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J. Biol. Chem., Vol. 281, Issue 51, 39088-39095, December 22, 2006
Ligand Specificity of the Anaphylatoxin C5L2 Receptor and Its Regulation on Myeloid and Epithelial Cell Lines* 1 1![]() ![]() ![]() 2
From the
Received for publication, October 16, 2006
During complement activation the pro-inflammatory anaphylatoxins C3a and C5a are generated, which interact with the C3a receptor and C5a receptor (CD88), respectively. C5a and its degradation product C5a-des-Arg74 also bind to the C5a receptor-like 2 (C5L2). C3a and C3a-des-Arg77, also called acylation-stimulating protein, augment triglyceride synthesis and glucose uptake in adipocytes and skin fibroblasts. Based on data obtained using transfected HEK293 and RBL cells, C5L2 is additionally proposed as a functional receptor for C3a and C3a-des-Arg77. Here we use 125I-ligand binding assays and flow cytometry with fluorescently labeled ligands to demonstrate that neither C3a nor C3a-des-Arg77 binds to C5L2. C5L2 expression and its regulation are investigated on various cell lines by a novel C5L2-restricted binding assay and quantitative real time PCR. Dibutyryl cAMP and interferon- induce up-regulation of this receptor on myeloblastic cell lines (U937 and HL-60), whereas tumor necrosis factor- (TNF- ) has no effect. In contrast, epithelial HeLa cells are found to constitutively express C5L2 but not the C5a receptor. In HeLa cells, interferon- and TNF- drastically reduce C5L2 expression. No C5a-dependent Ca2+ signaling is observed even in these cells endogenously expressing C5L2. Taken together, C5L2 is not a receptor for C3a or C3a-des-Arg77. Thus, this receptor is unlikely to be directly involved in lipid metabolism. Instead, the identification of stimuli modifying C5L2 expression indicates that C5L2 is a highly regulated scavenger receptor for C5a and C5a-des-Arg74.
Activation of the complement system leads to the release of the anaphylatoxic peptides C5a3 and C3a. These anaphylatoxins play an important role during inflammation, e.g. by acting as chemoattractants for neutrophils and other immune cells and by increasing vascular permeability. The C5a receptor (C5aR, CD88) and the C3a receptor (C3aR) are members of the family of G-protein-coupled receptors. They are broadly expressed in different tissues throughout the body. C5a and C3a are rapidly inactivated by serum carboxypeptidase N-catalyzed cleavage of their terminal Arg residue. Although C5a-des-Arg74 retains 10% of its biological activity and still weakly binds to C5aR, C3a-des-Arg77 loses its affinity for C3aR (1).
Besides being a remnant of complement action in response to foreign material, C3a-des-Arg77 is also proposed to play an important role in glucose uptake and fat storage in adipose tissue and is therefore also called acylation-stimulating protein (ASP) (2). In human skin fibroblasts, C3a-des-Arg77 mediates protein kinase C activation that triggers diacylglycerol acyltransferase activity (3). Additionally, C3a-des-Arg77 promotes translocation of glucose transporters GLUT1, GLUT3, and GLUT4 to the plasma membrane, leading to a higher rate of glucose influx into the cells (4). Moreover, adipose tissue serves as producer of complement factor C3, factor B and D (5, 6). In vitro experiments demonstrated enhanced levels of C3a-des-Arg77 in the supernatant of adipocytes stimulated with insulin or chylomicrons (7). However, the exact mechanism of C3a-des-Arg77 formation in adipose tissue is not known.
C5L2 is the third member of the anaphylatoxin receptor family sharing 58% identity to C5aR and 55% identity to C3aR in the transmembrane domains (8). Northern blot data suggest that C5L2 is coexpressed with C5aR on various cells and tissues, such as neutrophils/macrophages, mast cells, immature dendritic cells, as well as in the brain, lung, heart, kidney, liver, ovary, or testis (812). However, other data concerning C5L2 expression on neutrophils are conflicting (10, 11). C5L2 binds C5a with nearly the same affinity as the C5aR and C5a-des-Arg74 with a 20-fold higher affinity compared with C5aR (13). C5L2 couples only weakly to G-proteins because of the lack of key sequence motifs for interaction of heptahelical receptors with the corresponding G-proteins. For example, the DRY (DRF in CD88) motif is DLC in C5L2, and the mutation of this sequence to DRC can partially restore signaling ability (10). In cells transfected with wild-type C5L2, no increase in cytosolic calcium levels or activation of the mitogen-activated protein kinase pathway could be observed, and C5L2-transfected RBL cells failed to degranulate upon stimulation with C5a, C3a, or C5a-des-Arg74 (10, 13). C5L2/ mice show increased influx of neutrophils into the lung and higher levels of TNF- Regulation of C5L2 as decoy receptor could help to fine-tune the C5a-mediated inflammatory response. C5L2 is known to be regulated during sepsis in mice, rats, and humans. It is up-regulated in lung, liver, and heart but not in kidneys of mice in a cecal ligation and puncture model of sepsis (17). However, results differ among different publications (12, 17) for C5L2 up- or down-regulation in neutrophils from cecal ligation and puncture rats. In human patients C5L2 is transiently down-regulated in neutrophils during sepsis (12). Apart from sepsis, nothing is known about the regulation of C5L2, and no regulating factors have been described so far. Therefore, in this study we wanted to clarify whether C3a and C3a-des-Arg77 (ASP) bind specifically to C5L2 or not, and whether this ligand/receptor system can be directly involved in the regulation of lipid metabolism. An additional objective was to identify C5L2-expressing cells and stimuli that regulate C5L2 expression in naturally expressing cell types.
Recombinant human IL-1 , IFN- , and TNF- were purchased from R&D Systems (Minneapolis, MN), and IL-6 was from Tebu-Bio (Offenbach, Germany). All other materials were obtained from Sigma unless indicated otherwise. Cell Lines and Culture ConditionsThe human embryonic kidney cell line HEK293 (ATCC CRL 1573) was cultured in Dulbecco's modified Eagle's medium/Ham's F-12 medium containing 10% fetal calf serum; human myeloblastic HL-60 and U937 cells in RPMI 1640 were cultured with 10% fetal calf serum; human epithelial (cervix carcinoma) HeLa cells (kindly provided by R. Heilbronn, Berlin, Germany) were cultured in minimum Eagle's medium supplemented with sodium pyruvate, nonessential amino acids, and 10% fetal calf serum. The rat basophilic leukocyte cell line RBL-2H3 (CRL 1593; ATCC, Manassas, VA; a gift from Dr. M. Oppermann, Göttingen, Germany) was cultured in Dulbecco's modified Eagle's medium containing 10% fetal calf serum; RBL cells stably transduced with C3aR or C5L2 were cultured in Dulbecco's modified Eagle's medium containing 10% fetal calf serum and 800 µg/ml G-418. All media, fetal calf serum, and additives and G-418 were purchased from PAA (Pasching, Austria). Subcloning of C5L2 and C3aR and Stable Transduction of RBL and HEK CellsRBL cells and HEK cells were stably transduced with human C3a receptor and C5L2 using a retroviral gene transfer system (RetroX®, Clontech). Human C3a receptor was subcloned into pQCXIN® (Clontech) from genomic DNA using the sense primer 5'-AAAAAGCGGCCGCgccaccatggcgtctttctctgc-3' and the antisense primer 5'-AAAAAGGATCCtcacacagttgtactatttc-3'. The added NotI and BamHI are shown in italics, and the Kozak sequence is underlined. Human C5L2 was subcloned from genomic DNA using the sense primer 5'-AAAAAGGATCCgccaccatggggaacgattctgtc-3' and the antisense primer 5'-AAAAAGAATTCctacacctccatctccg-3'. The added BamHI and EcoRI are shown in italics, and the Kozak sequence is underlined. The constructs were subcloned using NotI and BamHI restriction sites for C3aR or BamHI and EcoRI sites for C5L2. All constructs were confirmed by sequencing. RBL cells were transduced according to the manufacturer's protocol (Clontech) and selected with 800 µg/ml G-418. Transient Transfection of HEK293 CellsHEK cells were transiently transfected with pEE6-HCMV.neo-C5L2 (13) using LipofectamineTM reagent (Invitrogen) according to the manufacturer's protocol. RNA Preparation and cDNA SynthesisTotal RNA was isolated from cell culture using TRIzolTM reagent (Invitrogen) according to the manufacturer's instructions. Five µg of total RNA was used for transcription with SuperScript II RNaseH reverse transcriptase (Invitrogen) using oligo(dT) primers (Stratagene, La Jolla, CA). C5L2 Real Time PCRTaqMan real time PCR was performed using a C5L2-specific TaqMan gene expression assay (hC5L2_s3) in combination with the TaqMan universal PCR master mix and the 7000 sequence detection system for analysis (all from Applied Biosystems, Weiterstadt, Germany). For normalization, the housekeeping gene 18S-rRNA (gene expression assay Hs99999901_s1) was used. Standard curves were generated using serially diluted cDNA. Competitive 125I-Labeled Ligand Binding AssaysBinding assays were carried out in HAG-CM (20 mM HEPES, pH 7.4, 125 mM NaCl, 5 mM KCl, 1 mM CaCl2, 1 mM MgCl2, 0.25% BSA, 0.5 mM glucose) in a total volume of 50 µl per well of a microtiter plate (Greiner, Essen, Germany). Tracer concentrations of 125I-labeled anaphylatoxins (0.12 nM for 125I-C3a and 125I-C3a-des-Arg77 or 0.1 nM for 125I-C5a, respectively) were incubated overnight at 4 °C with increasing concentrations of nonlabeled anaphylatoxins (Calbiochem) and 3 x 105 stably transfected RBL cells or 1.5 x 105 transiently transfected HEK293 cells per well or (because of extremely high receptor expression) 6.25 x 103 of stably transfected HEK293 cells per well, respectively. 40 µl of the mixture was filtered using Multiscreen-HTSTM filter plates (Millipore, Billerica, MA) and washed twice with 100 µl of HAG-CM. The filter plates were dried, and 50 µl of MicroScint O (PerkinElmer Life Sciences) per well were added. Bound radioactivity was determined using a TopCount NXT (Canberra-Packard, Dreieich, Germany). For 125I-C3a- and 125I-C3a-des-Arg77-binding assays, the filter plates were pretreated with 2% protamine sulfate overnight at 4 °C and extensively washed with HAG-CM before use. For selective detection of C5L2, the cells were preincubated with the C5aR inhibitor AcF[OPdChaWR] for 10 min at room temperature prior to adding the cells to the mixture of labeled and nonlabeled ligand leading to a final concentration of 1 µM of the antagonist in the reaction mixture. 125I-C3a and 125I-C5a were purchased from PerkinElmer Life Sciences.
125I-C3a-des-Arg77 was generated by treatment of 125I-C3a with 0.6 units of carboxypeptidase B (Calbiochem) per pmol for 20 min at 37 °C in 130 mM NaCl, 2.5 mM KCl, 10 mM NaHCO3, 0.5 mM Na2HPO4, 1 mM MgCl2 followed by heat inactivation of the enzyme at 70 °C for 10 min. Specificity of the carboxypeptidase was proved by inhibition of the des-argination reaction of nonlabeled C3a with Plummers inhibitor (DL-2-mercaptomethyl-3-guanidinoethylthiopropanic acid; Calbiochem). Heating C3a or 125I-C3a to 70 °C for 10 min did not affect activity of the ligands as tested by binding assays. At least three independent binding studies were performed for each cell line and receptor. The number of binding sites per cell and the affinity were determined by iterative curve fitting using Ligand (Kell) software (Biosoft, Cambridge, UK). Transiently transfected HEK293 cells showed high expression levels of the C5L2 receptor in the range of 3.35 x 105 C5L2 receptors per cell and a Kd of 0.10.3 nM. C3aR expression was in the range of 2.55 x 105 receptors per cell with a Kd of 0.71.0 nM. On transduced HEK293 cells (HEK-C5L2, HEK-C5aR, and HEK-C3aR), 1.22.8 x 106 C5L2, C5aR, or C3aR per cell was found with a Kd of 12 nM for C5L2, 26 nM for C5aR, and 36 nM for C3aR. Fluorescence Labeling of Anaphylatoxins and Flow CytometryC3a, C3a-des-Arg77, and C5a were fluorescently labeled using MFP488 N-hydroxysuccinimide-ester (MoBiTec, Göttingen, Germany) in 160 mM NaHCO3 for 1 h at 20 °C. Excess of free MFP488 N-hydroxysuccinimide-ester was eliminated using Centri-Spin 10 columns (EMP Biotech, Berlin, Germany). Mass spectrometry indicated 14 labels per molecule of anaphylatoxin. For binding assays 5 x 105 cells were incubated overnight at 4 °C in a final volume of 25 µl of buffer (20 mM HEPES, pH 7.4, 125 mM NaCl, 5 mM KCl, 1 mM CaCl2, 1 mM MgCl2, 0.25% BSA, 0.5 mM glucose) with 50 nM of fluorescently labeled anaphylatoxin. Specificity of binding was determined using 20-fold excess of unlabeled anaphylatoxin. Cells were then washed twice in 150 µl of ice-cold buffer and centrifuged at 500 x g. Cells were then fixed using Cellfix (BD Biosciences), and flow cytometry was performed using a FACSCalibur cytometer (BD Biosciences). Fura2 Assay for Determination of Free Cytosolic Ca2+Cells were loaded with 10 µM Fura2-AM (Calbiochem) in the presence of 0.2% Pluronic F-127 at a density of 1 x 107 cells/ml in HBSS (20 mM HEPES, pH 7.4, 120 mM NaCl, 5 mM KCl, 1 mM MgCl2, 1 mM CaCl2, 10 mM glucose, 0.5% BSA) for 30 min at 37 °C and then diluted 1:10 with HBSS and again incubated for 30 min at 37 °C. Cells were washed with HBSS and resuspended at a density of 1 x 107 cells/ml. Measurements of [Ca2+]i were carried out in the luminescence spectrometer LS 50B (PerkinElmer Life Sciences) at 37 °C in a total volume of 500 µl. Therefore, the Fura2-AM-loaded cells were diluted 1:10 in HBSS and 25 µl of stimuli were added after recording of the base line. For C5L2-restricted measurements, the cells were preincubated for 10 min at 37 °C with AcF[OPdChaWR] at a final concentration of 10 µM. [Ca2+]i was calculated as described by Grynkiewicz et al. (18).
C5L2 Is Neither a High nor a Low Affinity Receptor for C3a or C3a-des-Arg77C3a and C3a-des-Arg77 (ASP) are known to stimulate triglyceride synthesis and glucose uptake in adipocytes and skin fibroblasts. C5L2 is proposed to be the functional receptor for these mediators. This claim has been primarily based on binding studies performed with transfected RBL cells (16). Functional responses, phosphorylation, and internalization were observed in transfected HEK293 cells after stimulation with C3a or C3a-des-Arg77 (15). However, the binding of C3a and C3a-des-Arg77 (ASP) to C5L2 is still a controversial matter. To clarify this discrepancy, competitive 125I-ligand binding assays as well as flow cytometry using fluorescently labeled ligands were performed. HEK293 cells were transiently transfected expressing either C5L2, C5aR, or C3aR. In accordance with Okinaga et al. (10), no specific binding of 125I-C3a or 125I-C3a-des-Arg77 to C5L2 could be observed in C5L2-transfected HEK cells. Specific binding of C5a demonstrated that high expression levels of this anaphylatoxin receptor had been achieved (Fig. 1, left panel). 125I-C3a-des-Arg77 was generated by carboxypeptidase B treatment of 125I-labeled C3a. The integrity of the 125I-C3a was demonstrated by its specific binding to C3aR-transfected cells (Fig. 1, upper right panel). The complete des-argination by carboxypeptidase B treatment was confirmed in the same binding study, as C3a-des-Arg77 generated did not bind to the C3aR (Fig. 1, upper right panel). No binding of 125I-labeled C3a, C3a-des-Arg77, or C5a occurred in mock-transfected cells (Fig. 1, lower right panel).
Additionally, RBL cells expressing C5L2, C5aR, or C3aR were generated using a retroviral gene transfer and expression system. The transduced RBL cells showed exactly the same binding pattern of 125I-C3a and 125I-C3a-des-Arg77 (data not shown) as described for transiently transfected HEK293 cells, indicating that the lack of binding of these ligands to C5L2 was independent of the cell line used. Taken together, these data exclude high affinity binding of C3a or C3a-des-Arg77 to C5L2 in HEK293 cells or RBL cells.
However, a low affinity interaction with these ligands could not be excluded using competitive binding assays because the 125I-labeled ligands must be applied in tracer amounts (
Nonreceptor Binding of C3a and C3a-des-Arg77 as a Possible Reason for Controversial Results among Previous ReportsOur preliminary binding assays with 125I-labeled C3a and C3a-des-Arg77 suggested an explanation for previous reports of binding to C5L2. There was a remarkably high level of binding of these ligands to the filter membranes/plastics used in binding assays even after pretreatment of the filter membranes with 0.25% BSA solution. This binding was highly suggestive of a specific receptor-ligand interaction and was not shown by 125I-C5a (Fig. 1). In contrast, 125I-labeled C3a and C3a-des-Arg77 bound at very high levels in binding assays even in the absence of any cells. More important, this binding to filter membranes could be competed with nonlabeled C3a or C3a-des-Arg77 with an IC50 of 25 nM (Fig. 3). To overcome this critical and potentially misleading technical problem, we pretreated the filters in all our 125I-C3a and 125I-C3a-des-Arg77 binding assays with the cationic agent protamine sulfate (Figs. 1 and 3).4 Hence, this unusual and apparently specific binding to filter membranes/plastics might be one explanation for the controversial findings in previous studies. However, it should be noted that binding of C3a-des-Arg77 to filter membranes instead of cells might explain only divergent results of ligand binding assays. Kalant et al. (15) also demonstrated that addition of C3a-des-Arg77 to C5L2-transfected HEK293 cells increased glucose uptake and triglyceride production. In adipocytes, triglyceride synthesis correlated with surface expression of C5L2 in knockdown experiments using small interfering RNA. Moreover, -arrestin recruitment and internalization could be visualized in these cells after stimulation with C3a, C3a-des-Arg77, C5a, and C5a-des-Arg74. However, these functional data do not prove at all a direct interaction of C3a or C3a-des-Arg77 with C5L2. Consequently, it is feasible that C5L2 might be indirectly involved in mediating functions of these complement fragments.
Additionally, one has to address the question of the conditions in which C3a-des-Arg77/ASP has been shown to influence lipid metabolism. The functional assays (15) were performed using relatively high concentrations of C3a or C3a-des-Arg77 in the range of 1 µM and above. This would only be achieved by a cleavage of Design of a Novel C5L2-restricted Competitive 125I-C5a Binding AssayTo easily detect and quantify C5L2 expression on target cells, a modified competitive 125I-C5a binding assay was designed that restricted specific C5a binding to C5L2. To discriminate C5L2 from C5aR, the binding assay was carried out in the presence of the C5aR-specific cyclic antagonist AcF[OPdChaWR]. 1 µM of the antagonist was sufficient to completely prevent binding of 125I-C5a to transiently C5aR-transfected HEK293 cells (Fig. 4, left panel), but even 10 µM of the antagonist had no effect on C5a binding to C5L2-transfected HEK293 cells (Fig. 4, right panel). To prove the specificity of the antagonist, a structurally related cyclic peptide in which alanine replaces tryptophan (AcF[OPdChaAR]) was applied in the same concentrations and caused no inhibition of 125I-C5a binding to the C5aR (data not shown). This binding assay was used to determine C5L2 expression on various cell lines. Detection of C5L2 and Its Regulation on Myeloid and Epithelial Cell LinesC5L2 is apparently broadly expressed, but no cell lines have been shown to express this receptor at high levels, and only few data are available on its regulation. Applying the C5L2-restricted 125I-C5a binding assay, various cell lines were screened for the expression of this receptor before and after treatment with different stimuli.
Both C3aR and C5aR are known to be up-regulated in myeloblastic cell lines after induction with Bt2cAMP or IFN-
Epithelial HeLa cells showed specific binding of 125I-C5a indicating constitutive expression of C5aR and/or C5L2. No difference in binding was observed in the presence or absence of 1 µM AcF[OPdChaWR], indicating that only C5L2 but not C5aR is expressed on these cells (Kd = 0.20.3 nM, 911 x 103 C5L2 per cell, n = 3) (Fig. 6). C5L2 expression levels in HeLa cells decreased drastically during a 3-day period of treatment with either 1,000 units/ml IFN- or 20 ng/ml TNF- as assessed by C5L2-restricted 125I-C5a binding (Fig. 6, lower panel). In contrast, Bt2cAMP, IL-1 , and IL-6 did not alter C5L2 expression in these cells (data not shown). TaqMan real time PCR confirmed a higher receptor mRNA level in native HeLa cells compared with various other cell lines. The amount of C5L2 mRNA (normalized in relation to 18 S rRNA) was >20-fold higher than that of MRC5 lung fibroblasts, A549 lung carcinoma cells, LoVo colorectal adenocarcinoma cells, Caco-2 colorectal adenocarcinoma cells, or SK-N-MC neuroepithelioma cells and nonstimulated HL-60 or U937 cells (data not shown).
The fact that C5L2 is expressed in the absence of C5aR indicates that the mode of regulation of these two anaphylatoxin receptors differs at least partially. It is tempting to speculate that the observed expression of C5L2 in epithelial HeLa cells might indicate a role of this receptor in epithelial cells. However, in preliminary experiments on human keratinocytes from healthy donors, no C5L2-restricted C5a binding could be observed (data not shown). Further studies of cells with different epithelial origin, including mucosa, are needed to address this hypothesis. Cells Endogenously Expressing C5L2 Do Not Respond through This Receptor in the Fura2 AssayMuch effort has been spent on the investigation of potential intracellular signaling through C5L2. In C5L2-transfected cells, Okinaga et al. (10) could neither observe any calcium flux nor an activation of the mitogen-activated protein kinase pathway after addition of C5a. Additionally, after binding of C5a, C5L2 shows only a basal level of phosphorylation, and its internalization is disputed. In this study we wanted to investigate whether this anaphylatoxin receptor couples to intracellular calcium signaling in cells endogenously expressing C5L2. Therefore, Fura2-AM assays were performed using Bt2cAMP-differentiated HL-60 and U937 cells because they express C5L2 and show calcium signaling after stimulation with C5a or C3a. To discriminate effects of C5aR, which is also up-regulated (and even much stronger), cells were preincubated for 10 min with 10 µM AcF[OPdChaWR] prior to the addition of C5a. Differentiated myeloblastic HL-60 and U937 cells did not show increased intracellular calcium concentrations after C5L2 restricted C5a binding (2 nM) (Fig. 7). Additionally, Fura2-AM assays were carried out using epithelial HeLa cells. After stimulation with up to 100 nM C5a, no increase in cytosolic calcium could be observed in the absence or presence of the C5a receptor inhibitor (data not shown). Taken together, our observations support the hypothesis that C5L2 is a scavenger receptor for C5a and C5a-des-Arg74, which does not couple to G-proteins, even in cells endogenously expressing C5L2. C5L2 does not bind C3a or C3a-des-Arg77/ASP, as demonstrated in the same cell lines (HEK and RBL) that were used previously to demonstrate binding or functional responses (15). These results confirm observations of Okinaga et al. (10) and Gerard et al. partially obtained on knock-out mice (14), which indicate strongly that C5L2 is a decoy receptor for C5a and C5a-des-Arg74 but not a receptor for C3a. Previous reports on the specific binding of C3a and C3a-des-Arg77 to C5L2-expressing cells might have been misled by the apparently specific binding of these ligands to plastic surfaces and/or filter membranes. Nevertheless, we cannot exclude the possibility that C3a-des-Arg77 can affect lipid metabolism if applied in a relatively high concentration and that C5L2 might influence this process indirectly. Additional studies will define the role of C5L2 in this context. Further investigation is also needed to clarify whether high amounts of C3a or C3a-des-Arg77 can be found in adipose tissue and to elucidate putative new mechanisms that locally produce these complement split products independent of inflammation.
* This work was supported by Deutsche Forschungsgemeinschaft Grant SFB566/A04 (to A. K.) and Wellcome Trust Project Grant 72231 (to P. N. M.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Both authors contributed equally to this work. 2 To whom correspondence should be addressed. Tel.: 49-511-532-4342; Fax: 49-511-532-4366; E-mail: Klos.Andreas{at}mh-hannover.de.
3 The abbreviations used are: C5a, complement split product of C3, anaphylatoxin; ASP, acylation-stimulating protein; C3a, complement split product of C3, anaphylatoxin; C3a-des-Arg77 (ASP), des-arginated form of C3a; C3aR, C3a receptor; C5aR, C5a receptor; C5L2, C5a receptor-like 2; IFN, interferon; TNF, tumor necrosis factor; Bt2cAMP, dibutyryl cyclic AMP; IL, interleukin.
4 It should be noted that other ligand binding assay protocols for the characterization of the C3a receptor applying sucrose gradient centrifugation instead of filter membranes are not prone to this phenomenon (19, 20).
We thank the head of the Department of Medical Microbiology, Medical School Hanover, Prof. Suerbaum, for his support.
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