2016
DOI: 10.1371/journal.pone.0165493
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Regulation of Complement and Contact System Activation via C1 Inhibitor Potentiation and Factor XIIa Activity Modulation by Sulfated Glycans – Structure-Activity Relationships

Abstract: The serpin C1 inhibitor (C1-INH) is the only regulator of classical complement activation as well as the major regulator of the contact system. Its importance is demonstrated by hereditary angioedema (HAE), a severe disease with potentially life-threatening attacks due to deficiency or dysfunction of C1-INH. C1-INH replacement is the therapy of choice in HAE. In addition, C1-INH showed to have beneficial effects in other diseases characterized by inappropriate complement and contact system activation. Due to s… Show more

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Cited by 27 publications
(24 citation statements)
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“…Indeed, the treatment of B16 melanoma cells, Sarcoma-180 and Lewis lung carcinoma cells with oversulfonated fucoidans from F. vesiculosus revealed better anti-proliferative effect than the treatment with native fucoidans, thus emphasizing the importance of this structural feature for the antitumor activity of these polysaccharides [15]. Imunomodulatory [113] anticomplementary [114] or anti-angiogenetic [115] activity are examples of other bioactivities described for fucoidans for which molecular weight and sulfonation degree have been shown to be determinant. …”
Section: Nutrient Composition Of Fucus Sppmentioning
confidence: 99%
“…Indeed, the treatment of B16 melanoma cells, Sarcoma-180 and Lewis lung carcinoma cells with oversulfonated fucoidans from F. vesiculosus revealed better anti-proliferative effect than the treatment with native fucoidans, thus emphasizing the importance of this structural feature for the antitumor activity of these polysaccharides [15]. Imunomodulatory [113] anticomplementary [114] or anti-angiogenetic [115] activity are examples of other bioactivities described for fucoidans for which molecular weight and sulfonation degree have been shown to be determinant. …”
Section: Nutrient Composition Of Fucus Sppmentioning
confidence: 99%
“…Interactions between C1INH and heparin have been reported to augment rhC1INH activity 5‐ to 11‐fold and potentiate the inhibitory effect on C1‐dependent activation of the complement cascade . The synergistic effect between rhC1INH and heparin has been previously shown to enhance inhibition of the CP, LP, and AP in human samples in a dose‐dependent fashion . We exploited this interaction to maximize complement inhibition in donors in our model.…”
Section: Discussionmentioning
confidence: 99%
“…G3 donors received only continuous IV heparin infusion as described with dosing titrated to a partial thromboplastin time of 80‐120 seconds. Heparin was used to potentiate the activity of rhC1INH as described previously …”
Section: Methodsmentioning
confidence: 99%
“…The KKS is also coupled to the complement system by the C1 Inhibitor (C1INH). The C1INH is a serine protease that inhibits the KKS via the inactivation of factor XIIa and kallikrein and inhibits the complement system via the inactivation of C1r and C1s of the classical pathway [ 18 - 20 ]. Interaction of KKS, RAAS and complement system in the development of angioedema has been illustrated in Figure 1 .…”
Section: Reviewmentioning
confidence: 99%
“…Normally, C1INH inhibits the complement system and the KKS. The C1INH suppression will increase spontaneous activation of the classical pathway of the complement and anaphylatoxins production (C3a, C4a, C5a) [ 18 ]. Anaphylatoxins will cause vascular permeability and vasodilation [ 16 ].…”
Section: Reviewmentioning
confidence: 99%