Dynamics of complement activation in aHUS and how to monitor eculizumab therapy

Author:

Noris Marina1,Galbusera Miriam1,Gastoldi Sara1,Macor Paolo2,Banterla Federica1,Bresin Elena1,Tripodo Claudio3,Bettoni Serena1,Donadelli Roberta1,Valoti Elisabetta1,Tedesco Francesco4,Amore Alessandro5,Coppo Rosanna5,Ruggenenti Piero6,Gotti Eliana6,Remuzzi Giuseppe16

Affiliation:

1. IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri,” Clinical Research Center for Rare Diseases “Aldo e Cele Daccò,” Ranica, Bergamo, Italy and “Centro Anna Maria Astori” Science and Technology Park Kilometro Rosso, Bergamo, Italy;

2. Department of Life Sciences, University of Trieste, Trieste, Italy;

3. Tumor Immunology Unit, Human Pathology Section, Department of Health Sciences, University of Palermo, Palermo, Italy;

4. IRCCS, Istituto Auxologico Italiano, Milan, Italy;

5. Unit of Nephrology, Dialysis and Transplantation, Regina Margherita University Hospital, Turin, Italy; and

6. Unit of Nephrology and Dialysis, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy

Abstract

Key Points Endothelial-restricted complement activation occurs in aHUS, and clinical remission relies on efficient endothelial complement inhibition. Ex vivo serum-induced endothelial C5b-9 deposits are a sensitive tool to monitor complement activation and eculizumab effectiveness in aHUS.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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