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Disease-associated glycosylated molecular variants of human C-reactive protein activate complement-mediated hemolysis of erythrocytes in tuberculosis and Indian visceral leishmaniasis

IR@IICB: CSIR-Indian Institute of Chemical Biology, Kolkata

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Title Disease-associated glycosylated molecular variants of human C-reactive protein activate complement-mediated hemolysis of erythrocytes in tuberculosis and Indian visceral leishmaniasis
 
Creator Ansar, Waliza
Mukhopadhyay , Sumi
Hasan Habib, S K
Basu, Shyamasree
Saha, Bibhuti
Sen, Asish Kumar
Mandal, Chhabinath
Mandal, Chitra
 
Subject Infectious Diseases and Immunology
Structural Biology & Bioinformatics
 
Description Human C-reactive protein (CRP), as a mediator of innate immunity, removed damaged cells by activating the classical complement pathway. Previous studies have successfully demonstrated that CRPs are differentially induced as glycosylated molecular variants in certain pathological conditions. Affinity-purified CRPs from two most prevalent diseases in India viz. tuberculosis (TB) and visceral leishmaniasis (VL) have differential glycosylation in their sugar composition and linkages. As anemia is a common manifestation in TB and VL, we assessed the contributory role of glycosylated CRPs to influence hemolysis via CRP-complement-pathway as compared to healthy control subjects. Accordingly, the specific binding of glycosylated CRPs with erythrocytes was established by flow-cytometry and ELISA. Significantly, deglycosylated CRPs showed a 7–8-fold reduced binding with erythrocytes confirming the role of glycosylated moieties. Scatchard analysis revealed striking differences in the apparent binding constants (104–105M−1) and number of binding sites (106–107sites/erythrocyte) for CRP on patients’ erythrocytes as compared to normal. Western blotting along with immunoprecipitation analysis revealed the presence of distinct molecular determinants on TB and VL erythrocytes specific to disease-associated CRP. Increased fragility, hydrophobicity and decreased rigidity of diseased-erythrocytes upon binding with glycosylated CRP suggested membrane damage. Finally, the erythrocyte-CRP binding was shown to activate the CRP-complement-cascade causing hemolysis, even at physiological concentration of CRP (10μg/ml). Thus, it may be postulated that CRP have a protective role towards the clearance of damaged-erythrocytes in these two diseases
 
Publisher Kluwer
 
Date 2009
 
Type Article
PeerReviewed
 
Format application/pdf
 
Identifier http://www.eprints.iicb.res.in/168/1/GLYCOCONJUGATE_JOURNAL%2C26(9)%2C1151%2D1169%2C2009[6].pdf
Ansar, Waliza and Mukhopadhyay , Sumi and Hasan Habib, S K and Basu, Shyamasree and Saha, Bibhuti and Sen, Asish Kumar and Mandal, Chhabinath and Mandal, Chitra (2009) Disease-associated glycosylated molecular variants of human C-reactive protein activate complement-mediated hemolysis of erythrocytes in tuberculosis and Indian visceral leishmaniasis. Glycoconjugate Journal, 26. pp. 1151-1169.
 
Relation http://dx.doi.org/10.1007/s10719-009-9236-y
http://www.eprints.iicb.res.in/168/