Inter-α-trypsin inhibitor attenuates complement activation and complement-induced lung injury

S Garantziotis, JW Hollingsworth… - The Journal of …, 2007 - journals.aai.org
S Garantziotis, JW Hollingsworth, RB Ghanayem, S Timberlake, L Zhuo, K Kimata…
The Journal of Immunology, 2007journals.aai.org
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-α-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 …
Abstract
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-α-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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