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Safety profile after prolonged C3 inhibition

Reis, Edimara S ; Berger, Nadja ; Wang, Xin ; Koutsogiannaki, Sophia ; Doot, Robert K ; Gumas, Justin T ; Foukas, Periklis G ; Resuello, Ranillo R G ; Tuplano, Joel V and Kukis, David , et al. (2018) In Clinical Immunology 197. p.96-106
Abstract

The central component of the complement cascade, C3, is involved in various biological functions, including opsonization of foreign bodies, clearance of waste material, activation of immune cells, and triggering of pathways controlling development. Given its broad role in immune responses, particularly in phagocytosis and the clearance of microbes, a deficiency in complement C3 in humans is often associated with multiple bacterial infections. Interestingly, an increased susceptibility to infections appears to occur mainly in the first two years of life and then wanes throughout adulthood. In view of the well-established connection between C3 deficiency and infections, therapeutic inhibition of complement at the level of C3 is often... (More)

The central component of the complement cascade, C3, is involved in various biological functions, including opsonization of foreign bodies, clearance of waste material, activation of immune cells, and triggering of pathways controlling development. Given its broad role in immune responses, particularly in phagocytosis and the clearance of microbes, a deficiency in complement C3 in humans is often associated with multiple bacterial infections. Interestingly, an increased susceptibility to infections appears to occur mainly in the first two years of life and then wanes throughout adulthood. In view of the well-established connection between C3 deficiency and infections, therapeutic inhibition of complement at the level of C3 is often considered with caution or disregarded. We therefore set out to investigate the immune and biochemical profile of non-human primates under prolonged treatment with the C3 inhibitor compstatin (Cp40 analog). Cynomolgus monkeys were dosed subcutaneously with Cp40, resulting in systemic inhibition of C3, for 1 week, 2 weeks, or 3 months. Plasma concentrations of both C3 and Cp40 were measured periodically and complete saturation of plasma C3 was confirmed. No differences in hematological, biochemical, or immunological parameters were identified in the blood or tissues of animals treated with Cp40 when compared to those injected with vehicle alone. Further, skin wounds showed no signs of infection in those treated with Cp40. In fact, Cp40 treatment was associated with a trend toward accelerated wound healing when compared with the control group. In addition, a biodistribution study in a rhesus monkey indicated that the distribution of Cp40 in the body is associated with the presence of C3, concentrating in organs that accumulate blood and produce C3. Overall, our data suggest that systemic C3 inhibition in healthy adult non-human primates is not associated with a weakened immune system or susceptibility to infections.

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type
Contribution to journal
publication status
published
subject
keywords
Animals, Complement C3/antagonists & inhibitors, Complement Inactivating Agents/pharmacokinetics, Macaca fascicularis, Macaca mulatta, Peptides, Cyclic/pharmacokinetics, Time Factors, Tissue Distribution, Wound Healing/immunology, Wound Infection/epidemiology, Wounds and Injuries/immunology
in
Clinical Immunology
volume
197
pages
11 pages
publisher
Academic Press
external identifiers
  • scopus:85053494598
  • pmid:30217791
ISSN
1521-6616
DOI
10.1016/j.clim.2018.09.004
language
English
LU publication?
yes
additional info
Copyright © 2018 Elsevier Inc. All rights reserved.
id
82e7f585-3758-441a-b662-2c06ba4331fc
date added to LUP
2025-12-17 14:38:58
date last changed
2025-12-19 02:25:42
@article{82e7f585-3758-441a-b662-2c06ba4331fc,
  abstract     = {{<p>The central component of the complement cascade, C3, is involved in various biological functions, including opsonization of foreign bodies, clearance of waste material, activation of immune cells, and triggering of pathways controlling development. Given its broad role in immune responses, particularly in phagocytosis and the clearance of microbes, a deficiency in complement C3 in humans is often associated with multiple bacterial infections. Interestingly, an increased susceptibility to infections appears to occur mainly in the first two years of life and then wanes throughout adulthood. In view of the well-established connection between C3 deficiency and infections, therapeutic inhibition of complement at the level of C3 is often considered with caution or disregarded. We therefore set out to investigate the immune and biochemical profile of non-human primates under prolonged treatment with the C3 inhibitor compstatin (Cp40 analog). Cynomolgus monkeys were dosed subcutaneously with Cp40, resulting in systemic inhibition of C3, for 1 week, 2 weeks, or 3 months. Plasma concentrations of both C3 and Cp40 were measured periodically and complete saturation of plasma C3 was confirmed. No differences in hematological, biochemical, or immunological parameters were identified in the blood or tissues of animals treated with Cp40 when compared to those injected with vehicle alone. Further, skin wounds showed no signs of infection in those treated with Cp40. In fact, Cp40 treatment was associated with a trend toward accelerated wound healing when compared with the control group. In addition, a biodistribution study in a rhesus monkey indicated that the distribution of Cp40 in the body is associated with the presence of C3, concentrating in organs that accumulate blood and produce C3. Overall, our data suggest that systemic C3 inhibition in healthy adult non-human primates is not associated with a weakened immune system or susceptibility to infections.</p>}},
  author       = {{Reis, Edimara S and Berger, Nadja and Wang, Xin and Koutsogiannaki, Sophia and Doot, Robert K and Gumas, Justin T and Foukas, Periklis G and Resuello, Ranillo R G and Tuplano, Joel V and Kukis, David and Tarantal, Alice F and Young, Anthony J and Kajikawa, Tetsuhiro and Soulika, Athena M and Mastellos, Dimitrios C and Yancopoulou, Despina and Biglarnia, Ali-Reza and Huber-Lang, Markus and Hajishengallis, George and Nilsson, Bo and Lambris, John D}},
  issn         = {{1521-6616}},
  keywords     = {{Animals; Complement C3/antagonists & inhibitors; Complement Inactivating Agents/pharmacokinetics; Macaca fascicularis; Macaca mulatta; Peptides, Cyclic/pharmacokinetics; Time Factors; Tissue Distribution; Wound Healing/immunology; Wound Infection/epidemiology; Wounds and Injuries/immunology}},
  language     = {{eng}},
  pages        = {{96--106}},
  publisher    = {{Academic Press}},
  series       = {{Clinical Immunology}},
  title        = {{Safety profile after prolonged C3 inhibition}},
  url          = {{http://dx.doi.org/10.1016/j.clim.2018.09.004}},
  doi          = {{10.1016/j.clim.2018.09.004}},
  volume       = {{197}},
  year         = {{2018}},
}