PMID- 28409016 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 2053-8790 (Print) IS - 2053-8790 (Electronic) IS - 2053-8790 (Linking) VI - 4 IP - 1 DP - 2017 TI - Surface complement C3 fragments and cellular binding of microparticles in patients with SLE. PG - e000193 LID - 10.1136/lupus-2016-000193 [doi] LID - e000193 AB - OBJECTIVES: To examine microparticles (MPs) from patients with SLE and healthy controls (HCs) by determining the cellular origin of the MPs, quantifying attached fragments of complement component 3 (C3) and assessing the ability of MPs to bind to circulating phagocytes and erythrocytes. These features may be relevant for clearance of MPs in SLE pathogenesis. METHODS: Attached C3 fragments (C3b, iC3b, C3d), membrane integrity and cell surface markers of MPs from 18 patients with SLE and 11 HCs were measured by adding specific antibodies, 7-aminoactinomycin D (7AAD) and annexin V. MPs from all subjects were labelled with carboxyfluorescein diacetate succinimidyl ester and allowed to bind to autologous phagocytes and erythrocytes in the presence of autologous serum, and the binding to individual cell populations was assessed by flow cytometry. RESULTS: The proportion of MPs bearing C3 fragments was higher in patients with SLE than in HCs (p=0.026), but the amount of opsonising C3b/iC3b molecules was lower (p=0.004). The C3b/iC3b level correlated with the concentration of circulating C3 (r(s)=0.53, p=0.036). Phagocytes and erythrocytes from patients and HCs bound autologous MPs, and granulocytes from patients bound 13% more MPs than those from HCs (p=0.043). The presence of erythrocytes inhibited the MP binding to granulocytes by approximately 50%. CONCLUSIONS: Our demonstration of altered composition of C3 fragments on MPs from patients with SLE, including decreased numbers of opsonising C3 fragments, and competitive binding of MPs to circulating phagocytes and erythrocytes corroborates the hypothesis of defective clearance of apoptotic material in SLE, and indicates that differences in both MP opsonisation and binding of MPs to cells are important in the pathogenesis of SLE. FAU - Winberg, Line Kjaer AU - Winberg LK AD - Institute for Inflammation Research and Copenhagen Lupus and Vasculitis Clinic, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. FAU - Nielsen, Claus Henrik AU - Nielsen CH AD - Institute for Inflammation Research and Copenhagen Lupus and Vasculitis Clinic, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. FAU - Jacobsen, Soren AU - Jacobsen S AD - Institute for Inflammation Research and Copenhagen Lupus and Vasculitis Clinic, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. LA - eng PT - Journal Article DEP - 20170331 PL - England TA - Lupus Sci Med JT - Lupus science & medicine JID - 101633705 PMC - PMC5387967 OTO - NOTNLM OT - Apoptosis OT - Autoimmunity OT - Complement OT - Microparticles OT - Systemic Lupus Erythematosus COIS- Competing interests: None declared. EDAT- 2017/04/15 06:00 MHDA- 2017/04/15 06:01 PMCR- 2017/03/31 CRDT- 2017/04/15 06:00 PHST- 2016/12/05 00:00 [received] PHST- 2017/02/16 00:00 [revised] PHST- 2017/03/11 00:00 [accepted] PHST- 2017/04/15 06:00 [entrez] PHST- 2017/04/15 06:00 [pubmed] PHST- 2017/04/15 06:01 [medline] PHST- 2017/03/31 00:00 [pmc-release] AID - lupus-2016-000193 [pii] AID - 10.1136/lupus-2016-000193 [doi] PST - epublish SO - Lupus Sci Med. 2017 Mar 31;4(1):e000193. doi: 10.1136/lupus-2016-000193. eCollection 2017.