PMID- 35183540 OWN - NLM STAT- MEDLINE DCOM- 20220427 LR - 20220506 IS - 1096-0007 (Electronic) IS - 0014-4835 (Linking) VI - 218 DP - 2022 May TI - Complement activation by RPE cells preexposed to TNFalpha and IFNgamma. PG - 108982 LID - S0014-4835(22)00063-X [pii] LID - 10.1016/j.exer.2022.108982 [doi] AB - Age-related macular degeneration (AMD) has been associated with both complement activation and increased levels of circulating cytokines. Here, we sougth to investigate if cytokine-preexposure of retinal pigment epithelial (RPE) leads to increased complement activation and deposition of membrane attack complex (MAC). Primary human RPE and the ARPE19 cell line cultured in serum-free conditions were preexposed to 100 ng/ml interferon-gamma (IFNgamma) and 20 ng/ml tumor necrosis factor-alpha (TNFalpha) for 48 h followed by exposure to diluted serum from healthy donors or complement factor B deficient (CFBd) serum for 70 min. Deposition of membrane attack complexes (MAC) was examined by use of a MAC-ELISA kit and by immunofluorescence. Eculizumab (anti-C5) was examined for its ability to prevent deposition of MAC on RPE cells exposed to serum. Lactatdehydrogenase (LDH) and thiazolyl blue tetrazolium bromide (MTT) assays were used to assess cellular metabolism and survival. MAC was deposited only on RPE preexposed to both IFNgamma and TNFalpha. Lack of complement factor B or inhibition of C5 abrogated the MAC-deposition on RPE cells, while reconstitution of CFBd serum with CFB resulted in MAC-deposition. MAC-deposition resulted in RPE-release of LDH, but unaltered mitochondrial activity estimated by MTT. We conclude that preexposure of primary RPE and ARPE19 with inflammatory cytokines promoted alternative pathway activation of complement and deposition of MAC. This implies that circulating inflammatory mediators may increase susceptibility to local complement activation and MAC-deposition, which may represent an early event in the pathogenesis leading to AMD development. CI - Copyright (c) 2022 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Udsen, Maja AU - Udsen M AD - Department of Immunology and Microbiology, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark. FAU - Tagmose, Christian AU - Tagmose C AD - Department of Immunology and Microbiology, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark. FAU - Garred, Peter AU - Garred P AD - Laboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. FAU - Nissen, Mogens Holst AU - Nissen MH AD - Department of Immunology and Microbiology, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark. FAU - Faber, Carsten AU - Faber C AD - Department of Immunology and Microbiology, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark; Department of Ophthalmology, Copenhagen University Hospital, Rigshospitalet, Denmark. Electronic address: carstenfaber@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220217 PL - England TA - Exp Eye Res JT - Experimental eye research JID - 0370707 RN - 0 (Complement Membrane Attack Complex) RN - 0 (Retinal Pigments) RN - 0 (Tumor Necrosis Factor-alpha) RN - 82115-62-6 (Interferon-gamma) RN - EC 3.4.21.47 (Complement Factor B) SB - IM MH - Complement Activation/physiology MH - Complement Factor B/metabolism MH - Complement Membrane Attack Complex/metabolism MH - Humans MH - Interferon-gamma/metabolism/pharmacology MH - *Macular Degeneration/metabolism MH - Retinal Pigment Epithelium/metabolism MH - Retinal Pigments/metabolism MH - *Tumor Necrosis Factor-alpha/metabolism/pharmacology OTO - NOTNLM OT - Complement OT - Interferons OT - Membrane attack complex OT - Retinal pigment epithelium OT - Tumor necrosis factor EDAT- 2022/02/21 06:00 MHDA- 2022/04/28 06:00 CRDT- 2022/02/20 20:30 PHST- 2021/10/06 00:00 [received] PHST- 2022/02/08 00:00 [revised] PHST- 2022/02/14 00:00 [accepted] PHST- 2022/02/21 06:00 [pubmed] PHST- 2022/04/28 06:00 [medline] PHST- 2022/02/20 20:30 [entrez] AID - S0014-4835(22)00063-X [pii] AID - 10.1016/j.exer.2022.108982 [doi] PST - ppublish SO - Exp Eye Res. 2022 May;218:108982. doi: 10.1016/j.exer.2022.108982. Epub 2022 Feb 17.