Paroxysmal nocturnal hemoglobinuria due to hereditary nucleotide deletion in the HRF20 (CD59) gene

Unique expression of HRF20 (CD59) in human nervous tissue

Damage to autologous tissue by complement is limited by several widely distributed membrane-associated glycoproteins which restrict the action of the complement in homologous species. These include decay accelerating factor (DAF), membrane cofactor protein (MCP) and 20 kDa homologous restriction factor (HRF20,CD59). Using immunohistochemical techniques, we examined the localization of these proteins in the central nervous system (CNS) and peripheral nervous system (PNS) using non-neurological human nervous tissue since some complement components have been demonstrated to be synthesized in the CNS. There was no evidence of parenchymal staining by anti-DAF or anti-MCP antibodies in either type of tissue except for the staining of the endothelium in capillaries. On the other hand, anti-HRF20 antibody clearly stained myelinated axons in the CNS as well as Schwann cells in the PNS. In addition, we detected positive staining by anti-DAF antibody in the PNS of a Paroxysmal nocturnal hemoglobinuria (PNH) patient who is genetically deficient in HRF20.

Multifunctional roles of glycosyl-phosphatidylinositol lipids

The results presented here indicate that GPI lipids are a structurally and functionally diverse molecular family. Despite new detailed information on the structures of GPI-anchored proteins, there is relatively scant information on the structure of free-GPI. Thus, little is known of the relationships between GPI structures and the mechanism of their biological effects. For example, there is no distinction at the structural level between hormone-sensitive free-GPI and those that serve as precursors for protein-GPI. Nor is there precise biochemical data on the mechanism and importance of free-GPI in hormone signaling, or the signaling roles that GPI anchors play in protein function. The T-cell activation cascade is an ideal system for studying both forms of GPI and their derivatives. The study of GPI molecules in T lymphocytes offers the exciting possibility of addressing questions on the structure, function, genesis, and regulation of both free- and protein-GPI molecules in a single cell type. The detection of multiple protein-GPI and free-GPI forms, and of hormone-sensitive GPI, provides the first approach to these issues. For the moment, the potential for biochemical signaling by intact GPI or its metabolites is enormous. If significant progress is to be made, the structures of hormone sensitive free-GPI must be elucidated. Only then can we precisely define the roles of these molecules in the regulation of cell metabolism and proliferation.

Membrane defence against complement lysis: the structure and biological properties of CD59

The complement system is an important branch of the innate immune response, constituting a first line of defence against invading microorganisms which activate complement via both antibody-dependent and -independent mechanisms. Activation of complement leads to (a) a direct attack upon the activating cell surface by assembly of the pore-forming membrane attack complex (MAC), and (b) the generation of inflammatory mediators which target and recruit other branches of the immune system. However, uncontrolled complement activation can lead to widespread tissue damage in the host, since certain of the activation products, notably the fragment C3b and the C5b-7 complex, can bind nonspecifically to any nearby cell membranes. Therefore it is important that complement activation is tightly regulated. Our own cells express a number of membrane-bound control proteins which limit complement activation at the cell surface and prevent accidental complement-mediated damage. These include decay-accelerating factor, complement receptor 1 and membrane cofactor protein, all of which are active at the level of C3/C5 convertase formation. Until recently, cell surface control of MAC assembly had been attributed to a single 65-kD membrane protein called homologous restriction factor (alternatively named C8-binding protein and MAC-inhibiting protein). However a second MAC-inhibiting protein has since been discovered and it is now clear that this protein plays a major role in the control of membrane attack. This review charts the rapid progress made in elucidating the protein and gene structure, and the mechanism of action of this most recently discovered complement inhibitor, CD59.