Inhibition of the alternative pathway of complement activation reduces inflammation in experimental autoimmune uveoretinitis

Eur J Immunol. 2010 Oct;40(10):2870-81. doi: 10.1002/eji.201040323.

Abstract

We have shown previously that complement factor H (CFH) and complement factor B (CFB) are constitutively expressed by retinal pigment epithelial cells and their production is regulated by inflammatory cytokines, suggesting that the alternative pathway (AP) of complement activation might play a role in retinal inflammation. In this study, we further investigated the role of the AP in retinal inflammation using experimental autoimmune uveoretinitis (EAU) as a model. Mice with EAU show increased levels of C3d deposition and CFB expression in the retina. Retinal inflammation was suppressed clinically and histologically by blocking AP-mediated complement activation with a complement receptor of the Ig superfamily fusion protein (CRIg-Fc). In line with reduced inflammation, C3d deposition and CFB expression were markedly decreased by CRIg-Fc treatment. Treatment with CRIg-Fc also led to reduced T-cell proliferation and IFN-γ, TNF-α, IL-17, and IL-6 cytokine production by T cells, and reduced nitric oxide production in BM-derived macrophages. Our results suggest that AP-mediated complement activation contributes significantly to retinal inflammation in EAU. CRIg-Fc suppressed retinal inflammation in EAU by blocking AP-mediated complement activation with probable direct effects on C3/C5 activation of macrophages, thus leading to reduced nitric oxide production by infiltrating CRIg(-) macrophages.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Autoimmunity / immunology
  • Complement Activation / immunology*
  • Complement C3b / immunology*
  • Complement Factor B / genetics
  • Complement Factor B / immunology*
  • Complement Pathway, Alternative / immunology*
  • Cytokines / immunology
  • Disease Models, Animal
  • Female
  • Immunohistochemistry
  • Lymphocyte Activation
  • Mice
  • Mice, Inbred C57BL
  • Nitric Oxide Synthase Type II / antagonists & inhibitors
  • Nitric Oxide Synthase Type II / genetics
  • Nitric Oxide Synthase Type II / immunology
  • RNA / chemistry
  • RNA / genetics
  • Receptors, Complement / immunology*
  • Retinitis / immunology*
  • Reverse Transcriptase Polymerase Chain Reaction
  • T-Lymphocytes / immunology

Substances

  • Cytokines
  • Receptors, Complement
  • VSIG4 protein, mouse
  • RNA
  • Complement C3b
  • Nitric Oxide Synthase Type II
  • Nos2 protein, mouse
  • Complement Factor B