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C-Reactive Protein As a Mediator of Complement Activation and inflammatory Signaling in Age-Related Macular Degeneration

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FRONTIERS IN IMMUNOLOGY
卷 9, 期 -, 页码 -

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FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2018.00539

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C-reactive protein; age-related macular degeneration; inflammation; complement; complement factor H; membrane attack complex

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Age-related macular degeneration (AMD) is a devastating neurodegenerative disease affecting millions worldwide. Complement activation, inflammation, and the loss of choroidal endothelial cells have been established as key factors in both normal aging and AMD; however, the exact mechanisms for these events have yet to be fully uncovered. Herein, we provide evidence that the prototypic acute phase reactant, C-reactive protein (CRP), contributes to AMD pathogenesis. We discuss serum CRP levels as a risk factor for disease, immunolocalization of distinct forms of CRP in the at-risk and diseased retina, and direct effects of CRP on ocular tissue. Furthermore, we discuss the complement system as it relates to AMD pathophysiology, provide a model for the role of CRP in this disease, and outline current therapies being developed and tested to treat AMD patients.

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