<?xml version='1.0'?>
<!DOCTYPE art SYSTEM 'http://www.biomedcentral.com/xml/article.dtd'>
<art>
   <ui>1742-2094-1-17</ui>
   <ji>1742-2094</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Human oligodendroglial cells express low levels of C1 inhibitor and membrane cofactor protein mRNAs</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Hosokawa</snm>
               <fnm>Masato</fnm>
               <insr iid="I1"/>
               <email>mhosokaw@interchange.ubc.ca</email>
            </au>
            <au id="A2">
               <snm>Klegeris</snm>
               <fnm>Andis</fnm>
               <insr iid="I1"/>
               <email>aklegeri@interchange.ubc.ca</email>
            </au>
            <au id="A3" ca="yes">
               <snm>McGeer</snm>
               <mi>L</mi>
               <fnm>Patrick</fnm>
               <insr iid="I1"/>
               <email>mcgeerpl@interchange.ubc.ca</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Kinsmen Laboratory of Neurological Research, University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada</p>
            </ins>
         </insg>
         <source>Journal of Neuroinflammation</source>
         <issn>1742-2094</issn>
         <pubdate>2004</pubdate>
         <volume>1</volume>
         <issue>1</issue>
         <fpage>17</fpage>
         <url>http://www.jneuroinflammation.com/content/1/1/17</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">15327690</pubid>
               <pubid idtype="doi">10.1186/1742-2094-1-17</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>20</day>
               <month>5</month>
               <year>2004</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>24</day>
               <month>8</month>
               <year>2004</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>24</day>
               <month>8</month>
               <year>2004</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2004</year>
         <collab>Hosokawa et al; licensee BioMed Central Ltd.</collab>
         <note>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>Oligodendrocytes, neurons, astrocytes, microglia, and endothelial cells are capable of synthesizing complement inhibitor proteins. Oligodendrocytes are vulnerable to complement attack, which is particularly observed in multiple sclerosis. This vulnerability may be related to a deficiency in their ability to express complement regulatory proteins.</p>
            </sec>
            <sec>
               <st>
                  <p>Methods</p>
               </st>
               <p>This study compared the expression level of complement inhibitor mRNAs by human oligodendrocytes, astrocytes and microglia using semi-quantitative RT-PCR.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>Semi-quantitative RT-PCR analysis showed that C1 inhibitor (C1-inh) mRNA expression was dramatically lower in oligodendroglial cells compared with astrocytes and microglia. The mRNA expression level of membrane cofactor protein (MCP) by oligodendrocytes was also significantly lower than for other cell types.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>The lower mRNA expression of C1-inh and MCP by oligodendrocytes could contribute to their vulnerability in several neurodegenerative and inflammatory diseases of the central nervous system.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>Resident brain cells including oligodendrocytes <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr></abbrgrp>, astrocytes, astrocytomas, microglia, glioblastomas <abbrgrp><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr><abbr bid="B14">14</abbr></abbrgrp>, neurons <abbrgrp><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr></abbrgrp>, neuroblastomas <abbrgrp><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr></abbrgrp> and endothelial cells <abbrgrp><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr></abbrgrp> express mRNAs for complement proteins. Although the role of complement expression by these cells remains unclear, local complement activation in the central nervous system (CNS) might damage these cells and contribute to the pathology in several inflammatory and neurodegenerative diseases including multiple sclerosis, Alzheimer's disease and progressive supranuclear palsy.</p>
         <p>For self-protection, resident brain cells also express complement inhibitors, such as membrane cofactor protein (MCP), decay-accelerating factor (DAF), CD59, and C1-esterase inhibitor (C1-inh). The human HOG oligodendroglial cell line produces MCP, DAF, CD59, C1-inh and S-protein, but not complement receptor 1 (CR1) <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. Human oligodendrocytes have been reported to express CD59 <abbrgrp><abbr bid="B21">21</abbr></abbrgrp> and DAF, but not MCP, CR1, homologous restriction factor (HRF: C8 bp) or clusterin <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>. Astrocytes <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>, neurons and Schwann cells have been reported to express CD59 <abbrgrp><abbr bid="B24">24</abbr></abbrgrp> and neuroblastoma cell lines C1-inh <abbrgrp><abbr bid="B18">18</abbr></abbrgrp>. Astrocytoma cell lines have been reported to express MCP, DAF, and CD59 <abbrgrp><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr></abbrgrp>.</p>
         <p>In this study, the expression level of mRNAs for various complement inhibitors by human oligodendrocytes, astrocytes and microglia were compared by semi-quantitative PCR. We show that oligodendrocytes express extremely low levels of mRNA for C1-inh and significantly lower levels of mRNA for MCP compared with astrocytes and microglia. The expression level of mRNAs for CD59 and DAF showed no significant differences between the three cell types.</p>
      </sec>
      <sec>
         <st>
            <p>Methods</p>
         </st>
         <sec>
            <st>
               <p>Cell culture: microglial- and astrocyte-enriched cultures</p>
            </st>
            <p>Human microglial and astrocytic cells were isolated from surgically resected temporal lobe tissues. We thank Dr. J. Maguire, Department of Pathology and Laboratory Medicine, Vancouver General Hospital for providing the surgical specimens. Isolation protocols described by De Groot <it>et al</it>. <abbrgrp><abbr bid="B27">27</abbr><abbr bid="B28">28</abbr></abbrgrp> were used with minor modifications. Tissues were placed in a sterile Petri dish, rinsed with Hank's balanced salt solution, and visible blood vessels were removed. After washing tissues two more times with Hank's balanced salt solution, tissues were chopped into small (&lt;2 mm<sup>3</sup>) pieces with a sterile scalpel. The fragments were transferred into a 50 ml centrifuge tube containing 10 ml of 0.25% trypsin solution (Gibco-BRL, Life Technologies, Burlington, ON, Canada), and incubated at 37&#176;C for 20 min. Subsequently DNase I (from bovine pancreas, Pharmacia Biotech, Baie d'Urf&#233;, PQ, Canada) was added to reach a final concentration of 50 &#956;g/ml. Tissues were incubated for an additional 10 min at 37&#176;C. The cell suspension was diluted with 10 ml of Dulbecco's modified Eagle's medium (DMEM) and nutrient mixture F12 ham (DMEM-F12; Sigma-Aldrich, Oakville, ON, Canada) with 10% fetal bovine serum (FBS; Gibco-BRL, Life Technologies), and gently triturated by using a 10 ml pipette with a wide mouth. After centrifugation at 275 &#215; g for 10 min, the cell pellet was resuspended in serum containing medium, triturated several times, and passed through a 100 &#956;m nylon cell strainer (Becton Dickinson, Franklin Lakes, NJ). The cell suspension was then centrifuged once more (275 &#215; g for 10 min), resuspended into 10 ml of DMEM-F12 with 10% FBS containing gentamicin (50 &#956;g/ml, from Sigma), and plated onto uncoated 10 cm tissue culture plates (Becton Dickinson). Plates were placed in a humidified 5% CO<sub>2</sub>, 95% air atmosphere at 37&#176;C for 2 hr in order to achieve adherence of microglial cells. Non-adherent cells with myelin debris were removed from these microglia-enriched cultures and transferred into poly-L-lysine coated 10 cm tissue culture plates in order to achieve adherence of astrocytes. Plates were incubated for 48 hr, after which the culture medium containing myelin debris and non-adherent cells was removed and used to prepare oligodendroglial cell cultures as described below. Both microglial- and astrocyte-enriched cultures were grown for 6 to 7 days before their mRNAs were extracted. Immunostaining with antibodies against CD68 (Dako, Mississauga, ON, Canada) which stains microglia as well as macrophages, and glial fibrillary acidic protein (GFAP, Dako), which is a marker of astrocytes, showed that the microglia-enriched cultures contained 93.5 &#177; 3.6 % (N = 4) microglial cells, while astrocyte-enriched cultures contained 85.7 &#177; 3.4 % (N = 4) astrocytes.</p>
         </sec>
         <sec>
            <st>
               <p>Cell culture: oligodendroglial cells</p>
            </st>
            <p>These were prepared as described before <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. Briefly, cell culture media containing myelin debris and non-adherent cells that were removed from astrocyte-enriched cultures were used to extract oligodendroglial cells. The non-adherent cells were collected by centrifugation at 275 &#215; g for 10 min and replated onto uncoated 10 cm tissue culture plates for another 24 hr. Subsequently, the cell culture medium containing floating cells was transferred to 50 ml tubes and Lymphoprep solution (Axis-Shield, Oslo, Norway) used to reduce the amount of contaminating myelin debris. For this purpose, 10 ml of Lymphoprep solution was carefully placed under the oligodendrocyte cell suspension and the density gradient was centrifuged at 325 &#215; g for 10 min. The interphase was collected and transferred to a 50 ml centrifuge tube. Fresh culture medium was added and the suspension was centrifuged at 275 &#215; g for 7 min. The cell pellet was resuspended and the oligodendrocyte cultures seeded onto 60 mm plastic culture dishes. Immunostaining with anti-O4 antibody (Chemicon International, Temecula, CA), which is a marker of oligodendrocytes, showed that the oligodendrocytes-enriched cultures contained 95.3 &#177; 4.4 % (N = 4) oligodendrocytes.</p>
         </sec>
         <sec>
            <st>
               <p>RNA isolation and cDNA synthesis by reverse transcription</p>
            </st>
            <p>Total RNA from oligodendroglial cells, microglia, and astrocytes were isolated by the acid guanidium thiocyanate-phenol-chloroform method. Two &#956;g of the RNA was then used to prepare cDNA. RNA was treated with 10 U of DNase I (Gibco BRL, Life Technologies) for 60 min at 37&#176;C in 25 &#956;l of 1 &#215; reverse transcriptase buffer (50 mM Tris-HCl, 75 mM KCl, 3 mM MgCl<sub>2</sub>) containing 40 U of RNase inhibitor (Pharmacia Biotech) and 1 mM dithiothreitol (DTT), following by incubation at 85&#176;C for 5 min to inactivate the enzyme. Reverse transcription was performed at 42&#176;C for 90 min in 50 &#956;l of the following mixture: 1 &#215; reverse transcriptase buffer containing 2 &#956;g of RNA, 5 mM DTT, 0.2 &#956;g random hexamer primers (Pharmacia Biotech), 1 mM deoxynucleotides (Gibco BRL, Life Technologies), 40 units of RNase inhibitor, and 400 units of SuperScript II reverse transcriptase (Invitrogen Life Technologies, Burlington, ON, Canada). At the end of the incubation period, the enzyme was inactivated by heating at 65&#176;C for 10 min <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>Polymerase chain reaction</p>
            </st>
            <p>PCR amplification was carried out in a 25 &#956;l reaction mixture containing 1 &#215; GeneAmp PCR buffer II (Perkin Elmer, Foster City, CA), 1.25 units AmpliTaq Gold DNA polymerase (Perkin Elmer), 2 mM MgCl<sub>2 </sub>(Perkin Elmer), 200 &#956;M dNTPs (Gibco BRL, Life Technologies) and 0.5 &#956;M of each specific primer (Table <tblr tid="T1">1</tblr>). The mixture was prepared before the addition of 1.25 &#956;l of cDNA. PCR amplification was carried out using an MJResearch (Boston, MA) programmable thermal controller. The amplification program consisted of an initial denaturation step at 94&#176;C, which was extended to 9 min in order to activate AmpliTaq Gold enzyme. The remaining cycles were 1 min at 94&#176;C, 1 min at 55&#176;C and 1 min at 72&#176;C. The number of cycles performed was 27 for glyceraldehyde-3-phosphate dehydrogenase (G3PDH), 30 for CD59, C1-inh and MCP, and 32 for DAF. After amplification, PCR products were separated on a 6% polyacrylamide gel and visualized by incubation for 10 min in a solution containing 10 ng/ml of ethidium bromide. Polaroid photographs of the gels were taken.</p>
            <tbl id="T1">
               <title>
                  <p>Table 1</p>
               </title>
               <caption>
                  <p>Oligonucleotide primers used for PCR, and the corresponding restriction endonucleases used for product confirmation.</p>
               </caption>
               <tblbdy cols="5">
                  <r>
                     <c ca="left">
                        <p>Gene</p>
                     </c>
                     <c ca="center">
                        <p>Sequence (5' &#8594; 3')</p>
                     </c>
                     <c ca="center">
                        <p>Fragment size (introns)</p>
                     </c>
                     <c ca="center">
                        <p>Genbank accession No</p>
                     </c>
                     <c ca="center">
                        <p>Restriction enzymes used and the expected sizes of digestion products (bp)</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="5">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>C1 inh-F</p>
                     </c>
                     <c ca="left">
                        <p>GTT GGG GGA TGC TTT GGT AGA TTT C</p>
                     </c>
                     <c ca="center">
                        <p>332</p>
                     </c>
                     <c ca="center">
                        <p>M13690</p>
                     </c>
                     <c ca="center">
                        <p>Sau 3AI (246, 86)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>C1 inh-R</p>
                     </c>
                     <c ca="left">
                        <p>TTA GGA CTC TGG GGC TGC TGC TGT A</p>
                     </c>
                     <c ca="center">
                        <p>(2 introns)</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>CD59-F</p>
                     </c>
                     <c ca="left">
                        <p>CTG CTG CTC GTC CTG GCT GTC TTC T</p>
                     </c>
                     <c ca="center">
                        <p>280</p>
                     </c>
                     <c ca="center">
                        <p>M34671</p>
                     </c>
                     <c ca="center">
                        <p>Pst I (233, 47)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>CD59-R</p>
                     </c>
                     <c ca="left">
                        <p>TCC CAC CAT TTT CAA GCT GTT CGT T</p>
                     </c>
                     <c ca="center">
                        <p>(2 introns)</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>MCP-F</p>
                     </c>
                     <c ca="left">
                        <p>CAA TTC AGT GTG GAG TCG TGC TGC</p>
                     </c>
                     <c ca="center">
                        <p>265</p>
                     </c>
                     <c ca="center">
                        <p>Y00651</p>
                     </c>
                     <c ca="center">
                        <p>Sau 3AI (193, 72)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>MCP-R</p>
                     </c>
                     <c ca="left">
                        <p>TGA GGC ACT GGA CGC TGG AGA T</p>
                     </c>
                     <c ca="center">
                        <p>(unknown)</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>DAF-F</p>
                     </c>
                     <c ca="left">
                        <p>GTA CTG TGA ATA ATG ATG AAG GAG</p>
                     </c>
                     <c ca="center">
                        <p>364</p>
                     </c>
                     <c ca="center">
                        <p>M30142</p>
                     </c>
                     <c ca="center">
                        <p>Hae III (330, 34)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>DAF-R</p>
                     </c>
                     <c ca="left">
                        <p>TCT TAA CTC TTC TTT GGC TAA GTC</p>
                     </c>
                     <c ca="center">
                        <p>(unknown)</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>G3PDH-F</p>
                     </c>
                     <c ca="left">
                        <p>CCA TGT TCG TCA TGG GTG TGA ACC A</p>
                     </c>
                     <c ca="center">
                        <p>251</p>
                     </c>
                     <c ca="center">
                        <p>X01677</p>
                     </c>
                     <c ca="center">
                        <p>Dde I (168, 83)</p>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>G3PDH-R</p>
                     </c>
                     <c ca="left">
                        <p>GCC AGT AGA GGC AGG GAT GAT GTT C</p>
                     </c>
                     <c ca="center">
                        <p>(2 introns)</p>
                     </c>
                     <c>
                        <p/>
                     </c>
                     <c>
                        <p/>
                     </c>
                  </r>
               </tblbdy>
            </tbl>
         </sec>
         <sec>
            <st>
               <p>PCR primer design and restriction analyses</p>
            </st>
            <p>Primers were designed to span introns so that cDNA-derived PCR products would be of different sizes to those produced if genomic DNA was amplified (see Table <tblr tid="T1">1</tblr>). DAF and MCP were exceptions, since only cDNA sequences were available. Primers were synthesized either by Sigma-Aldrich or ID Labs (London, ON, Canada). The primer sequences and predicted PCR fragment sizes are listed in Table <tblr tid="T1">1</tblr>, along with the names of the enzymes used for restriction digest analysis of each PCR fragment. The restriction digestion reactions were carried out at 37&#176;C for 2 hr in the presence of 1 &#215; the appropriate buffer provided by the suppliers (Invitrogen, Life Technologies and New England Biolabs, Mississauga, ON, Canada). The digested PCR products were analyzed on a 6% polyacrylamide gel (data not shown). In all cases the restriction fragments observed were of the predicted size (see Table <tblr tid="T1">1</tblr>).</p>
         </sec>
         <sec>
            <st>
               <p>Statistical analysis</p>
            </st>
            <p>The data are presented as means &#177; s.e.m. The significance of difference between values was estimated by means of one-way analysis of variance (ANOVA) with Fisher's LSD post-hoc test. P &lt; 0.05 was considered to show statistically significant differences.</p>
         </sec>
         <sec>
            <st>
               <p>Double fluorescence immunocytochemical analysis</p>
            </st>
            <p>Oligodendrocytes, astrocytes, and microglia were harvested and air-dried on glass slides. Cells were then fixed with 4% paraformaldehyde for 10 min and permeabilized with 0.2% Triton X-100 in phosphate-buffered saline (PBS) for 5 min. For inactivation of endogenous peroxidase, cells were incubated with 0.3% H<sub>2</sub>O<sub>2 </sub>for 30 min. Blocking was performed for 1 hr at room temperature in 5% skim milk.</p>
            <p>For double fluorescence immunostaining, cells were incubated at room temperature overnight with a primary antibody in 1% normal serum. The primary antibody and the dilution used in the first cycle were as follows: O4 (Chemicon International, 1: 100) for oligodendrocytes, GFAP (Dako, 1: 10,000) for astrocytes, CD68 (DAKO, 1: 50) for microglia. Cells were then treated for 2 hr at room temperature with a biotin conjugated anti-mouse IgM (Vector Laboratories, Burlingame, CA, 1: 200) secondary antibody for O4, a biotin conjugated anti-rabbit IgG (Vector Laboratories, 1: 200) secondary antibody for GFAP and a biotin conjugated anti-mouse IgG (Vector Laboratories, 1: 200) secondary antibody for CD68. Then cells were incubated with Texas Red Avidin DCS (Vector Laboratories) for 1 hr. The primary antibody and the dilution used in the second cycle were as follows: for C1-inh, goat anti-C1-inhbitor (Quidel, San Diego, CA, 1: 50); for CD59, mouse anti-CD59 (Serotec Ltd, Oxford, UK, 1: 10) or rat anti-CD59 (Serotec, 1: 25). Cells were incubated at 4&#176;C for 3 days with a primary antibody in 1% serum corresponding to the secondary antibody type. Cells were then treated for 2 hr at room temperature with FITC-conjugated anti-mouse IgG (Vector Laboratories, 1: 200), anti-goat IgG (Santa Cruz Biotechnology, Santa Cruz, CA, 1: 200), or anti-rat IgG (Cappel, Durham, NC, 1: 200). The glass slides were then rinsed with distilled water, and a drop of Vectashield mounting medium (Vector Laboratories) placed on the slide.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>RT-PCR</p>
            </st>
            <p>RT-PCR was carried out using primers for C1-inh, CD59, DAF and MCP. The housekeeping gene G3PDH was amplified in parallel with each RT-PCR run as an internal standard. Figure <figr fid="F1">1</figr> illustrates the bands obtained for each of the RT-PCR products from oligodendrocytes (Fig. <figr fid="F1">1A</figr>), astrocytes (Fig. <figr fid="F1">1B</figr>) and microglia (Fig. <figr fid="F1">1C</figr>). Specificity of each of the products was established by endonuclease digestion (Table <tblr tid="T1">1</tblr>).</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Demonstration of RT-PCR products</p>
               </caption>
               <text>
                  <p>Demonstration of RT-PCR products. Polaroid photographs of typical ethidium bromide-stained gels of RT-PCR products from oligodendrocytic (Fig. 1A), astrocytic (Fig. 1B) and microglial (Fig. 1C) RNA extracts. Lanes for individual mRNA products are indicated in the legend at the top. Size markers are in the right lanes. MCP, membrane cofactor protein (265 bp); DAF, decay-accelerating factor (364 bp); CD59 (280 bp); C1-inh, C1-esterase inhibitor (332 bp); G3PDH, glyceraldehyde-3-phosphate dehydrogenase (251 bp).</p>
               </text>
               <graphic file="1742-2094-1-17-1"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Semi-quantitative RT-PCR analysis</p>
            </st>
            <p>To compare the ratio of each of the complement inhibitors to G3PDH, statistical analysis was performed by means of one-way ANOVA with Fisher's LSD post-hoc test (Fig. <figr fid="F2">2</figr>). The overall mean &#177; s.e.m. for C1-inh/G3PDH was 0.55 &#177; 0.12 (N = 5) in astrocytes, 0.58 &#177; 0.09 (N = 3) in microglia and 0.09 &#177; 0.06 (N = 12) in oligodendrocytes (Fig. <figr fid="F2">2A</figr>). Oligodendrocytes showed a highly significant difference from astrocytes and microglia (Fig. <figr fid="F2">2A</figr>; P &lt; 0.001 by one-way ANOVA with Fisher's LSD post-hoc test). For MCP/G3PDH, the ratios were 0.80 &#177; 0.22 (N = 5) in astrocytes, 0.93 &#177; 0.10 (N = 3) in microglia and 0.44 &#177; 0.19 (N = 12) in oligodendrocytes. Oligodendrocytes showed a significant difference from astrocytes and microglia (Fig. <figr fid="F2">2B</figr>; P = 0.002 vs. astrocytes and P = 0.001 vs. microglia by one-way ANOVA with Fisher's LSD post-hoc test). The corresponding means for CD59/G3PDH were 0.73 &#177; 0.10 (N = 5) in astrocytes, 0.83 &#177; 0.03 (N = 3) in microglia and 0.76 &#177; 0.09 (N = 14) in oligodendrocytes (Fig. <figr fid="F2">2C</figr>). The corresponding means for DAF/G3PDH were 0.67 &#177; 0.07 (N = 5) in astrocytes, 0.67 &#177; 0.07 (N = 3) in microglia and 0.66 &#177; 0.15 (N = 14) in oligodendrocytes (Fig. <figr fid="F2">2D</figr>). There were no significant differences between the three cell types for CD59 and DAF. Each N represents a different patient.</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>A comparison of relative complement inhibitor expression level between oligodendrocytes, astrocytes and microglia</p>
               </caption>
               <text>
                  <p>A comparison of relative complement inhibitor expression level between oligodendrocytes, astrocytes and microglia. The data were estimated by one-way analysis of variance (ANOVA) with Fisher's LSD post-hoc test (A and B; P &lt; 0.05 was considered to show statistically significant differences).</p>
               </text>
               <graphic file="1742-2094-1-17-2"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Double fluorescence immunohistochemistry</p>
            </st>
            <p>In order to establish identity between oligodendroglial cells, astrocytes or microglia and cells expressing the complement inhibitor proteins CD59 or C1-inh, double fluorescence immunostaining was carried out. Oligodendrocytes were detected by O4 staining with a Texas Red tagged secondary antibody (Fig. <figr fid="F3">3A</figr> and <figr fid="F3">3D</figr>) in the first cycle and CD59 (Fig <figr fid="F3">3B</figr>) or C1-inh staining (Fig. <figr fid="F3">3E</figr>) detected with a green FITC tagged antibody in the second cycle. Astrocytes were detected by GFAP staining with a Texas Red tagged secondary antibody (Fig. <figr fid="F3">3G</figr> and <figr fid="F3">3J</figr>) in the first cycle and CD59 staining (Fig <figr fid="F3">3H</figr>) or C1-inh staining (Fig. <figr fid="F3">3K</figr>) detected with a green FITC tagged antibody in the second cycle. Microglia were detected by CD68 staining with a Texas Red tagged secondary antibody (Fig. <figr fid="F3">3M</figr> and <figr fid="F3">3P</figr>) in the first cycle, and CD59 staining (Fig <figr fid="F3">3N</figr>) or C1-inh staining (Fig. <figr fid="F3">3Q</figr>) detected with a green FITC tagged antibody in the second cycle. With double fluorescent excitation, all cells fluoresced yellow (Fig. <figr fid="F3">3C,3F,3I,3L,3O,3R</figr>), indicating colocalization of O4 with CD59 or C1-inh, GFAP with CD59 or C1-inh, and CD68 with CD59 or C1-inh.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Double fluorescence immunohistochemistry of oligodendrocytes, astrocytes and microglia</p>
               </caption>
               <text>
                  <p>Double fluorescence immunohistochemistry of oligodendrocytes, astrocytes and microglia. Double fluorescence immunostaining for O4 and CD59 or C1-inh is demonstrated in A-F. In A and D, cells of typical oligodendroglial morphology were stained in the initial cycle for the specific oligodendroglial marker O4. Detection is by a Texas Red-conjugated secondary antibody. Second cycle staining for CD59 (B) and C1-inh (E) are shown. The detections are by an FITC-linked green fluorescent secondary antibody. In C and F, double immunofluorescences are shown in which the cells appear yellow, demonstrating colocalization of O4 with CD59 or C1-inh. Double fluorescence immunostaining of astrocytes for GFAP and CD59 or C1-inh is demonstrated in G-L. In G and J, cells of typical astrocytic morphology are stained in the initial cycle for the specific astroglial marker GFAP. Detection is by a Texas Red-conjugated secondary antibody. Second cycle staining for CD59 (H) and C1-inh (K) is shown with an FITC-linked green fluorescent secondary antibody. In I and L, double immunofluorescences are shown in which the cells appear yellow, demonstrating colocalization of GFAP with CD59 or C1-inh. Double fluorescence immunostaining for microglia using the specific marker CD68 and CD59 or C1-inh is demonstrated in M-R. In M and P, cells of typical microglial morphology are stained by CD68 with detection by a Texas Red-conjugated secondary antibody. Second cycle staining for CD59 (N) and C1-inh (Q) are shown. The detections are by an FITC-linked green fluorescent secondary antibody. In O and R, double immunofluorescences are shown in which the cells appear yellow, demonstrating colocalization of CD68 with CD59 or C1-inh. (Magnification: &#215; 200)</p>
               </text>
               <graphic file="1742-2094-1-17-3"/>
            </fig>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>This report shows that human oligodendrocytes express a much lower level of mRNA for C1-inh than astrocytes and microglia, and a significantly lower level of mRNA for MCP. The mRNA levels of CD59 and DAF were comparable in all the three cell types. Overall our data suggest that oligodendroglial cells, in common with other cell types, can produce complement inhibitors, but at a significantly lower level for C1-inh and MCP.</p>
         <p>It has already been reported that human neurons and Schwann cells <abbrgrp><abbr bid="B24">24</abbr></abbrgrp>, neuroblastoma cell lines <abbrgrp><abbr bid="B18">18</abbr></abbrgrp>, astrocytes <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>, astrocytoma cell lines <abbrgrp><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr></abbrgrp>, the HOG human oligodendroglial cell line <abbrgrp><abbr bid="B1">1</abbr></abbrgrp> and oligodendrocytes <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr></abbrgrp> produce some or all of the complement inhibitor proteins and their mRNAs.</p>
         <p>Activation of the complement cascade and deposition of activated complement fragments occur in non-infectious diseases such as multiple sclerosis, Pick's disease, Alzheimer's disease and other neurodegenerative conditions <abbrgrp><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr><abbr bid="B30">30</abbr><abbr bid="B31">31</abbr><abbr bid="B32">32</abbr><abbr bid="B33">33</abbr><abbr bid="B34">34</abbr></abbrgrp>. Complement inhibitors may play an important role in preventing such pathology.</p>
         <p>Full activation of the complement cascade requires overcoming a series of endogenous inhibitory factors. Oligodendrocytes are vulnerable to complement attack, which is particularly observed in multiple sclerosis <abbrgrp><abbr bid="B35">35</abbr><abbr bid="B36">36</abbr><abbr bid="B37">37</abbr></abbrgrp> and this vulnerability may be related to a deficiency of their ability to express complement regulatory proteins <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>, particularly C1-inh.</p>
         <p>Sporadic complement attack, in the form of complement activated oligodendroglia (CAO) is also observed in a number of neurodegenerative conditions <abbrgrp><abbr bid="B38">38</abbr><abbr bid="B39">39</abbr></abbrgrp>, including Alzheimer's, Pick's, Huntington's and Parkinson's diseases, amyotrophic lateral sclerosis, progressive supranuclear palsy, Shy-Drager syndrome, argyrophilic grain dementia and pallido-nigral luysial atrophy <abbrgrp><abbr bid="B38">38</abbr><abbr bid="B39">39</abbr></abbrgrp>. The source of the complement proteins that become activated is unknown, but the data presented here suggest that oligodendrocytes are vulnerable to complement attack because of a low expression of C1-inh and MCP.</p>
      </sec>
      <sec>
         <st>
            <p>Conclusions</p>
         </st>
         <p>These results suggest that the lower expression of C1-inh and MCP by oligodendrocytes could contribute to their vulnerability in several neurodegenerative and inflammatory diseases of the central nervous system, particularly multiple sclerosis.</p>
      </sec>
      <sec>
         <st>
            <p>List of abbreviations</p>
         </st>
         <p>analysis of variance (ANOVA)</p>
         <p>central nervous system (CNS)</p>
         <p>complement activated oligodendroglia (CAO)</p>
         <p>complement receptor 1 (CR1)</p>
         <p>decay-accelerating factor (DAF)</p>
         <p>dithiothreitol (DTT)</p>
         <p>fluorescein isothiocyanate isomer (FITC)</p>
         <p>glyceraldehyde-3-phosphate dehydrogenase (G3PDH)</p>
         <p>glial fibrillary acidic protein (GFAP)</p>
         <p>homologous restriction factor (HRF)</p>
         <p>membrane cofactor protein (MCP)</p>
         <p>phosphate-buffered saline (PBS)</p>
      </sec>
      <sec>
         <st>
            <p>Competing interests</p>
         </st>
         <p>None declared.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>MH was responsible for the majority of the experimental studies, and for writing the manuscript. AK contributed to the cell culture and the editing of the manuscript. PLM contributed to the conception, interpretation of results and the writing and editing of the manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>This work was supported by a grant from the Jack Brown and Family Alzheimer's Disease Research Fund, and the Pacific Parkinson's Research Institute.</p>
         </sec>
      </ack>
      <refgrp>
         <bibl id="B1">
            <title>
               <p>Complement regulatory protein expression by human oligodendrocyte cell line: cytokine regulation and comparison with astrocytes</p>
            </title>
            <aug>
               <au>
                  <snm>Gasque</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>BP</fnm>
               </au>
            </aug>
            <source>Immunology</source>
            <pubdate>1996</pubdate>
            <volume>89</volume>
            <fpage>338</fpage>
            <lpage>347</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1046/j.1365-2567.1996.d01-756.x</pubid>
                  <pubid idtype="pmpid">8958045</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B2">
            <title>
               <p>Expression of complement mRNAs and proteins by human oligodendroglial cells</p>
            </title>
            <aug>
               <au>
                  <snm>Hosokawa</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Klegeris</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Maguire</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Glia</source>
            <pubdate>2003</pubdate>
            <volume>42</volume>
            <fpage>417</fpage>
            <lpage>423</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/glia.10234</pubid>
                  <pubid idtype="pmpid" link="fulltext">12730962</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B3">
            <title>
               <p>Primary cultures of murine astrocytes produce C3 and factor B, two components of the alternative pathway of complement activation</p>
            </title>
            <aug>
               <au>
                  <snm>Levi-Strauss</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Mallat</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>J Immunol</source>
            <pubdate>1987</pubdate>
            <volume>139</volume>
            <fpage>2361</fpage>
            <lpage>2366</lpage>
            <xrefbib>
               <pubid idtype="pmpid">3655365</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B4">
            <title>
               <p>Detection of complement protein mRNA in human astrocytes by polymerase chain reaction</p>
            </title>
            <aug>
               <au>
                  <snm>Gordon</snm>
                  <fnm>DL</fnm>
               </au>
               <au>
                  <snm>Avery</snm>
                  <fnm>VM</fnm>
               </au>
               <au>
                  <snm>Adrian</snm>
                  <fnm>DL</fnm>
               </au>
               <au>
                  <snm>Sadlon</snm>
                  <fnm>TA</fnm>
               </au>
            </aug>
            <source>J Neurosci Methods</source>
            <pubdate>1992</pubdate>
            <volume>45</volume>
            <fpage>191</fpage>
            <lpage>197</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0165-0270(92)90076-P</pubid>
                  <pubid idtype="pmpid">1294852</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B5">
            <title>
               <p>Complement mRNA in the mammalian brain: responses to Alzheimer's disease and experimental brain lesioning</p>
            </title>
            <aug>
               <au>
                  <snm>Johnson</snm>
                  <fnm>SA</fnm>
               </au>
               <au>
                  <snm>Lampert-Etchells</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Pasinetti</snm>
                  <fnm>GM</fnm>
               </au>
               <au>
                  <snm>Rozovsky</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Finch</snm>
                  <fnm>CE</fnm>
               </au>
            </aug>
            <source>Neurobiol Aging</source>
            <pubdate>1992</pubdate>
            <volume>13</volume>
            <fpage>641</fpage>
            <lpage>648</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0197-4580(92)90086-D</pubid>
                  <pubid idtype="pmpid">1362796</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B6">
            <title>
               <p>Complement C1qB and C4 mRNAs responses to lesioning in rat brain</p>
            </title>
            <aug>
               <au>
                  <snm>Pasinetti</snm>
                  <fnm>GM</fnm>
               </au>
               <au>
                  <snm>Johnson</snm>
                  <fnm>SA</fnm>
               </au>
               <au>
                  <snm>Rozovsky</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Lampert-Etchells</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>DG</fnm>
               </au>
               <au>
                  <snm>Gordon</snm>
                  <fnm>MN</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>TE</fnm>
               </au>
               <au>
                  <snm>Willoughby</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Finch</snm>
                  <fnm>CE</fnm>
               </au>
            </aug>
            <source>Exp Neurol</source>
            <pubdate>1992</pubdate>
            <volume>118</volume>
            <fpage>117</fpage>
            <lpage>125</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0014-4886(92)90028-O</pubid>
                  <pubid idtype="pmpid">1426121</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B7">
            <title>
               <p>Induction of C3 expression in astrocytes is regulated by cytokines and Newcastle disease virus</p>
            </title>
            <aug>
               <au>
                  <snm>Rus</snm>
                  <fnm>HG</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>LM</fnm>
               </au>
               <au>
                  <snm>Niculescu</snm>
                  <fnm>FI</fnm>
               </au>
               <au>
                  <snm>Shin</snm>
                  <fnm>ML</fnm>
               </au>
            </aug>
            <source>J Immunol</source>
            <pubdate>1992</pubdate>
            <volume>148</volume>
            <fpage>928</fpage>
            <lpage>933</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1530957</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B8">
            <title>
               <p>Synthetic Alzheimer amyloid &#946;/A4 peptides enhance production of complement C3 component by cultured microglial cells</p>
            </title>
            <aug>
               <au>
                  <snm>Haga</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Ikeda</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Sato</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Ishii</snm>
                  <fnm>T</fnm>
               </au>
            </aug>
            <source>Brain Res</source>
            <pubdate>1993</pubdate>
            <volume>601</volume>
            <fpage>88</fpage>
            <lpage>94</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0006-8993(93)91698-R</pubid>
                  <pubid idtype="pmpid">8431789</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B9">
            <title>
               <p>Expression of complement components of the alternative pathway by glioma cell lines</p>
            </title>
            <aug>
               <au>
                  <snm>Gasque</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Julen</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Ischenko</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Picot</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Mauger</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Chauzy</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Ripoche</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Fontaine</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>J Immunol</source>
            <pubdate>1992</pubdate>
            <volume>149</volume>
            <fpage>1381</fpage>
            <lpage>1387</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1386864</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B10">
            <title>
               <p>Expression of the complement classical pathway by human glioma in culture</p>
            </title>
            <aug>
               <au>
                  <snm>Gasque</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Ischenko</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Legoedec</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Mauger</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Schouft</snm>
                  <fnm>MT</fnm>
               </au>
               <au>
                  <snm>Fontaine</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1993</pubdate>
            <volume>268</volume>
            <fpage>25068</fpage>
            <lpage>25074</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">8227070</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B11">
            <title>
               <p>Complement expression in human brain</p>
            </title>
            <aug>
               <au>
                  <snm>Gasque</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Fontaine</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>BP</fnm>
               </au>
            </aug>
            <source>J Immunol</source>
            <pubdate>1995</pubdate>
            <volume>154</volume>
            <fpage>4726</fpage>
            <lpage>4733</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7536777</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B12">
            <title>
               <p>Complement biosynthesis in the central nervous system</p>
            </title>
            <aug>
               <au>
                  <snm>Barnum</snm>
                  <fnm>SR</fnm>
               </au>
            </aug>
            <source>Crit Rev Oral Biol Med</source>
            <pubdate>1995</pubdate>
            <volume>6</volume>
            <fpage>132</fpage>
            <lpage>146</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7548620</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B13">
            <title>
               <p>Complement and cytokine gene expression in cultured microglia derived from postmortem human brains</p>
            </title>
            <aug>
               <au>
                  <snm>Walker</snm>
                  <fnm>DG</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>SU</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>J Neurosci Res</source>
            <pubdate>1995</pubdate>
            <volume>40</volume>
            <fpage>478</fpage>
            <lpage>493</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7616608</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B14">
            <title>
               <p>Expression of complement C4 and C9 genes by human astrocytes</p>
            </title>
            <aug>
               <au>
                  <snm>Walker</snm>
                  <fnm>DG</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>SU</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Brain Res</source>
            <pubdate>1998</pubdate>
            <volume>809</volume>
            <fpage>31</fpage>
            <lpage>38</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0006-8993(98)00811-7</pubid>
                  <pubid idtype="pmpid" link="fulltext">9795119</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B15">
            <title>
               <p>Neurons express proteins of the classical complement pathway in Alzheimer disease</p>
            </title>
            <aug>
               <au>
                  <snm>Terai</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Walker</snm>
                  <fnm>DG</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>EG</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Brain Res</source>
            <pubdate>1997</pubdate>
            <volume>769</volume>
            <fpage>385</fpage>
            <lpage>390</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0006-8993(97)00849-4</pubid>
                  <pubid idtype="pmpid" link="fulltext">9374211</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B16">
            <title>
               <p>Neuronal expression of mRNAs for complement proteins of the classical pathway in Alzheimer brain</p>
            </title>
            <aug>
               <au>
                  <snm>Shen</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Li</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>EG</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Brain Res</source>
            <pubdate>1997</pubdate>
            <volume>769</volume>
            <fpage>391</fpage>
            <lpage>395</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0006-8993(97)00850-0</pubid>
                  <pubid idtype="pmpid" link="fulltext">9374212</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B17">
            <title>
               <p>Complement activation on human neuroblastoma cell lines in vitro: route of activation and expression of functional complement regulatory proteins</p>
            </title>
            <aug>
               <au>
                  <snm>Gasque</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Thomas</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Fontaine</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>BP</fnm>
               </au>
            </aug>
            <source>J Neuroimmunol</source>
            <pubdate>1996</pubdate>
            <volume>66</volume>
            <fpage>29</fpage>
            <lpage>40</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0165-5728(96)00015-X</pubid>
                  <pubid idtype="pmpid">8964911</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B18">
            <title>
               <p>Expression of a complete and functional complement system by human neuronal cells in vitro</p>
            </title>
            <aug>
               <au>
                  <snm>Thomas</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Gasque</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Vaudry</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Gonzalez</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Fontaine</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Int Immunol</source>
            <pubdate>2000</pubdate>
            <volume>12</volume>
            <fpage>1015</fpage>
            <lpage>1023</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1093/intimm/12.7.1015</pubid>
                  <pubid idtype="pmpid" link="fulltext">10882413</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B19">
            <title>
               <p>Endothelial cells cultured from human brain microvessels produce complement proteins factor H, factor B, C1 inhibitor, and C4</p>
            </title>
            <aug>
               <au>
                  <snm>Vastag</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Skopal</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Kramer</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Kolev</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Voko</snm>
                  <fnm>Z</fnm>
               </au>
               <au>
                  <snm>Csonka</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Machovich</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Nagy</snm>
                  <fnm>Z</fnm>
               </au>
            </aug>
            <source>Immunobiology</source>
            <pubdate>1998</pubdate>
            <volume>199</volume>
            <fpage>5</fpage>
            <lpage>13</lpage>
            <xrefbib>
               <pubid idtype="pmpid">9717663</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B20">
            <title>
               <p>Expression of complement messenger RNAs by human endothelial cells</p>
            </title>
            <aug>
               <au>
                  <snm>Klegeris</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Bissonnette</snm>
                  <fnm>CJ</fnm>
               </au>
               <au>
                  <snm>Dorovini-Zis</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Brain Res</source>
            <pubdate>2000</pubdate>
            <volume>871</volume>
            <fpage>1</fpage>
            <lpage>6</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0006-8993(00)02253-8</pubid>
                  <pubid idtype="pmpid" link="fulltext">10882776</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B21">
            <title>
               <p>Human oligodendrocytes are not sensitive to complement. A study of CD59 expression in the human central nervous system</p>
            </title>
            <aug>
               <au>
                  <snm>Zajicek</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Wing</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Skepper</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Compston</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>Lab Invest</source>
            <pubdate>1995</pubdate>
            <volume>73</volume>
            <fpage>128</fpage>
            <lpage>138</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7541492</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B22">
            <title>
               <p>The expression of complement regulatory proteins by adult human oligodendrocytes</p>
            </title>
            <aug>
               <au>
                  <snm>Scolding</snm>
                  <fnm>NJ</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>BP</fnm>
               </au>
               <au>
                  <snm>Compston</snm>
                  <fnm>DAS</fnm>
               </au>
            </aug>
            <source>J Neuroimmunol</source>
            <pubdate>1998</pubdate>
            <volume>84</volume>
            <fpage>69</fpage>
            <lpage>75</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0165-5728(97)00241-5</pubid>
                  <pubid idtype="pmpid" link="fulltext">9600710</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B23">
            <title>
               <p>Expression of CD59, a regulator of the membrane attack complex of complement, on human astrocytes</p>
            </title>
            <aug>
               <au>
                  <snm>Gordon</snm>
                  <fnm>DL</fnm>
               </au>
               <au>
                  <snm>Sadlon</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Hefford</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Adrian</snm>
                  <fnm>D</fnm>
               </au>
            </aug>
            <source>Brain Res Mol Brain Res</source>
            <pubdate>1993</pubdate>
            <volume>18</volume>
            <fpage>335</fpage>
            <lpage>338</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0169-328X(93)90098-A</pubid>
                  <pubid idtype="pmpid">7686996</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B24">
            <title>
               <p>The expression of CD59 in normal human nervous tissue</p>
            </title>
            <aug>
               <au>
                  <snm>Vedeler</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Ulvestad</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Bjorge</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Conti</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Williams</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Mork</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Matre</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Immunology</source>
            <pubdate>1994</pubdate>
            <volume>82</volume>
            <fpage>542</fpage>
            <lpage>547</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7530684</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B25">
            <title>
               <p>Expression of decay-accelerating factor (CD55), membrane cofactor protein (CD46) and CD59 in the human astroglioma cell line, D54-MG, and primary rat astrocytes</p>
            </title>
            <aug>
               <au>
                  <snm>Yang</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Jones</snm>
                  <fnm>JL</fnm>
               </au>
               <au>
                  <snm>Barnum</snm>
                  <fnm>SR</fnm>
               </au>
            </aug>
            <source>J Neuroimmunol</source>
            <pubdate>1993</pubdate>
            <volume>47</volume>
            <fpage>123</fpage>
            <lpage>132</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0165-5728(93)90022-Q</pubid>
                  <pubid idtype="pmpid">7690370</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B26">
            <title>
               <p>Complement expression on astrocytes and astrocytoma cell lines failure of complement regulation at the C3 level correlates with very low CD59 expression</p>
            </title>
            <aug>
               <au>
                  <snm>Spiller</snm>
                  <fnm>OB</fnm>
               </au>
               <au>
                  <snm>Moretto</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>SU</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>BP</fnm>
               </au>
               <au>
                  <snm>Devine</snm>
                  <fnm>DV</fnm>
               </au>
            </aug>
            <source>J Neuroimmunol</source>
            <pubdate>1996</pubdate>
            <volume>71</volume>
            <fpage>97</fpage>
            <lpage>106</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0165-5728(96)00136-1</pubid>
                  <pubid idtype="pmpid">8982108</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B27">
            <title>
               <p>Establishment of human adult astrocyte cultures derived from postmortem multiple sclerosis and control brain and spinal cord regions: immunophenotypical and functional characterization</p>
            </title>
            <aug>
               <au>
                  <snm>De Groot</snm>
                  <fnm>CJA</fnm>
               </au>
               <au>
                  <snm>Langeveld</snm>
                  <fnm>CH</fnm>
               </au>
               <au>
                  <snm>Jongenelen</snm>
                  <fnm>CAM</fnm>
               </au>
               <au>
                  <snm>Montagne</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Van Der Valk</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Dijkstra</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>J Neurosci Res</source>
            <pubdate>1997</pubdate>
            <volume>49</volume>
            <fpage>342</fpage>
            <lpage>254</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/(SICI)1097-4547(19970801)49:3&lt;342::AID-JNR9>3.0.CO;2-C</pubid>
                  <pubid idtype="pmpid" link="fulltext">9260745</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B28">
            <title>
               <p>Isolation and characterization of adult microglial cells and oligodendrocytes derived from postmortem human brain tissue</p>
            </title>
            <aug>
               <au>
                  <snm>De Groot</snm>
                  <fnm>CJA</fnm>
               </au>
               <au>
                  <snm>Montagne</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Janssen</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Ravid</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Van Der Valk</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Veerhuis</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Brain Res Brain Res Protoc</source>
            <pubdate>2000</pubdate>
            <volume>5</volume>
            <fpage>85</fpage>
            <lpage>94</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S1385-299X(99)00059-8</pubid>
                  <pubid idtype="pmpid" link="fulltext">10719269</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B29">
            <title>
               <p>Human neurons generate C-reactive protein and amyloid P: upregulation in Alzheimer's disease</p>
            </title>
            <aug>
               <au>
                  <snm>Yasojima</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Schwab</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>EG</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Brain Res</source>
            <pubdate>2000</pubdate>
            <volume>887</volume>
            <fpage>80</fpage>
            <lpage>89</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0006-8993(00)02970-X</pubid>
                  <pubid idtype="pmpid" link="fulltext">11134592</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B30">
            <title>
               <p>Complement activation in amyloid plaques in Alzheimer's dementia</p>
            </title>
            <aug>
               <au>
                  <snm>Eikelenboom</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Hack</snm>
                  <fnm>CE</fnm>
               </au>
               <au>
                  <snm>Rozemuller</snm>
                  <fnm>JM</fnm>
               </au>
               <au>
                  <snm>Stam</snm>
                  <fnm>FC</fnm>
               </au>
            </aug>
            <source>Virchows Arch B Cell Pathol Incl Mol Pathol</source>
            <pubdate>1989</pubdate>
            <volume>56</volume>
            <fpage>259</fpage>
            <lpage>262</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2565620</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B31">
            <title>
               <p>Immune system response in Alzheimer's disease</p>
            </title>
            <aug>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
               <au>
                  <snm>Akiyama</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Itagaki</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>EG</fnm>
               </au>
            </aug>
            <source>Can J Neurol Sci</source>
            <pubdate>1989</pubdate>
            <volume>16</volume>
            <fpage>516</fpage>
            <lpage>527</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2804814</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B32">
            <title>
               <p>Alzheimer patients and Down patients: cerebral preamyloid deposits differ ultrastructurally and histochemically from the amyloid of senile plaques</p>
            </title>
            <aug>
               <au>
                  <snm>Verga</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Frangione</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Tagliavini</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Giaccone</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Migheli</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Bugiani</snm>
                  <fnm>O</fnm>
               </au>
            </aug>
            <source>Neurosci Lett</source>
            <pubdate>1989</pubdate>
            <volume>105</volume>
            <fpage>294</fpage>
            <lpage>299</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0304-3940(89)90636-8</pubid>
                  <pubid idtype="pmpid">2531851</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B33">
            <title>
               <p>The inflammatory response system of brain: implications for therapy of Alzheimer and other neurodegenerative diseases</p>
            </title>
            <aug>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>EG</fnm>
               </au>
            </aug>
            <source>Brain Res Rev</source>
            <pubdate>1995</pubdate>
            <volume>21</volume>
            <fpage>195</fpage>
            <lpage>218</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0165-0173(95)00011-9</pubid>
                  <pubid idtype="pmpid" link="fulltext">8866675</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B34">
            <title>
               <p>Molecular and cellular characterization of the membrane attack complex, C5b-9, in Alzheimer's disease</p>
            </title>
            <aug>
               <au>
                  <snm>Webster</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Lue</snm>
                  <fnm>LF</fnm>
               </au>
               <au>
                  <snm>Brachova</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Tenner</snm>
                  <fnm>AJ</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
               <au>
                  <snm>Terai</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Walker</snm>
                  <fnm>DG</fnm>
               </au>
               <au>
                  <snm>Bradt</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>NR</fnm>
               </au>
               <au>
                  <snm>Rogers</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>Neurobiol Aging</source>
            <pubdate>1997</pubdate>
            <volume>18</volume>
            <fpage>415</fpage>
            <lpage>421</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0197-4580(97)00042-0</pubid>
                  <pubid idtype="pmpid" link="fulltext">9330973</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B35">
            <title>
               <p>Immunocytochemical localization of the terminal complement complex in multiple sclerosis</p>
            </title>
            <aug>
               <au>
                  <snm>Compston</snm>
                  <fnm>DAS</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>BP</fnm>
               </au>
               <au>
                  <snm>Campbell</snm>
                  <fnm>AK</fnm>
               </au>
               <au>
                  <snm>Wilkins</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Cole</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Thomas</snm>
                  <fnm>ND</fnm>
               </au>
               <au>
                  <snm>Jasani</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>Neuropathol Appl Neurobiol</source>
            <pubdate>1989</pubdate>
            <volume>15</volume>
            <fpage>307</fpage>
            <lpage>316</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2779734</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B36">
            <title>
               <p>Immunopathology of secondary-progressive multiple sclerosis</p>
            </title>
            <aug>
               <au>
                  <snm>Prineas</snm>
                  <fnm>JW</fnm>
               </au>
               <au>
                  <snm>Kwon</snm>
                  <fnm>EE</fnm>
               </au>
               <au>
                  <snm>Cho</snm>
                  <fnm>ES</fnm>
               </au>
               <au>
                  <snm>Sharer</snm>
                  <fnm>LR</fnm>
               </au>
               <au>
                  <snm>Barnett</snm>
                  <fnm>MH</fnm>
               </au>
               <au>
                  <snm>Oleszak</snm>
                  <fnm>EL</fnm>
               </au>
               <au>
                  <snm>Hoffman</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Morgan</snm>
                  <fnm>BP</fnm>
               </au>
            </aug>
            <source>Ann Neurol</source>
            <pubdate>2001</pubdate>
            <volume>50</volume>
            <fpage>646</fpage>
            <lpage>657</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/ana.1255</pubid>
                  <pubid idtype="pmpid">11706971</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B37">
            <title>
               <p>Complement activated C4d immunoreactive oligodendrocytes delineate small cortical plaques in multiple sclerosis</p>
            </title>
            <aug>
               <au>
                  <snm>Schwab</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Exp Neurol</source>
            <pubdate>2002</pubdate>
            <volume>174</volume>
            <fpage>81</fpage>
            <lpage>88</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/exnr.2001.7851</pubid>
                  <pubid idtype="pmpid" link="fulltext">11869036</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B38">
            <title>
               <p>Complement-activated oligodendroglia: a new pathogenic entity identified by immunostaining with antibodies to human complement proteins C3d and C4d</p>
            </title>
            <aug>
               <au>
                  <snm>Yamada</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Akiyama</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
            </aug>
            <source>Neurosci Lett</source>
            <pubdate>1990</pubdate>
            <volume>112</volume>
            <fpage>161</fpage>
            <lpage>166</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/0304-3940(90)90196-G</pubid>
                  <pubid idtype="pmpid">2359515</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B39">
            <title>
               <p>Relationship of complement-activated oligodendrocytes to reactive microglia and neuronal pathology in neurodegenerative disease</p>
            </title>
            <aug>
               <au>
                  <snm>Yamada</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>PL</fnm>
               </au>
               <au>
                  <snm>McGeer</snm>
                  <fnm>EG</fnm>
               </au>
            </aug>
            <source>Dementia</source>
            <pubdate>1991</pubdate>
            <volume>2</volume>
            <fpage>71</fpage>
            <lpage>77</lpage>
         </bibl>
      </refgrp>
   </bm>
</art>
