PMID- 24303866 OWN - NLM STAT- MEDLINE DCOM- 20141003 LR - 20140128 IS - 1532-4311 (Electronic) IS - 0882-0139 (Linking) VI - 43 IP - 2 DP - 2014 TI - Diminished complement-activating capacity through the classical pathway in sera from type 2 diabetes mellitus. PG - 170-81 LID - 10.3109/08820139.2013.864161 [doi] AB - Complement-activating capacity through the classical pathway in type 2 diabetes mellitus (T2DM) was examined in the context of free sialic acid as a potential modulator of complement activation. Complement-activating capacity was investigated in an incubation study of heat-aggregated IgG (HAG) and sera from 42 T2DM patients. The study demonstrated diminished in-vitro complement-activating capacity through the classical pathway in T2DM. Various doses of N-acetyl neuraminic acid (NANA) were incubated with normal serum and HAG. Complement activation product levels decreased in a NANA dose-dependent manner. Isoelectrofocusing analysis in a mixture of NANA and purified C3 indicated that C3 changed pI dose-dependently, resulting in the downregulation of complement activation. The serum levels of free sialic acid were determined by fluorometric assay in the 42 T2DM sera samples, and were significantly increased in patients with diminished complement activation. These data indicate that increased serum sialic acid may become a candidate for decreasing complement-activating capacity in T2DM. FAU - Fujita, Takayuki AU - Fujita T AD - Department of Nephrology, Hypertension and Endocrinology, Nihon University School of Medicine , Tokyo , Japan. FAU - Hemmi, Seiichiro AU - Hemmi S FAU - Kajiwara, Mamiko AU - Kajiwara M FAU - Yabuki, Minako AU - Yabuki M FAU - Fuke, Yoshinobu AU - Fuke Y FAU - Satomura, Atsushi AU - Satomura A FAU - Soma, Masayoshi AU - Soma M LA - eng PT - Journal Article DEP - 20131204 PL - England TA - Immunol Invest JT - Immunological investigations JID - 8504629 RN - 0 (Complement C3) RN - 0 (Immunoglobulin G) RN - GZP2782OP0 (N-Acetylneuraminic Acid) SB - IM MH - Aged MH - Complement C3/metabolism MH - *Complement Pathway, Classical MH - Diabetes Mellitus, Type 2/*immunology MH - Female MH - Humans MH - Immunoglobulin G/*metabolism MH - Immunomodulation MH - Male MH - Middle Aged MH - N-Acetylneuraminic Acid/immunology/*metabolism MH - Serum/*metabolism EDAT- 2013/12/07 06:00 MHDA- 2014/10/04 06:00 CRDT- 2013/12/06 06:00 PHST- 2013/12/06 06:00 [entrez] PHST- 2013/12/07 06:00 [pubmed] PHST- 2014/10/04 06:00 [medline] AID - 10.3109/08820139.2013.864161 [doi] PST - ppublish SO - Immunol Invest. 2014;43(2):170-81. doi: 10.3109/08820139.2013.864161. Epub 2013 Dec 4.