Association of low levels of mannan-binding protein with a common defect of opsonisation

Lancet. 1989 Nov 25;2(8674):1236-9. doi: 10.1016/s0140-6736(89)91849-7.

Abstract

Failure to opsonise bakers' yeast (Saccharomyces cerevisiae) is a defect found in 5-7% of the general population. In this study, the presence of the defect was linked with low levels of mannan-binding protein (MBP), a calcium-dependent serum lectin. Purified MBP corrected the defect in a dose-dependent way in an in-vitro assay measuring the deposition of complement moieties on a mannan-coated surface. There was a highly significant correlation between the serum MBP level and the generation of C3b opsonins in a population of healthy blood donors. The median MBP level of ten children previously shown to have the functional opsonic defect was 4.9 micrograms/l (range 2.5-35.0 micrograms/l) compared with 143 micrograms/l (range 2.5-880 micrograms/l) for a paediatric control group.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Carrier Proteins / blood*
  • Carrier Proteins / immunology
  • Carrier Proteins / isolation & purification
  • Child
  • Child, Preschool
  • Collectins
  • Complement C3b / deficiency*
  • Complement C3b / metabolism
  • Complement C4 / deficiency
  • Complement C4 / metabolism
  • Dose-Response Relationship, Drug
  • Electrophoresis, Polyacrylamide Gel
  • Enzyme-Linked Immunosorbent Assay / methods
  • Female
  • Humans
  • Immunoblotting
  • Immunoglobulin G / isolation & purification
  • Infant
  • Male
  • Opsonin Proteins / deficiency*
  • Opsonin Proteins / metabolism
  • Phagocytosis / physiology*

Substances

  • Carrier Proteins
  • Collectins
  • Complement C4
  • Immunoglobulin G
  • Opsonin Proteins
  • Complement C3b