Properdin is the only known positive regulator of complement activation by stabilizing
the alternative pathway convertase through C3 binding, thus prolonging its half-life.
Recent in vitro studies suggest that properdin may act as a specific pattern recognition molecule.
To better understand the role of properdin in vivo, we used an experimental model of acute anti-glomerular basement membrane disease
with wild-type, C3- and properdin knockout mice. The model exhibited severe proteinuria,
acute neutrophil infiltration and activation, classical and alternative pathway activation,
and progressive glomerular deposition of properdin, C3 and C9. Although the acute
renal injury was likely due to acute neutrophil activation, we found properdin deposition
in C3-knockout mice that was not associated with IgG. Thus, properdin may deposit
in injured tissues in vivo independent of its main ligand C3.
Graphical abstract

Graphical Abstract
Keywords
To read this article in full you will need to make a payment
ISN Member Login
Login with your ISN username and password.
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Kidney InternationalPurchase one-time access:
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Complement. First of two parts.N Engl J Med. 2001; 344: 1058-1066
- Complement alternative pathway acts as a positive feedback amplification of neutrophil activation.Blood. 2011; 117: 1340-1349
- The quantitative role of alternative pathway amplification in classical pathway induced terminal complement activation.Clin Exp Immunol. 2004; 138: 439-446
- Membrane complement regulatory proteins.Clin Immunol. 2006; 118: 127-136
- Complement amplification revisited.Mol Immunol. 2006; 43: 2-12
- Properdin: binding to C3b and stabilization of the C3b-dependent C3 convertase.J Exp Med. 1975; 142: 856-863
- The properdin system and immunity. I. Demonstration and isolation of a new serum protein, properdin, and its role in immune phenomena.Science. 1954; 120: 279-285
- Properdin: emerging roles of a pattern-recognition molecule.Annu Rev Immunol. 2010; 28: 131-155
- Properdin can initiate complement activation by binding specific target surfaces and providing a platform for de novo convertase assembly.J Immunol. 2007; 179: 2600-2608
- Differential complement activation pathways promote C3b deposition on native and acetylated LDL thereby inducing lipoprotein binding to the complement receptor 1.J Biol Chem. 2014; 289: 35421-35430
O’Flynn J, LUMC. Properdin-dependent activation and control of immune-homeostasis and autoimmunity. Available at: https://openaccess.leidenuniv.nl/handle/1887/28275. Accessed December 17, 2014.
- Properdin binds to late apoptotic and necrotic cells independently of C3b and regulates alternative pathway complement activation.J Immunol. 2008; 180: 7613-7621
- Complement activation by tubular cells is mediated by properdin binding.Am J Physiol Renal Physiol. 2008; 295: F1397-F1403
- Identification of tubular heparan sulfate as a docking platform for the alternative complement component properdin in proteinuric renal disease.J Biol Chem. 2011; 286: 5359-5367
- Factor h and properdin recognize different epitopes on renal tubular epithelial heparan sulfate.J Biol Chem. 2012; 287: 31471-31481
- The complement protein properdin binds apoptotic T cells and promotes complement activation and phagocytosis.Proc Natl Acad Sci U S A. 2008; 105: 9023-9028
- Functional and structural insight into properdin control of complement alternative pathway amplification.EMBO J. 2017; 36: 1084-1099
- Blocking properdin, the alternative pathway, and anaphylatoxin receptors ameliorates renal ischemia-reperfusion injury in decay-accelerating factor and CD59 double-knockout mice.J Immunol. 2013; 190: 3552-3559
- Genetic and therapeutic targeting of properdin in mice prevents complement-mediated tissue injury.J Clin Invest. 2010; 120: 3545-3554
- The role of properdin in murine zymosan-induced arthritis.Mol Immunol. 2010; 47: 1458-1466
- Antibody directs properdin-dependent activation of the complement alternative pathway in a mouse model of abdominal aortic aneurysm.Proc Natl Acad Sci U S A. 2012; 109: E415-E422
- Complement activation contributes to the injury and outcome of kidney in human anti-glomerular basement membrane disease.J Clin Immunol. 2013; 33: 172-178
- The alternative pathway of complement activation may be involved in the renal damage of human anti-glomerular basement membrane disease.PLoS One. 2014; 9: e91250
- Both complement and IgG fc receptors are required for development of attenuated antiglomerular basement membrane nephritis in mice.J Immunol. 2009; 183: 3980-3988
- Properdin, a positive regulator of complement activation, is released from secondary granules of stimulated peripheral blood neutrophils.J Immunol. 1997; 158: 4444-4451
- Distinct roles for C3a and C5a in complement-induced tubulointerstitial injury.Kidney Int. 2011; 80: 524-534
- Loss of properdin exacerbates C3 glomerulopathy resulting from factor H deficiency.J Am Soc Nephrol. 2013; 24: 43-52
- Properdin plays a protective role in polymicrobial septic peritonitis.J Immunol. 2008; 180: 3313-3318
- Myeloperoxidase directs properdin-mediated complement activation.J Innate Immun. 2014; 6: 417-425
- The role of properdin in zymosan- and Escherichia coli-induced complement activation.J Immunol. 2012; 189: 2606-2613
- Properdin binding to complement activating surfaces depends on initial C3b deposition.Proc Natl Acad Sci U S A. 2017; 114: E534-E539
- Protection against anti-glomerular basement membrane (GBM)-mediated nephritis in C3- and C4-deficient mice.Clin Exp Immunol. 1997; 110: 403-409
- Role of the terminal complement pathway in experimental membranous nephropathy in the rabbit.J Clin Invest. 1983; 72: 1948-1957
- Anti-glomerular basement membrane antibody-induced experimental glomerulonephritis: evidence for dose-dependent, direct antibody and complement-induced, cell-independent injury.J Immunol. 1985; 135: 3918-3921
- Expression of properdin in human monocytes.Eur J Biochem. 1994; 219: 759-764
- Properdin and factor H production by human dendritic cells modulates their T-cell stimulatory capacity and is regulated by IFN-γ.Eur J Immunol. 2017; 47: 470-480
- Properdin levels in human sepsis.Front Immunol. 2015; 6: 24
- Pathogenic complement activation in collagen antibody-induced arthritis in mice requires amplification by the alternative pathway.J Immunol. 2007; 179: 4101-4109
- Sex matters: Systemic complement activity of female C57BL/6J and BALB/cJ mice is limited by serum terminal pathway components.Mol Immunol. 2016; 76: 13-21
- FcγRIII Mediates Neutrophil Recruitment to Immune Complexes.Immunity. 2001; 14: 693-704
- Alternative complement pathway in the pathogenesis of disease mediated by anti-neutrophil cytoplasmic autoantibodies.Am J Pathol. 2007; 170: 52-64
- Circulating complement activation in patients with anti-neutrophil cytoplasmic antibody–associated vasculitis.Kidney Int. 2012; 83: 129-137
- Complement activation is involved in renal damage in human antineutrophil cytoplasmic autoantibody associated pauci-immune vasculitis.J Clin Immunol. 2009; 29: 282-291
- Antibody response against perlecan and collagen types IV and VI in chronic renal allograft rejection in the rat.Am J Pathol. 2002; 160: 1301-1310
- Functional assessment of mouse complement pathway activities and quantification of C3b/C3c/iC3b in an experimental model of mouse renal ischaemia/reperfusion injury.J Immunol Methods. 2015; 419: 25-34
- Low-dose recombinant properdin provides substantial protection against Streptococcus pneumoniae and Neisseria meningitidis infection.Proc Natl Acad Sci U S A. 2014; 111: 5301-5306
- Novel monoclonal antibodies against mouse C3 interfering with complement activation: Description of fine specificity and applications to various immunoassays.Mol Immunol. 2004; 40: 1213-1221
Article Info
Publication History
Published online: October 12, 2018
Accepted:
June 28,
2018
Received in revised form:
May 31,
2018
Received:
July 5,
2017
Identification
Copyright
© 2018 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

