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Publication : C5aR activation in the absence of C5a: A new disease mechanism of autoimmune hemolytic anemia in mice.

First Author  Syed SN Year  2018
Journal  Eur J Immunol Volume  48
Issue  4 Pages  696-704
PubMed ID  29277896 Mgi Jnum  J:261609
Mgi Id  MGI:6151236 Doi  10.1002/eji.201747238
Citation  Syed SN, et al. (2018) C5aR activation in the absence of C5a: A new disease mechanism of autoimmune hemolytic anemia in mice. Eur J Immunol 48(4):696-704
abstractText  IgG Fc receptors (FcgammaRs) and the C5a anaphylatoxin receptor (C5aR) were identified as key regulators of type II autoimmune injury in mice. However, and with respect to C5aR, the relative importance of C5a for IgG autoantibody-induced cellular destruction remained unclear. Using an experimental model of autoimmune hemolytic anemia (AIHA), we here report marked differences in the development of AIHA between mice lacking C5aR and C5-deficient (Hc(0) ) strain, indicating a limited role of C5 in this type of C5aR-regulated disease. Ex-vivo-analyses of liver homogenates from anemic Hc(0) mice demonstrate C5a-independent C5aR activation, upregulation of FcgammaR expression and amplification of erythrophagocytosis by macrophages. As assessed by pharmacological inhibition studies, targeting of C5aR, but not of C5, is effective in treating experimental AIHA. Collectively, these results define a previously unrecognized disease mechanism of C5aR activation in AIHA that does not necessarily involve C5 and C5a.
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