Here we illuminate how FH binds to its principal target. This crucial event in regulation of C3b promulgation on self-surfaces is central to protection of host tissues from complement-mediated damage. Building on previous indications that FH19–20 binds to both C3b and the C3b-derived fragment, C3d
32, we showed that the C3d:FH19–20 interaction is a surrogate for the less experimentally accessible FH:C3b interaction. Our new observations, when combined with published data, show how the FH molecule bends back on itself such that its N terminus performs cofactor and decay accelerating activities while the C terminus recognizes a composite consisting of the TED of C3b and nearby polyanionic carbohydrates. This allows distinction of a self-surface from most bacterial ones.
Mindful of controversy surrounding the physiological validity of a crystal structure of C3d complexed with CR2 CCP1-2
40, we employed mutagenesis and NMR to select the physiologically relevant intermolecular interface from several possibilities within our crystal structure of C3d:FH19–20. Moreover this interface of C3d is consistent with other observations.
(i) It is accessible in TED (
i.e. within the context of C3b) tethered to a surface; moreover the orientation of FH19–20 means that CCP18 is projected clear of C3b, consistent with our finding that it binds neither C3d nor C3b (
Supplementary Fig. 4 and
Supplementary Table 3).
(ii) It does not overlap the FH1–4 interaction site on C3b
14, consistent with avidity between sites
12.
(iii) It is directly adjacent to (but non-overlapping with) the Efb-C-binding site
41 (
Supplementary Fig. 8); this is important because Efb-C enhances binding of C3b to FH19–20
42.
(iv) The C3d and FH residues involved are conserved (
Supplementary Fig. 9).
We confirmed that previously identified GAG-binding residues of CCP20 are still accessible within this complex. This is compelling structural evidence for the hypothesis that FH19–20 interacts with a composite site consisting of the TED and proximal polyanions. Previous attempts to dock C3d onto the surface of FH19–20 now prove to have been unsuccessful
16,43. In both of these models of C3d:FH19–20, only CCP20 makes contact with C3d; moreover the interfaces on C3d differ from that identified in our co-crystal structure.
Our new data reveal locations, relative to key interaction surfaces, of disease-linked mutations and sequence variations (). Our structure explains the key role in C3b binding we observed for the disease-linked mutation D1119G, despite suggestions from others that this mutation is functionally null
32. Our complex also shows that the following aHUS-linked FH mutations
44 affect the C3d:FH19–20 interface and thereby perturb the fine balance of affinities needed for proper FH operation: Y1142D and Y1142C, since Tyr1142 H-bonds to C3d’s Lys178 (Lys1171); Q1143E due to its proximity to Tyr1142; L1189F, L1189R and S1191L, since Tyr1190 H-bonds to Asp122 (Asp1115) of C3d and is partially buried at the interface. Other aHUS-linked FH mutations are in the GAG-binding regions of CCP20 and/or could disrupt putative electrostatic steering events (E1198A, R1203A, R1210C, R1215G, R1182S, W1183R and T1184R). Another subset of aHUS-linked FH mutants likely promotes structural perturbations (W1157R, V1134G, G1194D, V1197A, F1199S and P1226S). Regarding the C3b side of the interaction, the following aHUS-linked mutations likely disrupt the binding interface: P121L (P1114L)
45 and D122N (D1115N)
46 are in the C3d α4-α5 loop occupying the FH19–20 intermodular cleft; C165W (C1158W) and Q168K (Q1161K)
46 are in the C3d α6–α7 loop that, intriguingly, coincides with closest approach of the N-terminal and C-terminal C3b-binding sites of FH ().
In a previously solved structure of the FH1–4:C3b complex
14, the four N-terminal CCPs of FH form an elongated contact with C3b running largely parallel with the long axis of C3b. If C3b in this complex were surface-attached via its thioester, CCP1 would be furthest, and CCP4 closest, to that surface. In other AP regulators, a similar three-CCP or four-CCP C3b-binding segment is connected to a C-terminal transmembrane helix or a GPI anchor, which localizes the regulator upon a cell surface requiring protection from C3b promulgation. FH is not constrained to a membrane but relies on some or all of its C-terminal 16 CCPs for localization, and exploits the preponderance of polyanionic self-surface markers to selectively increase its residency time on self-surfaces. We investigated the path taken by CCPs 5-18, which connect N-terminal and C-terminal C3b-binding sites, to construct an experimentally derived model of the FH:C3b complex.
When the C3d of C3d:FH19–20 is superimposed on the TED of C3b, the FH1–4 C-terminus and FH19–20 N-terminus are close together. A bent-back FH structure would therefore be required were a single molecule to simultaneously occupy both sites on C3b (and interact with self-surface associated polyanions), as in our model (). This is fully consistent with our SAXS-derived shape-envelopes of FH fragments presented here, as well as with existing SAXS, crystal and NMR-derived structures, and agrees with previous work showing that non-liganded FH could adopt a predominantly bent-back conformation
37,47-50. Our data are incompatible with an alternative model in which FH wraps around the C3b molecule. However, we cannot exclude the existence of a complex in which one FH molecule binds to two neighboring, closely packed, C3b molecules.
Previous studies suggested a weak additional C3b-binding site within FH CCPs 6–8
12,13. While no such interface exists within our model of the complex, uncertainties in reconstruction of the N-terminal half of FH (lacking structural information for FH4–5/FH5–6) means we cannot exclude CCP6/7-C3b contacts. Nonetheless, our model places CCP7 close to the self-surface where it could recognize additional GAG surface markers; it also places the structurally deviant module, CCP13
37 close to the self-surface, although the nature of any ligand for CCP13 remains undetermined.
In summary, we present an experimentally supported structural model for how a FH molecule engages bivalently with a C3b molecule and simultaneously with self-surface polyanionic markers. The model indicates that effective complement inhibitors, with therapeutic potential, might be constructed through flexible linkage of FH19–20, via a domain with appropriately apposed N and C termini, to FH1–4 or homologous segments of other complement regulators.