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. 2021 May 2;13(5):824. doi: 10.3390/v13050824

Table 1.

Interaction of complement proteins to viruses, and biological consequences.

Virus C1q Binding Consequences of C1q Binding MBL Binding Consequences of MBL Binding C4BP Binding Consequences of C4BP Binding Properdin Binding Consequences of Properdin Binding Factor H Binding Consequences of Factor H Binding
Murine Leukaemia Virus (MuLV) + Complement activation Viral lysis by human serum ?
Human Immunodeficiency
Virus (HIV-1, 2)
+ Complement activation
No virolysis by human serum
Enhancement of infection of C receptor-bearing cells
+ In vitro inhibition of the virus
Complement activation
Enhancement of infection Virus uptake by macrophages
? + + Escape complement destruction
Human T Lymphotropic Virus (HTLV) + In vitro inhibition of the virus complement activation
No virolysis by human serum
+
Herpes Simplex Virus 1 (HSV-1) + Neutralisation of a gC null virus by a C1–C5 dependent mechanism ?
Herpes Simplex Virus 2 (HSV-2) ? + Enhancement of infection in a murine model
Human gamma-herpesvirus 8 + Induces complement activation during de novo KSHV infection
Epstein-Barr Virus (EBV) + Classical pathway activation
No neutralisation of the virus
Opsonisation of the virus
?
Cytomegalovirus (CMV) + Classical pathway activation
No lysis of infected cells
-
Influenza A Virus (IAV) + + C-independent virus inactivation Complement activation (guinea pig) + Differentially modulates the efficacy of viral entry and replication in a strain-dependent manner + Differentially modulates the efficacy of viral entry and replication in a strain-dependent manner + Differentially modulates the efficacy of viral entry and replication in a strain-dependent manner
Flavivirus + Viral NS1 limits complement activation by binding C4BP + Enhance complement activation Enables immune evasion
Hepatitis B virus + Upregulates C4BPα through transcription factor Sp1 inhibiting complement activation
Adenovirus + Increased uptake by hepatocytes
Reduced hepatic and innate toxicity after systemic application of adenoviruses vector
Sindbis virus + Reduced alternative pathway activation
SARS CoV 2 ? Lower C1q levels in the blood of severely ill patients
Localised deposits of C1q in lungs suggesting classical pathway activation
? N-protein of SARS-CoV-2 has been shown to interact with (MASP2) ? ? ? The addition of factor H help mitigate damages caused by uncontrolled alternative pathway activation by viral S1/S2 protein