Novel aspects of complement in kidney injury

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Novel aspects of complement in kidney injury Mark B. Vieyra, Peter S. Heeger  Kidney International  Volume 77, Issue 6, Pages 495-499 (March 2010) DOI: 10.1038/ki.2009.491 Copyright © 2010 International Society of Nephrology Terms and Conditions

Figure 1 Schematic overview of the complement cascade illustrating the three activation pathways (classical, mannose-binding lectin (MBL), and alternative), the common pathway, the membrane attack complex (C5b-9), and the site of action of the cell surface-expressed complement regulators (red) and the soluble complement regulator Factor H (blue). Representative functions of select cleavage products are listed in boxes. Kidney International 2010 77, 495-499DOI: (10.1038/ki.2009.491) Copyright © 2010 International Society of Nephrology Terms and Conditions

Figure 2 Schematic depiction of how complement modulates T-cell immunity. Cognate T-cell–APC interactions result in the upregulation and release of alternative pathway complement components by both partners and in the downregulation of (a) cell-surface DAF, which permits local complement activation resulting in the production of (b) C3a and C5a. These split products bind to their G-protein-coupled receptors expressed on T cells, signaling through PI3Kγ and AKT to induce proliferation and inhibit apoptosis, while simultaneously activating APCs to upregulate B7 and innate cytokine (for example, IL-12) production. APC, antigen presenting cell; DAF, decay-accelerating factor; IL-12, interleukin-12; PI3Kγ, phosphoinositide 3-kinase-γ. Kidney International 2010 77, 495-499DOI: (10.1038/ki.2009.491) Copyright © 2010 International Society of Nephrology Terms and Conditions