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Publication : Inter-alpha-trypsin inhibitor attenuates complement activation and complement-induced lung injury.

First Author  Garantziotis S Year  2007
Journal  J Immunol Volume  179
Issue  6 Pages  4187-92
PubMed ID  17785858 Mgi Jnum  J:152023
Mgi Id  MGI:4355785 Doi  10.4049/jimmunol.179.6.4187
Citation  Garantziotis S, et al. (2007) Inter-alpha-trypsin inhibitor attenuates complement activation and complement-induced lung injury. J Immunol 179(6):4187-92
abstractText  Complement activation is a central component of inflammation and sepsis and can lead to significant tissue injury. Complement factors are serum proteins that work through a cascade of proteolytic reactions to amplify proinflammatory signals. Inter-alpha-trypsin inhibitor (IaI) is an abundant serum protease inhibitor that contains potential complement-binding domains, and has been shown to improve survival in animal sepsis models. We hypothesized that IaI can bind complement and inhibit complement activation, thus ameliorating complement-dependent inflammation. We evaluated this hypothesis with in vitro complement activation assays and in vivo in a murine model of complement-dependent lung injury. We found that IaI inhibited complement activation through the classical and alternative pathways, inhibited complement-dependent phagocytosis in vitro, and reduced complement-dependent lung injury in vivo. This novel function of IaI provides a mechanistic explanation for its observed salutary effects in sepsis and opens new possibilities for its use as a treatment agent in inflammatory diseases.
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