Table 1.
Structural and functional consequences of mutations in aHUS
Mutant | CCP | Structural changes | C3b/d binding | Heparin binding | Endothelial cell binding | Hemolysis assay | Reference |
---|---|---|---|---|---|---|---|
D1119G | 19 | Local | ↓e | ↔ | ↔a | ↓c | [19, 86] |
Y1142C | 19 | ND | ND | ND | ND | ↓d | [21] |
W1157R | 19 | ND | ↓ | ↓ | ND | ND | [87] |
E1172X | 20 | ND | ↓ | ↓ | ND | ND | [88, 89] |
R1182S | 20 | Local | ↓ | ↓ | ND | ↓c,d | [19, 20] |
W1183R | 20 | Local | ↑ | ↑ | ND | ↓c | [19] |
W1183L | 20 | Local | ↓ | ↓e | ↓a,b,e | ↓c | [19, 86, 87, 90] |
T1184R | 20 | Local | ↑e | ↑ | ↑a | ↓c | [19, 86] |
L1189R | 20 | Local | ↑ | ↑ | ↑a | ↓c,d | [19, 20, 86] |
L1189F | 20 | Local | ↑ | ↑ | ND | ↓c,d | [19, 20] |
S1191W | 20 | ND | ND | ND | ND | ↓d | [20] |
S1191L | 20 | Local | ↑e | ↔ | ND | ↓c,d | [17, 19] |
S1191L/V1197A | 20 | Local | ↑e | ↔ | ND | ↓c,d | [17, 19] |
V1197A | 20 | ND | ↓e | ↓e | ND | ↓d | [17, 20, 87, 90] |
E1198K | 20 | ND | ND | ND | ↓b | ↓d | [22] |
R1210C | 20 | Local | ↓ | ↓e | ↓b | ↓c | [19, 20, 87, 89, 90] |
R1215G | 20 | Local | ↓ | ↓ | ↓b | ↓c | [19, 87, 89] |
R1215Q | 20 | ND | ↔ | ↓ | ↔a | ND | [86] |
P1226S | 20 | ND | ↓ | ↓ | ND | ND | [87] |
ND not done; Endothelial cell binding relates to either amGEnC-1 [86] or bHUVEC [22, 88, 89] binding. Hemolysis assay using crecombinant proteins to compete with full-length CFH on human erythrocytes [19] or dusing patient serum on sheep erythrocytes [20]. To amalgamate these different hemolysis assays, the arrows indicate the effect on cell surface complement regulation produced by the mutation. eIndicates contradictory results