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Functional variant rs12614 in CFB confers a low risk of IgA nephropathy by attenuating complement alternative pathway activation in Han Chinese.


ABSTRACT: Activation of the alternative pathway (AP) of complement is thought to play an important role in Immunoglobin A nephropathy (IgAN). Our previous study showed that rs4151657 within the complement factor B (CFB) gene increased the risk of IgAN. The protein encoded by the CFB gene is an initial factor that promotes AP activation. The aim of this study was to investigate whether other variants of CFB confer susceptibility to IgAN and elucidate their potential roles in AP activation. A total of 1,350 patients with IgAN and 1,420 healthy controls were enrolled and five tag single-nucleotide polymorphisms were selected for genotyping. The levels of key AP components, such as CFB, complement factor H and complement split product C3a, were measured by enzyme-linked immunosorbent assay. Molecular docking and molecular dynamic simulation were carried out to characterize the mutation of residues in the protein structure and the dynamic properties of wide type and mutation models of CFB protein. The allele-specific effect on CFB expression and its binding affinity to C3b were investigated through cell transfection and surface plasmon resonance analysis, respectively. We found that rs12614 significantly reduced the risk of IgAN (OR = 0.69, 95% CI = 0.52-0.91, P = 0.009), and the rs12614-T (R32W mutation) was correlated with lower CFB levels, higher serum C3 level, and less mesangial C3 deposition in patients with IgAN. The structural model showed that the R32W mutation reduced the structural stability of CFB protein. Furthermore, in vitro study revealed that rs12614-T decreased the expression of CFB and reduced its binding affinity to C3b by four-fold compared with rs12614-C. In conclusion, the rs12614-T in CFB was associated with low risk of IgAN probably by attenuating AP activation.

SUBMITTER: Shi DC 

PROVIDER: S-EPMC9606215 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Functional variant rs12614 in <i>CFB</i> confers a low risk of IgA nephropathy by attenuating complement alternative pathway activation in Han Chinese.

Shi Dian-Chun DC   Feng Shao-Zhen SZ   Zhong Zhong Z   Cai Lu L   Wang Meng M   Fu Dong-Ying DY   Yu Xue-Qing XQ   Li Ming M  

Frontiers in immunology 20221013


Activation of the alternative pathway (AP) of complement is thought to play an important role in Immunoglobin A nephropathy (IgAN). Our previous study showed that rs4151657 within the complement factor B (<i>CFB</i>) gene increased the risk of IgAN. The protein encoded by the <i>CFB</i> gene is an initial factor that promotes AP activation. The aim of this study was to investigate whether other variants of <i>CFB</i> confer susceptibility to IgAN and elucidate their potential roles in AP activat  ...[more]

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