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Complement, infection, and autoimmunity.

AbstractPURPOSE OF REVIEW:
Complement system dysfunction in terms of upregulation, downregulation, or dysregulation can create an imbalance of both host defense and inflammatory response leading to autoimmunity. In this review, we aimed at describing the role of complement system in host defense to inflection and in autoimmunity starting from the evidence from primary and secondary complement system deficiencies.
RECENT FINDINGS:
Complement system has a determinant role in defense against infections: deficiencies of complement components are associated with increased susceptibility to infections. Primary complement system deficiencies are rare disorders that predispose to both infections and autoimmune diseases. Secondary complement system deficiencies are the result of the complement system activation with consumption. Complement system role in enhancing risk of infective diseases in secondary deficiencies has been demonstrated in patients affected by systemic autoimmune disorders, mainly systemic lupus erythematosus and vasculitis.
SUMMARY:
The relationship between the complement system and autoimmunity appears paradoxical as both the deficiency and the activation contribute to inducing autoimmune diseases. In these conditions, the presence of complement deposition in affected tissues, decreased levels of complement proteins, and high levels of complement activation fragments in the blood and vessels have been documented.
AuthorsPaola Conigliaro, Paola Triggianese, Eleonora Ballanti, Carlo Perricone, Roberto Perricone, Maria Sole Chimenti
JournalCurrent opinion in rheumatology (Curr Opin Rheumatol) Vol. 31 Issue 5 Pg. 532-541 (09 2019) ISSN: 1531-6963 [Electronic] United States
PMID31192812 (Publication Type: Journal Article, Review)
Chemical References
  • Complement System Proteins
Topics
  • Autoimmune Diseases (etiology, immunology, metabolism)
  • Autoimmunity (immunology)
  • Complement Activation
  • Complement System Proteins (immunology, metabolism)
  • Humans
  • Infections (complications, immunology, metabolism)

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