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Blood, 15 May 2002, Vol. 99, No. 10, pp. 3707-3716
IMMUNOBIOLOGY
Crry, but not CD59 and DAF, is indispensable for murine
erythrocyte protection in vivo from spontaneous complement
attack
Takashi Miwa,
Lin Zhou,
Brendan Hilliard,
Hector Molina, and
Wen-Chao Song
From the Center for Experimental Therapeutics and
Department of Pharmacology, and the Department of Pathology and
Laboratory Medicine, University of Pennsylvania School of Medicine,
Philadelphia; and the Department of Medicine, Washington University
School of Medicine, St Louis, MO.
Decay-accelerating factor (DAF) and CD59 are 2 glycosylphosphatidylinositol-anchored membrane proteins that
inhibit complement activation at the C3 and C5b-9 step, respectively.
CD59 is considered critical for protecting erythrocytes from
spontaneous complement attack, as deficiency of CD59 or CD59/DAF, but
not of DAF alone, on human erythrocytes renders them sensitive to
complement lysis in paroxysmal nocturnal hemoglobinuria
syndrome. To evaluate the relative roles of CD59 and DAF in vivo, we
have generated and studied a CD59 knockout and a
CD59/DAF double-knockout mouse. CD59-deficient and
CD59/DAF-double-deficient mouse erythrocytes were highly sensitive to
antibody-induced complement lysis in vitro, yet neither CD59 knockout
nor CD59/DAF double-knockout mouse developed spontaneous hemolytic
anemia. Consistent with the latter observation, erythrocytes from the 2 strains of mutant mice were shown to have a normal lifespan in
vivo. In contrast, mouse erythrocytes deficient in
complement receptor 1 (CR1)-related gene y (Crry), a membrane C3
inhibitor with DAF and membrane cofactor protein activities, were
rapidly eliminated from the circulation by a
complement-dependent mechanism. Compared with DAF-deficient erythrocytes, Crry-deficient erythrocytes incurred higher levels of
spontaneous C3 deposition in vivo. These findings demonstrate that CD59
and DAF are not indispensable on murine erythrocytes. Rather, effective
C3 regulation on the cell surface, provided by Crry rather than DAF, is
necessary for mouse erythrocytes to resist spontaneous complement
attack. Our results raise the possibility that proper control of C3
activation may also be critical on human erythrocytes, where CR1 but
not DAF could be the principal regulator of spontaneous C3 activation.

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