Cell Reports (Jan 2024)

Genetic determinants of complement activation in the general population

  • Damia Noce,
  • Luisa Foco,
  • Dorothea Orth-Höller,
  • Eva König,
  • Giulia Barbieri,
  • Maik Pietzner,
  • Dariush Ghasemi-Semeskandeh,
  • Stefan Coassin,
  • Christian Fuchsberger,
  • Martin Gögele,
  • Fabiola Del Greco M.,
  • Alessandro De Grandi,
  • Monika Summerer,
  • Eleanor Wheeler,
  • Claudia Langenberg,
  • Cornelia Lass-Flörl,
  • Peter Paul Pramstaller,
  • Florian Kronenberg,
  • Reinhard Würzner,
  • Cristian Pattaro

Journal volume & issue
Vol. 43, no. 1
p. 113611

Abstract

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Summary: Complement is a fundamental innate immune response component. Its alterations are associated with severe systemic diseases. To illuminate the complement’s genetic underpinnings, we conduct genome-wide association studies of the functional activity of the classical (CP), lectin (LP), and alternative (AP) complement pathways in the Cooperative Health Research in South Tyrol study (n = 4,990). We identify seven loci, encompassing 13 independent, pathway-specific variants located in or near complement genes (CFHR4, C7, C2, MBL2) and non-complement genes (PDE3A, TNXB, ABO), explaining up to 74% of complement pathways’ genetic heritability and implicating long-range haplotypes associated with LP at MBL2. Two-sample Mendelian randomization analyses, supported by transcriptome- and proteome-wide colocalization, confirm known causal pathways, establish within-complement feedback loops, and implicate causality of ABO on LP and of CFHR2 and C7 on AP. LP causally influences collectin-11 and KAAG1 levels and the risk of mouth ulcers. These results build a comprehensive resource to investigate the role of complement in human health.

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