Abstract
BACKGROUND/AIM: Complement activation has been implicated as a contributor to lung injury. Membrane-bound complement regulatory proteins, including decay-accelerating factor (DAF), control complement activation, thus mitigating complement-mediated injury. Their effect on lung injury remains unexplored. Using a DAF knockout rat model, we assessed the effect of DAF on the extent of lipopolysaccharide (LPS)-mediated acute lung injury (ALI) in rats. MATERIALS AND METHODS: Wild-type (WT) and DAF-knock out (Daf(-/-) ) rats were injected intraperitoneally with a sublethal LPS dose. Following 16 h, protein and cytokine levels were assessed using immunohistochemistry/immunoblotting and ELISA, respectively. RESULTS: LPS administration to WT rats caused histopathological lesions indicative of ALI and significantly increased infiltrating inflammatory cells, as well as total number of cells and interleukin (IL)-6 levels, in bronchoalveolar lavage fluid samples. DAF absence resulted in increased C3b levels in Daf(-/-) control rats, compared with their WT controls. LPS administration to Daf(-/-) rats exacerbated lung injury without an effect on C3b levels. Higher baseline tissue protein levels of the anaphylatoxin complement component 5a receptor 1 (C5aR1) were observed in Daf(-/-) rats compared with WT whereas LPS administration to either group resulted in reduced levels of C5aR1, albeit not significant. DAF deficiency had no effect on baseline protein levels of CR1-related gene/protein Y (Crry) complement regulator, whereas LPS administration increased Crry protein levels to a similar extent in WT and Daf(-/-) rats. CONCLUSION: DAF deficiency increased baseline C3b and C5aR1 protein levels in lung tissue. LPS-induced inflammatory response and lung injury were augmented in Daf(-/-) rats without further increase in C3b and in the absence of significant changes in the expression of membrane-bound complement regulatory proteins, DAF and Crry, or the anaphylatoxin receptor C5aR1.