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A rare association between factor H deficiency and lupus: Case report and experimental treatment with curcumin

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Macedo, Ana Catarina Lunz ; Lores, Lazara Elena Santisteban ; Albuquerque, Jose Antonio Tavares ; Duarte, Nilo Jose Coelho ; Romano, Paschoalina ; Ebner, Persio Almeida Rezende ; Rezende, Vinicius Marcondes ; Silva, Clovis A. A. ; Andrade, Luis Eduardo Coelho ; Vasconcelos, Dewton Moraes ; Isaac, Lourdes
Total Authors: 11
Document type: Journal article
Source: FRONTIERS IN PEDIATRICS; v. 10, p. 8-pg., 2022-11-04.
Abstract

Factor H (FH) is one of the most important regulatory proteins of the alternative pathway of the complement system. FH deficiency is a rare condition that causes unregulated C3 consumption, leading to an increased susceptibility to infections and glomerulopathies. Our previous studies have demonstrated a FH deficient patient carrying a c.452G > A, p.R127H FH mutation which leads to a misfolded protein and its retention in the endoplasmic reticulum. In his cultured fibroblasts, FH-delayed secretion was partially rescued when treated with curcumin, and once secreted, exhibited normal regulatory function. Here, we report a childhood-onset systemic lupus erythematosus (cSLE) in this FH deficient patient and the results of experimental treatment with curcumin aiming to rescue FH secretion and regulatory activity. (AU)

FAPESP's process: 17/12924-3 - Etiopathogenesis of Leptospirosis: contribution of the complement system for the control of infection in vivo and in vitro and inflammatory response: identification of gene polymorphisms of the complement system in Leptospirosis patients
Grantee:Lourdes Isaac
Support Opportunities: Research Projects - Thematic Grants
FAPESP's process: 10/50043-0 - Complement system and pathogenicity of Leptospires: mechanisms of activation and evasion, identification of bacterial ligands, characterization of proteases and establishment of an in vivo murine model
Grantee:Lourdes Isaac
Support Opportunities: Research Projects - Thematic Grants