Factor H

Complement factor H

A model based on concatenating the various experimentally determined structures of Factor H fragments and C3b.
Available structures
PDB Ortholog search: PDBe, RCSB
Identifiers
Symbols CFH ; AHUS1; AMBP1; ARMD4; ARMS1; CFHL3; FH; FHL1; HF; HF1; HF2; HUS
External IDs OMIM: 134370 MGI: 88385 HomoloGene: 20086 ChEMBL: 4629 GeneCards: CFH Gene
EC number 4.2.1.2
RNA expression pattern
More reference expression data
Orthologs
Species Human Mouse
Entrez 3075 12628
Ensembl ENSG00000000971 ENSMUSG00000026365
UniProt P08603 P06909
RefSeq (mRNA) NM_000186 NM_009888
RefSeq (protein) NP_000177 NP_034018
Location (UCSC) Chr 1:
196.65 – 196.75 Mb
Chr 1:
140.08 – 140.18 Mb
PubMed search

Factor H is a member of the regulators of complement activation family and is a complement control protein. It is a large (155 kilodaltons), soluble glycoprotein that circulates in human plasma (at typical concentrations of 200–300 micrograms per milliliter[1]). Its principal function is to regulate the Alternative Pathway of the complement system, ensuring that the complement system is directed towards pathogens or other dangerous material and does not damage host tissue. Factor H regulates complement activation on self cells and surfaces by possessing both cofactor activity for the Factor I mediated C3b cleavage, and decay accelerating activity against the alternative pathway C3-convertase, C3bBb. Factor H exerts its protective action on self cells and self surfaces but not on the surfaces of bacteria or viruses, because it binds to glycosaminoglycans (GAGs) that are generally present on host cells but not, normally, on pathogen surfaces.[2][3]

Structure and function

The molecule is made up of 20 complement control protein (CCP) modules (also referred to as Short Consensus Repeats or sushi domains) connected to one another by short linkers (of between three and eight amino acid residues) and arranged in an extended head to tail fashion. Each of the CCP modules consists of around 60 amino acids with four cysteine residues disulfide bonded in a 1-3 2-4 arrangement, and a hydrophobic core built around an almost invariant tryptophan residue. The CCP modules are numbered from 1-20 (from the N-terminus of the protein); CCPs 1-4 and CCPs 19-20 engage with C3b while CCPs 7 and CCPs 19-20 bind to GAGs and sialic acid.[4] To date atomic structures have been determined for CCPs 1-3,[5] CCP 5,[6] CCP 7 (both 402H & 402Y),[7] CCPs 10-11 and CCPs 11-12,[8] CCPs 12-13,[9] CCP 15, CCP 16,[10] CCPs 15-16,[11] CCPs 18-20,[12] and CCPs 19-20.[13][14] The atomic structure for CCPs 6-8 (402H) bound to the GAG mimic sucrose octasulfate,[15] CCPs 1-4 in complex with C3b[16] and CCPs 19-20 in complex with C3d (that corresponds to the thioster domain of C3b)[17][18] have also been determined. Although an atomic resolution structure for intact factor H has not yet been determined, low resolution techniques indicate that it may be bent back in solution.[19] Information available to date indicates that CCP modules 1-4 is responsible for the cofactor and decay acceleration activities of factor H, whereas self/non-self discrimination occurs predominantly through GAG binding to CCP modules 7 and/or 19-20.[19][20]

Clinical significance

Due to the central role that factor H plays in the regulation of complement, there are a number of clinical implications arising from aberrant factor H activity. Overactive factor H may result in reduced complement activity on pathogenic cells - increasing susceptibility to microbial infections. Underactive factor H may result in increased complement activity on healthy host cells - resulting in autoimmune diseases. It is not surprising therefore that mutations or single nucleotide polymorphisms (SNPs) in factor H often result in pathologies. Moreover, the complement inhibitory activities of factor H, and other complement regulators, are often used by pathogens to increase virulence.

Age-related macular degeneration

Recently it was discovered that about 35% of individuals carry an at-risk Single Nucleotide Polymorphism in one or both copies of their factor H gene. Homozygous individuals have an approximately sevenfold increased chance of developing age-related macular degeneration, while heterozygotes have a two-to-threefold increased likelihood of developing the disease. This SNP, located in CCP module 7 of factor H, has been shown to affect the interaction between factor H and heparin indicating a causal relationship between the SNP and disease.[7][21]

Deletion of two adjacent genes with a high degree of homology to complement factor H, named complement factor H-related 3 and complement factor H-related 1, protects against age-related macular degeneration because of reduced competition for binding of CFH to vascular surface binding sites.[22][23]

Schizophrenia

Alterations in the immune response are involved in pathogenesis of many neuropsychiatric disorders including schizophrenia. Recent studies indicated alterations in the complement system, including hyperactivation of the alternative complement pathway in patients with schizophrenia. It was investigated functional single nucleotide polymorphisms (SNPs) of gene encoding factor H (CFH), and found CFH rs424535 (2783-526T >A) SNP was positively associated with schizophrenia, so rs424535*A minor allele of the CFH gene may represent a risk factor for schizophrenia.[24]

Ischemic stroke

It was found that rs800292(184G >A) SNP was positively associated with stroke and rs800912 minor allele of the CFH gene might be considered as a risk factor for ischemic stroke.[25]

Atypical haemolytic uraemic syndrome

Haemolytic uraemic syndrome (HUS) is a disease associated with microangiopathic haemolytic anemia, thrombocytopenia and acute renal failure. A rare subset of this disease (referred to as atypical haemolytic uraemic syndrome, aHUS), has been strongly linked to mutations in genes of the complement system (including factor H, factor I and membrane cofactor protein), with the factor H mutations being the most numerous. These factor H mutations tend to congregate towards the C-terminus of factor H—a region responsible for discriminating self from non-self—and have been shown to disrupt heparin (a model compound for glycosaminoglycans) and C3d (equivalent to the thioester domain of C3b) binding.[26][27]

Recruitment by pathogens

Given the central role of factor H in protecting cells from complement, it is not surprising that several important human pathogens have evolved mechanisms for recruiting factor H. This recruitment of factor H by pathogens provides significant resistance to complement attack, and therefore increased virulence. Pathogens that have been shown to recruit factor H include: Aspergillus spp.; Borrelia burgdorferi; B. duttonii; B. recurrentis; Candida albicans;[28] Francisella tularensis; Haemophilus influenzae; Neisseria meningitidis; and Streptococcus pyogenes. The Gram-negative bacterium B.burgdorferi has five Factor H binding proteins: CRASP-1, CRASP-2, CRASP-3, CRASP-4 and CRASP-5.[29] Each CRASP protein also binds plasminogen.[29]

Interactions

Factor H has been shown to interact with Complement component 3.[30][31]

Recombinant production

Biologically active Factor H has been produced by Ralf Reski and coworkers in the moss bioreactor,[32] in a process called molecular farming. Large quantities of biologically active human Factor H, potentially suitable for therapeutic purposes, were produced using a synthetic codon-optimised gene expressed in the yeast expression host, Pichia pastoris.[33]

References

  1. Hakobyan S, Harris CL, Tortajada A, Goicochea de Jorge E, García-Layana A, Fernández-Robredo P, Rodríguez de Córdoba S, Morgan BP (May 2008). "Measurement of factor H variants in plasma using variant-specific monoclonal antibodies: application to assessing risk of age-related macular degeneration". Investigative Ophthalmology & Visual Science 49 (5): 1983–90. doi:10.1167/iovs.07-1523. PMID 18436830.
  2. Pangburn MK (Aug 2000). "Host recognition and target differentiation by factor H, a regulator of the alternative pathway of complement". Immunopharmacology 49 (1-2): 149–57. doi:10.1016/S0162-3109(00)80300-8. PMID 10904114.
  3. Rodríguez de Córdoba S, Esparza-Gordillo J, Goicoechea de Jorge E, Lopez-Trascasa M, Sánchez-Corral P (Jun 2004). "The human complement factor H: functional roles, genetic variations and disease associations". Molecular Immunology 41 (4): 355–67. doi:10.1016/j.molimm.2004.02.005. PMID 15163532.
  4. Schmidt CQ, Herbert AP, Kavanagh D, Gandy C, Fenton CJ, Blaum BS, Lyon M, Uhrín D, Barlow PN (Aug 2008). "A new map of glycosaminoglycan and C3b binding sites on factor H". Journal of Immunology 181 (4): 2610–9. doi:10.4049/jimmunol.181.4.2610. PMID 18684951.
  5. Hocking HG, Herbert AP, Kavanagh D, Soares DC, Ferreira VP, Pangburn MK, Uhrín D, Barlow PN (Apr 2008). "Structure of the N-terminal region of complement factor H and conformational implications of disease-linked sequence variations". The Journal of Biological Chemistry 283 (14): 9475–87. doi:10.1074/jbc.M709587200. PMC 2276370. PMID 18252712.
  6. Barlow PN, Norman DG, Steinkasserer A, Horne TJ, Pearce J, Driscoll PC, Sim RB, Campbell ID (Apr 1992). "Solution structure of the fifth repeat of factor H: a second example of the complement control protein module". Biochemistry 31 (14): 3626–34. doi:10.1021/bi00129a011. PMID 1533152.
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  8. Makou E, Mertens HD, Maciejewski M, Soares DC, Matis I, Schmidt CQ, Herbert AP, Svergun DI, Barlow PN (Dec 2012). "Solution structure of CCP modules 10-12 illuminates functional architecture of the complement regulator, factor H". Journal of Molecular Biology 424 (5): 295–312. doi:10.1016/j.jmb.2012.09.013. PMID 23017427.
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  12. Morgan HP, Mertens HD, Guariento M, Schmidt CQ, Soares DC, Svergun DI, Herbert AP, Barlow PN, Hannan JP (2012). "Structural analysis of the C-terminal region (modules 18-20) of complement regulator factor H (FH)". PLOS ONE 7 (2): e32187. doi:10.1371/journal.pone.0032187. PMC 3289644. PMID 22389686.
  13. Herbert AP, Uhrín D, Lyon M, Pangburn MK, Barlow PN (Jun 2006). "Disease-associated sequence variations congregate in a polyanion recognition patch on human factor H revealed in three-dimensional structure". The Journal of Biological Chemistry 281 (24): 16512–20. doi:10.1074/jbc.M513611200. PMID 16533809.
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  15. Prosser BE, Johnson S, Roversi P, Herbert AP, Blaum BS, Tyrrell J, Jowitt TA, Clark SJ, Tarelli E, Uhrín D, Barlow PN, Sim RB, Day AJ, Lea SM (Oct 2007). "Structural basis for complement factor H linked age-related macular degeneration". The Journal of Experimental Medicine 204 (10): 2277–83. doi:10.1084/jem.20071069. PMC 2118454. PMID 17893204.
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  19. 1 2 Aslam M, Perkins SJ (Jun 2001). "Folded-back solution structure of monomeric factor H of human complement by synchrotron X-ray and neutron scattering, analytical ultracentrifugation and constrained molecular modelling". Journal of Molecular Biology 309 (5): 1117–38. doi:10.1006/jmbi.2001.4720. PMID 11399083.
  20. Kirkitadze MD, Barlow PN (Apr 2001). "Structure and flexibility of the multiple domain proteins that regulate complement activation". Immunological Reviews 180: 146–61. doi:10.1034/j.1600-065X.2001.1800113.x. PMID 11414356.
  21. Hageman GS, Anderson DH, Johnson LV, Hancox LS, Taiber AJ, Hardisty LI, Hageman JL, Stockman HA, Borchardt JD, Gehrs KM, Smith RJ, Silvestri G, Russell SR, Klaver CC, Barbazetto I, Chang S, Yannuzzi LA, Barile GR, Merriam JC, Smith RT, Olsh AK, Bergeron J, Zernant J, Merriam JE, Gold B, Dean M, Allikmets R (May 2005). "A common haplotype in the complement regulatory gene factor H (HF1/CFH) predisposes individuals to age-related macular degeneration". Proceedings of the National Academy of Sciences of the United States of America 102 (20): 7227–32. doi:10.1073/pnas.0501536102. PMC 1088171. PMID 15870199.
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  25. Boyajyan A, Ghazaryan H, Stepanyan A, Zakharyan R (December 2013). "Genetic polymorphisms of complement factor H in schizophrenia and ischemic stroke". Mol. Immunol. 56 (3): 294. doi:10.1016/j.molimm.2013.05.154.
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  32. Büttner-Mainik A, Parsons J, Jérôme H, Hartmann A, Lamer S, Schaaf A, Schlosser A, Zipfel PF, Reski R, Decker EL (Apr 2011). "Production of biologically active recombinant human factor H in Physcomitrella". Plant Biotechnology Journal 9 (3): 373–83. doi:10.1111/j.1467-7652.2010.00552.x. PMID 20723134.
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Further reading

External links

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