Increased activation product of complement 4 protein in plasma of individuals with schizophrenia.


Journal

Translational psychiatry
ISSN: 2158-3188
Titre abrégé: Transl Psychiatry
Pays: United States
ID NLM: 101562664

Informations de publication

Date de publication:
22 09 2021
Historique:
received: 28 04 2021
accepted: 17 08 2021
revised: 28 07 2021
entrez: 23 9 2021
pubmed: 24 9 2021
medline: 12 10 2021
Statut: epublish

Résumé

Structural variation in the complement 4 gene (C4) confers genetic risk for schizophrenia. The variation includes numbers of the increased C4A copy number, which predicts increased C4A mRNA expression. C4-anaphylatoxin (C4-ana) is a C4 protein fragment released upon C4 protein activation that has the potential to change the blood-brain barrier (BBB). We hypothesized that elevated plasma levels of C4-ana occur in individuals with schizophrenia (iSCZ). Blood was collected from 15 iSCZ with illness duration < 5 years and from 14 healthy controls (HC). Plasma C4-ana was measured by radioimmunoassay. Other complement activation products C3-ana, C5-ana, and terminal complement complex (TCC) were also measured. Digital-droplet PCR was used to determine C4 gene structural variation state. Recombinant C4-ana was added to primary brain endothelial cells (BEC) and permeability was measured in vitro. C4-ana concentration was elevated in plasma from iSCZ compared to HC (mean = 654 ± 16 ng/mL, 557 ± 94 respectively, p = 0.01). The patients also carried more copies of the C4AL gene and demonstrated a positive correlation between plasma C4-ana concentrations and C4A gene copy number. Furthermore, C4-ana increased the permeability of a monolayer of BEC in vitro. Our findings are consistent with a specific role for C4A protein in schizophrenia and raise the possibility that its activation product, C4-ana, increases BBB permeability. Exploratory analyses suggest the novel hypothesis that the relationship between C4-ana levels and C4A gene copy number could also be altered in iSCZ, suggesting an interaction with unknown genetic and/or environmental risk factors.

Identifiants

pubmed: 34552056
doi: 10.1038/s41398-021-01583-5
pii: 10.1038/s41398-021-01583-5
pmc: PMC8458380
doi:

Substances chimiques

Complement C4 0
Complement C4a 80295-49-4

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

486

Subventions

Organisme : NHGRI NIH HHS
ID : P50 HG007735
Pays : United States
Organisme : NHGRI NIH HHS
ID : RM1 HG007735
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH019938
Pays : United States

Informations de copyright

© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.

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Auteurs

Agnieszka Kalinowski (A)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA. akalinow@stanford.edu.
Sierra Pacific Mental Illness Research Education and Clinical Center (MIRECC), VA Palo Alto Health Care System, Palo Alto, CA, USA. akalinow@stanford.edu.

Joanna Liliental (J)

Translational Applications Service Center, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Translational Research and Applied Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Lauren A Anker (LA)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Sierra Pacific Mental Illness Research Education and Clinical Center (MIRECC), VA Palo Alto Health Care System, Palo Alto, CA, USA.

Omer Linkovski (O)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.

Collin Culbertson (C)

Department of Neurology, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Jacob N Hall (JN)

Department of Neurology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
The Neurology Center of Southern California, Temecula, CA, 92592, USA.

Reenal Pattni (R)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Department of Genetics, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Chiara Sabatti (C)

Department of Biomedical Data Science and Statistics, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Douglas Noordsy (D)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Joachim F Hallmayer (JF)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Sierra Pacific Mental Illness Research Education and Clinical Center (MIRECC), VA Palo Alto Health Care System, Palo Alto, CA, USA.

Elizabeth D Mellins (ED)

Department of Pediatrics, Stanford Program in Immunology, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Jacob S Ballon (JS)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Ruth O'Hara (R)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Sierra Pacific Mental Illness Research Education and Clinical Center (MIRECC), VA Palo Alto Health Care System, Palo Alto, CA, USA.

Douglas F Levinson (DF)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Alexander E Urban (AE)

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA. aeurban@stanford.edu.
Department of Genetics, Stanford University School of Medicine, Stanford, CA, 94305, USA. aeurban@stanford.edu.

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