Calreticulin (CRT) is located predominantly in t
he endoplasmic reticulum (ER) of cells, w
hereit functions as a quality control controller of protein folding. However, CRT is also a prevalent autoantigenin patients wit
h systemic lupus eryt
hematosus (SLE), w
here its release from t
he cell may arise as a resultsof dysfunctional apoptosis and inefficient removal of ER vesicles, w
hic
h are an abundant source of CRTand ot
her autoantigens. Indicative of t
his is t
he presence of autoantibodies against CRT in t
he sera of40-60% of all SLE patients. Once released into t
he circulation, CRT mig
ht bind directly to C1q and we
have suggested t
hat t
his association may result in a defect in C1q-mediated clearance of antigen-antibodycomplexes. It
has been previously s
hown t
hat CRT under p
hysiological salt conditions binds to t
he globular
head of C1q. It is known t
hat t
he globular
head region of C1q binds to t
he C
H2 domain in t
he Fc portionof immunoglobulin
hars/gamma.gif" BORDER=0 > (IgG). T
he N-terminal
half of CRT contains a number of s
hort regions of 7-10amino acids t
hat s
how sequence similarity to t
he putative C1q binding region in t
he C
H2 domain of IgG.By use of a series of 92 overlapping CRT synt
hetic peptides, a number of C1q binding sites on t
he CRTmolecule
have been identified, including several containing a C
H2 -like motif similar to t
he ExKxKx C1qbinding motif found in t
he C
H2 domain of IgG. A number of t
hese peptides were s
hown to in
hibit bindingof C1q to IgG and reduce binding of native CRT to C1q. Moreover, several of t
he peptides were capableof in
hibiting t
he classical pat
hway of complement activation. T
hese studies
have identified specific bindingsites on t
he CRT molecule for C1q and lend support to t
he
hypot
hesis t
hat interaction of CRT wit
h C1qmay interfere wit
h t
he ability of C1q to associate wit
h immune complexes in autoimmune-related disorders.