Table 1.
Comparison of MBL and the ficolins emphasising their contribution to respiratory infection defences
Lectin | Tissue expression | Location | Function | Binding to respiratory organisms | Association with RTI |
---|---|---|---|---|---|
MBL | liver | serum; sites of inflammation including respiratory epithelial surface | lectin pathway activation; mediates opsonophagocytosis; clearance of apoptotic cells | H. influenzae M. pneumoniae influenza virus M. tuberculosis L. pneumophila | invasive pneumococcal disease; community-acquired pneumonia; tuberculosis; Legionnaires' disease; SARS; progression of cystic fibrosis |
L-ficolin | liver | serum | lectin pathway activation; mediates opsonophagocytosis; clearance of apoptotic cells | S. pneumoniae serotypes 11A 11D 11F | recurrent RTI in children |
M-ficolin | monocytes; lung type II alveolar cells; spleen | PBMC surface; possibly respiratory epithelial surface | mediates opsonophagocytosis | not detected | not studied |
H-ficolin | lung type II alveolar cells and bronchial epithelial cells; liver | respiratory epithelial surface; serum | lectin pathway activation; clearance of apoptotic cells | not studied | not studied |
RTI = Respiratory tract infection; PBMC = peripheral blood mononuclear cell.