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dc.contributor.authorGaya de Costa, Mariana
dc.contributor.authorPoppelaars, Felix
dc.contributor.authorvan Kooten, Cees
dc.contributor.authorMollnes, Tom Eirik
dc.contributor.authorTedesco, Francesco
dc.contributor.authorWürzner, Reinhard
dc.contributor.authorTrouw, Leendert A.
dc.contributor.authorTruedsson, Lennart
dc.contributor.authorDaha, Mohamed R.
dc.contributor.authorRoos, Anja
dc.contributor.authorSeelen, Marc A.
dc.date.accessioned2019-02-19T09:28:26Z
dc.date.available2019-02-19T09:28:26Z
dc.date.created2019-02-14T22:39:26Z
dc.date.issued2018
dc.identifier.issn1664-3224
dc.identifier.urihttp://hdl.handle.net/11250/2586139
dc.description.abstractIntroduction: The complement system is essential for an adequate immune response. Much attention has been given to the role of complement in disease. However, to better understand complement in pathology, it is crucial to first analyze this system under different physiological conditions. The aim of the present study was therefore to investigate the inter-individual variation in complement activity and the influences of age and sex. Methods: Complement levels and functional activity were determined in 120 healthy volunteers, 60 women, 60 men, age range 20–69 year. Serum functional activity of the classical pathway (CP), lectin pathway activated by mannan (MBL-LP) and alternative pathway (AP) was measured in sera, using deposition of C5b-9 as readout. In addition, levels of C1q, MBL, MASP-1, MASP-2, ficolin-2, ficolin-3, C2, C4, C3, C5, C6, C7, C8, C9, factor B, factor D, properdin, C1-inhibitor and C4b-binding protein, were determined. Age- and sex-related differences were evaluated. Results: Significantly lower AP activity was found in females compared to males. Further analysis of the AP revealed lower C3 and properdin levels in females, while factor D concentrations were higher. MBL-LP activity was not influenced by sex, but MBL and ficolin-3 levels were significantly lower in females compared to males. There were no significant differences in CP activity or CP components between females and males, nevertheless females had significantly lower levels of the terminal components. The CP and AP activity was significantly higher in the elderly, in contrast to MBL-LP activity. Moreover, C1-inhibitor, C5, C8, and C9 increased with age in contrast to a decrease of factor D and C3 levels. In-depth analysis of the functional activity assays revealed that MBL-LP activity was predominantly dependent on MBL and MASP-2 concentration, whereas CP activity relied on C2, C1-inhibitor and C5 levels. AP activity was strongly and directly associated with levels of C3, factor B and C5. Conclusion: This study demonstrated significant sex and age-related differences in complement levels and functionality in the healthy population. Therefore, age and sex analysis should be taken into consideration when discussing complement-related pathologies and subsequent complement-targeted therapies.nb_NO
dc.language.isoengnb_NO
dc.publisherFrontiers Medianb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleAge and Sex-Associated Changes of Complement Activity and Complement Levels in a Healthy Caucasian Populationnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.volume9nb_NO
dc.source.journalFrontiers in Immunologynb_NO
dc.identifier.doi10.3389/fimmu.2018.02664
dc.identifier.cristin1677470
dc.relation.projectNorges forskningsråd: 223255nb_NO
dc.description.localcodeCopyright © 2018 Gaya da Costa, Poppelaars, van Kooten, Mollnes, Tedesco, Würzner, Trouw, Truedsson, Daha, Roos and Seelen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.nb_NO
cristin.unitcode194,65,15,0
cristin.unitnameInstitutt for klinisk og molekylær medisin
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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