Table 1.
Diseases related to factor H mutations or variants that have potential effects on interactions with CRP, PTX3, C3b or polyanions.
| Disease | Factor H or FHR polymorphisms/mutations | Interactions affected | Functional effect of disease-related variant | References |
|---|---|---|---|---|
| AMD | FH Y402H (domain 7) FHL-1 |
CRP, polyanions | Insufficient clearance of drusen, inflammation | (46–50) |
| aHUS | FH mutations in domains 19-20 | PTX3, C3b/d, sialic acid | C attack against vascular and blood cells, C-mediated inflammation | (24, 27, 51) |
| Atherosclerosis | FH I62V (associated with high MMP-8 levels) | C3b | Increased release of MMP-8 from neutrophils | (52) |
| DDD | FH domains 1-5 (e.g., R83S) | C3b | AP overactivation in the fluid phase, C3b deposition on basement membranes | (51, 53) |
| FH Y402H (domain 7) | CRP, polyanions | Inflammation | (26) | |
| C3GN | FHR abnormalities (e.g., hybrids), FHR5 | CRP, C3b | Competition with factor H, AP dysregulation | (21) |
| FH Y402H (domain 7) | CRP | Inflammation | (26) |
AMD, age-related macular degeneration; aHUS, atypical hemolytic-uremic syndrome; DDD, dense deposit disease; C3GN, C3 glomerulonephritis; FHR, factor H-related protein; AP, alternative pathway.