Skip to main content

Main menu

  • Home
  • Articles
    • Current Issue
    • Next in The JI
    • Archive
    • Brief Reviews
      • Neuroimmunology: To Sense and Protect
    • Pillars of Immunology
    • Translating Immunology
    • Most Read
    • Top Downloads
    • Annual Meeting Abstracts
  • COVID-19/SARS/MERS Articles
  • Info
    • About the Journal
    • For Authors
    • Journal Policies
    • Influence Statement
    • For Advertisers
  • Editors
  • Submit
    • Submit a Manuscript
    • Instructions for Authors
    • Journal Policies
  • Subscribe
    • Journal Subscriptions
    • Email Alerts
    • RSS Feeds
    • ImmunoCasts
  • More
    • Most Read
    • Most Cited
    • ImmunoCasts
    • AAI Disclaimer
    • Feedback
    • Help
    • Accessibility Statement
  • Other Publications
    • American Association of Immunologists
    • ImmunoHorizons

User menu

  • Subscribe
  • Log in

Search

  • Advanced search
The Journal of Immunology
  • Other Publications
    • American Association of Immunologists
    • ImmunoHorizons
  • Subscribe
  • Log in
The Journal of Immunology

Advanced Search

  • Home
  • Articles
    • Current Issue
    • Next in The JI
    • Archive
    • Brief Reviews
    • Pillars of Immunology
    • Translating Immunology
    • Most Read
    • Top Downloads
    • Annual Meeting Abstracts
  • COVID-19/SARS/MERS Articles
  • Info
    • About the Journal
    • For Authors
    • Journal Policies
    • Influence Statement
    • For Advertisers
  • Editors
  • Submit
    • Submit a Manuscript
    • Instructions for Authors
    • Journal Policies
  • Subscribe
    • Journal Subscriptions
    • Email Alerts
    • RSS Feeds
    • ImmunoCasts
  • More
    • Most Read
    • Most Cited
    • ImmunoCasts
    • AAI Disclaimer
    • Feedback
    • Help
    • Accessibility Statement
  • Follow The Journal of Immunology on Twitter
  • Follow The Journal of Immunology on RSS

A Novel Non-Synonymous Polymorphism (p.Arg240His) in C4b-Binding Protein Is Associated with Atypical Hemolytic Uremic Syndrome and Leads to Impaired Alternative Pathway Cofactor Activity

Anna M. Blom, Frida Bergström, Matthew Edey, Martha Diaz-Torres, David Kavanagh, Anne Lampe, Judith A. Goodship, Lisa Strain, Nadeem Moghal, Mary McHugh, Carol Inward, Charles Tomson, Véronique Frémeaux-Bacchi, Bruno O. Villoutreix and Timothy H. J. Goodship
J Immunol May 1, 2008, 180 (9) 6385-6391; DOI: https://doi.org/10.4049/jimmunol.180.9.6385
Anna M. Blom
*Lund University, Department of Laboratory Medicine, Malmö University Hospital, Malmö, Sweden;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Frida Bergström
*Lund University, Department of Laboratory Medicine, Malmö University Hospital, Malmö, Sweden;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthew Edey
†Insitute of Human Genetics, Newcastle University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Martha Diaz-Torres
†Insitute of Human Genetics, Newcastle University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Kavanagh
†Insitute of Human Genetics, Newcastle University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anne Lampe
†Insitute of Human Genetics, Newcastle University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Judith A. Goodship
†Insitute of Human Genetics, Newcastle University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lisa Strain
‡Northern Molecular Genetics Service and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nadeem Moghal
§Department of Paediatric Nephrology, Newcastle upon Tyne Hospitals National Health Service Foundation Trust, Newcastle upon Tyne;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mary McHugh
¶Department of Nephrology, City Hospitals Sunderland National Health Service Foundation Trust, Sunderland;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Carol Inward
∥Department of Paediatric Nephrology, Bristol Royal Hospital for Children;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Charles Tomson
#Department of Renal Medicine, Southmead Hospital, Bristol, United Kingdom;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Véronique Frémeaux-Bacchi
**Institut National de la Santé et de la Recherche Médicale U255, Cordeliers Biomedical Research Center and Laboratory of Immunology, Georges-Pompidou European Hospital; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bruno O. Villoutreix
††Institut National de la Santé et de la Recherche Médicale U648, University of Paris V, Paris, France
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Timothy H. J. Goodship
†Insitute of Human Genetics, Newcastle University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • FIGURE 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1.

    The p.Arg240His expresses well and is not affected by folding problems. A, Expression of C4BP variants after transient transfection. HEK293 cells were transiently transfected with C4BP variants and an empty vector using lipofectin. C4BP level was measured by ELISA in cell lysates and the conditioned media collected during 48-h incubation. Results of three independent tranfections are shown as means with bars indicating SD. Statistical analysis was performed using Student’s t test. ∗, p < 0.05. B, SDS/PAGE analysis of recombinant wt C4BP and the p.Arg240His mutant which were expressed in eucaryotic cells and purified by affinity chromatography. The proteins were separated by 10% SDS/PAGE under reducing conditions and stained with Coomassie. m.w. markers are shown to the right. C, Circular dichroism analysis of wt C4BP and the p.Arg240His mutant. Approximately 120 μg of each mutant were analyzed in the far UV-region (185–250 nm), and every presented spectrum is the average of eight measurements. In all figures the p.Arg240His mutant is simplified as R240H.

  • FIGURE 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2.

    The p.Arg240His polymorphism does not affect binding and degradation of C4b. A, Competition assay: increasing concentrations of fluid phase wt C4BP or the p.Arg240His mutant competed with trace amounts of 125I-labeled C4BP for binding of immobilized C4b. The 100% binding was estimated in the absence of fluid phase competitor. Results of two independent experiments performed in triplicates are shown. B, C4b-degradation assay: C4BP variants (6–50 nM) were incubated with 250 nM C4b 200 nM FI and trace amounts of 125I-labeled C4b for 1.5 h at 37°C. Immediately afterward, a sample buffer with reducing agent was added, samples were heated at 95°C, and the proteins separated by SDS/PAGE electrophoresis (7.5–10% gradient gel). The gel was dried and subjected to autoradiography. As a control, FI was omitted in the incubation mixture. C, Results of densitometric analysis (the C4d fragment) of three independent C4b-degradation assays presented as means ± SD. Statistical analysis was performed using Student’s t test; ns-Not significant.

  • FIGURE 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3.

    The p.Arg240His mutant of C4BP serves poorly as cofactor in degradation of C3b in a solution. A, Competition assay: increasing concentrations of fluid phase wt C4BP or the p.Arg240His mutant competed with trace amounts of 125I-labeled C4BP for binding of immobilized C3b. The 100% binding was estimated in the absence of fluid phase competitor. Results of two independent experiments performed in triplicates are shown. B, C3b-degradation assay was performed as in Fig. 2B except that 750 mM C3b was used instead of C4b. C, Results of densitometric analysis of three independent C3b-degradation assays (43 kDa fragment of iC3b).

  • FIGURE 4.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 4.

    The p.Arg240His mutant of C4BP serves poorly as cofactor in degradation of C3b in a solution. A, Cofactor activity of C4BP variants toward C3b deposited on a surface. Sheep erythrocytes were coated with C3b and incubated with C4BP and FI for 1 h, upon which generated C3b and iC3b were assessed by flow cytometry using specific Abs. The experiments were performed on three independent occasions in duplicates. B, Hemolytic assay measuring cofactor activity of C4BP variants toward C3b deposited on a surface. Sheep erythrocytes were coated with C3b by sequential incubation with amboceptor, C1, C4, C2, and C3. EAC3b were incubated with 70 nM C4BP and 80 nM FI at 37°C. At indicated time intervals, aliquots were removed, centrifuged, and incubated with Factor B, D, and properdin to form the C3bBb convertases. Lytic sites were developed by adding guinea-pig serum for 1 h, the samples were centrifuged, and the amount of lysis was determined spectrophotometrically. The experiment was performed on three independent occasions in duplicates. C–E statistical analysis was performed using Student’s t test. Ns-Not significant; ∗, p < 0.05, ∗∗, p < 0.01, ∗∗∗, p < 0.001; bars indicate SD.

Tables

  • Figures
    • View popup
    Table I.

    Primers used for amplification of C4BPAand C4BPB prior to direct sequencing

    ExonPrimers 5′–3’(Mg) mMTemp (°C)
    C4BPA
     1(F) CAGTGCTGCTTTATTTCTGCTG1.551.2
    (R) TCTGCTGAAAACACCTCCAA
     2(F) CACTCCAGGCTGTCATTTCC2.062.7
    (R) TTGATGAAGCTGGGTCTCTG
     3(F) TAAGATGCTGTGTCCCAAGG1.551.2
    (R) TCTGAGACAACTTTCCAAAGATAGG
     4(F) TGTGTTTCTGGAAGCAGAGGTG2.058.9
    (R) ATCCTTTGCTTGAGGACGGGA
     5(F) TGGGAAATGATATCCAAGAACA1.554.2
    (R) GGCTTACACTTGACAACTGAGGT
     6(F) TCCCTGTGCATCTTTACAGGTAT3.058.9
    (R) TCAGGTGGCCAAATAAATGA
     7(F) AACTGGATTAGCAGTGGCAG1.558.9
    (R) CAGTACGGGGTACCTTTAG
     8(F) TGATACATCAGGCCTTGCAG1.558.9
    (R) GTCCCCTTCTGGCACTAACA
     9(F) TCTTCATATAAGTTTAATCC1.550
    (R) ATTCCAAGAATCATGCAAG
     10(F) TACATGTATTCTGCAATGTGCTAC2.064.7
    (R) GCTCTCAGGACACGTCCAC
     11(F) CCGAGACTGTTATCATGTCCTTC2.064.7
    (R) ATGCCACCATTTTTAGGGG
     12A(F) CTTGTTTTCCCAGCCTCAAC1.562.7
    (R) CATGAGCCACACAGAGGATG
     12B(F) GAAAATGGCCCTGGAGGTAT1.558.9
    (R) TGGCCCAAACAGTAAAACAA
    C4BPB
     1(F) GACTGGTCAACTGGATTTGCATTC1.558.0
    (R) AGCTCCTATTGAGTGACGAGCAT
     2(F) GCAAAAAGACATGAGAATGGG1.558.0
    (R) GGATGTGAAGGAGTAAAACAGG
     3(F) TGGCCTTTGCTGTGTTG1.555.0
    (R) CAGGGATGTGGCAAATGTC
     4(F) AACAGCTGCAATTAGGGGTG1.055.0
    (R) CCAAAACAATGCTGCCAAG
     5(F) CCAGTCTCCATTACCCAATTC1.058.0
    (R) AGCATATGCCAGGAGTGATG
     6(F) TTACTTAAGCTAGCCTGGTTCTGAGC1.560
    (R) ACATGGTGCATTATACAACTG1.5
    • View popup
    Table II.

    Clinical information on the aHUS patients carrying p.Arg240His

    Patient IDSexAge at PresentationRenal FunctionCFH, MCP, CFI, C3, and FB MutationsCFHR1 and CFHR3 Copy NumberC3 (g/L)C4 (g/L)FH (g/L)FI (mg/L)C4BP (mg/L)
    1M8RecoveredMCP p.Ser206Pro CFH, CFI, FB, C3 - nil11.400.240.6870235 ± 27
    2M16RecoveredMCP p.Ser206Pro CFH, CFI, FB, C3 - nil10.980.31n/an/a64 ± 9
    265 ± 47
    3F6RecoveredCFH– p.Gln950His MCP, CFI, FB, C3 - nil10.820.190.4961202 ± 42
    4M8RecoveredNil21.310.410.70n/an/a
    5F23RecoveredNil21.650.280.5847286 ± 40
    6F61RecoveredNil11.120.180.7066213 ± 29
    • a Samples were taken for analysis upon first arrival to the hospital. C4BP concentration was measured using ELISA (42 ), C3 and C4 by rate nephelometry (Beckman Array 360), and FH and FI by radioimmunodiffusion (Binding Site). Patient 2 had low C4BP level at first analysis upon arrival to hospital but subsequent sample revealed normal level of C4BP. Normal range of concentrations: C3 0.68–1.80 g/L, C4 0.18–0.60 g/L, FH 0.35–0.59 g/L, FI 38–58 (mg/L), and C4BP 114–345 (mg/L). CFH (6 ), MCP (6 ), CFI (9 ), C3 (11 ), and FB (10 ) genes were sequenced as described previously. n/a: Not available.

PreviousNext
Back to top

In this issue

The Journal of Immunology: 180 (9)
The Journal of Immunology
Vol. 180, Issue 9
1 May 2008
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Advertising (PDF)
  • Back Matter (PDF)
  • Editorial Board (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about The Journal of Immunology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
A Novel Non-Synonymous Polymorphism (p.Arg240His) in C4b-Binding Protein Is Associated with Atypical Hemolytic Uremic Syndrome and Leads to Impaired Alternative Pathway Cofactor Activity
(Your Name) has forwarded a page to you from The Journal of Immunology
(Your Name) thought you would like to see this page from the The Journal of Immunology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
A Novel Non-Synonymous Polymorphism (p.Arg240His) in C4b-Binding Protein Is Associated with Atypical Hemolytic Uremic Syndrome and Leads to Impaired Alternative Pathway Cofactor Activity
Anna M. Blom, Frida Bergström, Matthew Edey, Martha Diaz-Torres, David Kavanagh, Anne Lampe, Judith A. Goodship, Lisa Strain, Nadeem Moghal, Mary McHugh, Carol Inward, Charles Tomson, Véronique Frémeaux-Bacchi, Bruno O. Villoutreix, Timothy H. J. Goodship
The Journal of Immunology May 1, 2008, 180 (9) 6385-6391; DOI: 10.4049/jimmunol.180.9.6385

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
A Novel Non-Synonymous Polymorphism (p.Arg240His) in C4b-Binding Protein Is Associated with Atypical Hemolytic Uremic Syndrome and Leads to Impaired Alternative Pathway Cofactor Activity
Anna M. Blom, Frida Bergström, Matthew Edey, Martha Diaz-Torres, David Kavanagh, Anne Lampe, Judith A. Goodship, Lisa Strain, Nadeem Moghal, Mary McHugh, Carol Inward, Charles Tomson, Véronique Frémeaux-Bacchi, Bruno O. Villoutreix, Timothy H. J. Goodship
The Journal of Immunology May 1, 2008, 180 (9) 6385-6391; DOI: 10.4049/jimmunol.180.9.6385
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like

Jump to section

  • Article
    • Abstract
    • Materials and Methods
    • Results
    • Discussion
    • Disclosures
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Differential Susceptibility to Staphylococcal Superantigen (SsAg)-Induced Apoptosis of CD4+ T Cells from Atopic Dermatitis Patients and Healthy Subjects: The Inhibitory Effect of IL-4 on SsAg-Induced Apoptosis
  • HIV-1 Vaccination Administered Intramuscularly Can Induce Both Systemic and Mucosal T Cell Immunity in HIV-1-Uninfected Individuals
  • Osteopontin (Eta-1) and Fibroblast Growth Factor-2 Cross-Talk in Angiogenesis
Show more Clinical Immunology

Similar Articles

Navigate

  • Home
  • Current Issue
  • Next in The JI
  • Archive
  • Brief Reviews
  • Pillars of Immunology
  • Translating Immunology

For Authors

  • Submit a Manuscript
  • Instructions for Authors
  • About the Journal
  • Journal Policies
  • Editors

General Information

  • Advertisers
  • Subscribers
  • Rights and Permissions
  • Accessibility Statement
  • Public Access
  • Privacy Policy
  • Disclaimer

Journal Services

  • Email Alerts
  • RSS Feeds
  • ImmunoCasts
  • Twitter

Copyright © 2021 by The American Association of Immunologists, Inc.

Print ISSN 0022-1767        Online ISSN 1550-6606