Self versus nonself discrimination by the soluble complement regulators factor H and FHL-1
Abstract
The plasma proteins Factor H (FH) and its alternate splice variant FH-like protein 1 (FHL-1) are the major regulators of the complement alternative pathway. The indiscriminate nature of alternative pathway activation necessitates the regulators to be host selective, but the underlying principles of selectivity remained largely elusive. By analyzing human FH and FHL-1 for protection of different host and foreign cells (rabbit and yeast), we uncovered a 2-fold discriminatory mechanism of FH in favor of self: relative to FHL-1, FH exhibits a regulatory benefit on self but importantly, also, a regulatory penalty on nonself surfaces, yielding a selectivity factor of ∼2.4 for sialylated host surfaces. We further show that FHL-1 possesses higher regulatory activity than known but is relatively unselective. The reason for this unexpected high activity of FHL-1 is the observation that the complement regulatory site in FH exceeds the established first four domains. Affinity for C3b, cofactor and decay-accelerating activities, and serum assays demonstrate that the regulatory site extends domains 1–4 and includes domains 5–7. But unlike FH, FHL-1 exhibits a fast plasma clearance in mice, occurs sparsely in human plasma (at one fortieth of the FH concentration), and resists deregulation by FH-related proteins. These physiological differences and its late phylogenetic occurrence argue that FHL-1 is crucial for local rather than systemic compartments. In conclusion, we demonstrate a 2-fold discriminatory power of FH to promote selectivity for self over foreign and show that FHL-1 is more active than known but specialized for regulation on local tissues.
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FHL-1 is not as effective at inhibiting AP overactivation as FH, as it has reduced binding to extracellular matrix proteins and cannot alter its conformation to conceal its catalytic domains when not bound to host structures.
“However, FHL-1 is not as effective at inhibiting AP overactivation as FH, as it has reduced binding to extracellular matrix proteins and cannot alter its conformation to conceal its catalytic domains when not bound to host structures [210].”
From Bruch’s Membrane: A Key Consideration with Complement-Based Therapies for Age-Related Macular Degeneration (2023) · cites this paper as [210]
Genetic sequences consistent with FHL-1 expression are found in old world monkeys, but not in their new world ancestors.
“the genetic sequences consistent with FHL-1 expression are found in old world monkeys, but not in their new world ancestors [210].”
From Bruch’s Membrane: A Key Consideration with Complement-Based Therapies for Age-Related Macular Degeneration (2023) · cites this paper as [210]
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Delgado, I. G., & Sánchez‐Corral, P. (2022) · Nefrología (English Edition) · doi:10.1016/j.nefroe.2022.09.002 · Cited by 4 · see citing works
van Essen, M. F., Peereboom, E. T. M., Schlagwein, N., van Gijlswijk‐Janssen, D. J., Nelemans, T., Joeloemsingh, J. V., van den Berg, C. W., Prins, J., Clark, S. J., Schmidt, C. Q., et al. (2023) · Immunobiology · doi:10.1016/j.imbio.2023.152364 · Cited by 4 · see citing works
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Modeling C3 glomerulopathies: C3 convertase regulation on an extracellular matrix surface
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Factor H-related proteins as a protective evolutionary mechanism against microbial infections
García-Sánchez, R., López‐Lera, A., González-Sánchez, L., Corvillo, F., Tortajada, A., & Sánchez‐Corral, P. (2026) · Immunobiology · doi:10.1016/j.imbio.2026.153185 · Cited by 1 · see citing works
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- Authors
- Dopler, A., Guntau, L., Harder, M. J., Palmer, A., Höchsmann, B., Schrezenmeier, H., Simmet, T., Huber-Lang, M., & Schmidt, C. Q.
- Affiliations
- Universität Ulm (DE)
- University Hospital Ulm (DE)
- Corresponding author
- Dopler, Arthur
- Guntau, Leonie
- Simmet, Thomas
- ORCID
- Venue
- The Journal of Immunology
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-04-01
- Volume
- 202
- Issue
- 7
- Pages
- 2082-2094
- ISSN
- 0022-1767 (ISSN-L)
- 1550-6606
- OpenAlex
- W2912565373
- Cited by
- 35
- References
- 63
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 6 · 2022: 3 · 2021: 9 · 2020: 9 · 2019: 3
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Complement system in diseases
- Life Sciences › Immunology and Microbiology › Immunology › Biomarkers in Disease Mechanisms
- Health Sciences › Medicine › Genetics › Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Keywords
- complement factor H, FHL1, alternative complement pathway, complement regulation, self/non-self discrimination, sialylation, plasma clearance, host selectivity
- MeSH terms
- Animals, Complement Activation, Complement Pathway, Alternative, Humans, Complement Factor H, Self Tolerance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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