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

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 demonstra...

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Main Authors: Ana Catarina Lunz Macedo (Author), Lazara Elena Santisteban Lores (Author), José Antonio Tavares Albuquerque (Author), Nilo José Coelho Duarte (Author), Paschoalina Romano (Author), Persio Almeida Rezende Ebner (Author), Vinicius Marcondes Rezende (Author), Clovis A. Silva (Author), Luís Eduardo Coelho Andrade (Author), Dewton Moraes Vasconcelos (Author), Lourdes Isaac (Author)
Format: Book
Published: Frontiers Media S.A., 2022-11-01T00:00:00Z.
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Summary: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.
Item Description:2296-2360
10.3389/fped.2022.1039291