal-buffered saline with gelatin; HSA, human serum albumin; MBL, mannose-binding lectin; RrSP-D, recombinant rat SP-D. Back

Received for publication June 7, 2001. Accepted for publication September 19, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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