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Mannose-binding lectin pathway components (MBL)

Target
MBL
Molecular classification
Collectin (C-type lectin superfamily; MBL), Enzyme (for MASP family: serine protease), Pattern recognition molecule
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Overview

The **mannose-binding lectin pathway components** are a group of proteins central to the lectin pathway of the complement system, a major mechanism of innate immunity. The principal protein, **Mannose-binding lectin (MBL)**, is a liver-derived collectin that recognizes specific carbohydrate patterns on the surfaces of diverse pathogens. Upon binding, MBL associates with serine proteases (MASPs), initiating a proteolytic cascade resulting in complement activation, opsonization, phagocytosis, and microorganism elimination[1][3][5]. Deficiencies or dysregulation of these components can predispose to infections, inflammation, and various diseases including cancer and cardiovascular conditions[2][6][8]. MASP-2, a serine protease associated with MBL, is an active target of emerging therapeutics aiming to selectively modulate the lectin complement pathway for the treatment of rare and common diseases[4][6]. Current therapeutic and diagnostic strategies focus on modulating the activity or levels of MBL/ficolins/MASPs, or on their genetic regulation, highlighting their broad relevance in immunology and medicine.

Other names
Mannan-binding lectinMannan-binding proteinMannose-binding proteinMBL2 (gene encoding MBL)MASP-2 (for the serine protease)
02

Mechanism of action

Inhibition of MASP-2 blocks lectin pathway activation, reducing downstream complement activation, inflammation, and tissue injury. Anti-MBL approaches reduce complement-mediated damage; e.g., in ischemic stroke. Modulation of MBL2 expression (e.g., via miRNAs) to alter cancer cell proliferation/metastasis.

03

Biological functions

Immune response (innate immunity)Complement activationOpsonization of microorganismsRegulation of inflammationPhagocytosis of apoptotic cells
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Disease associations

Infection (bacterial, viral, fungal, parasitic)InflammationCancer (e.g., hepatocellular carcinoma)Cardiovascular disease (stroke)Rare complement-mediated diseases (atypical HUS, C3 glomerulonephritis)Other (e.g., sepsis, SARS-CoV-2-related complications)
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Safety considerations

Increased infection risk if excessively inhibitedUnintended immunosuppressionUnknown long-term effects of MASP-2 inhibition; possibility of off-target effects
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Interacting drugs

Human monoclonal antibody inhibitors of MASP-2 (investigational; e.g., for IgA nephropathy, atypical hemolytic uremic syndrome, transplant-associated thrombotic microangiopathy, SARS-CoV-2)

1 more in the full profile.

07

Biomarkers

MBL serum levels (deficiency or excess)MASP-2 levelsGenetic polymorphisms in MBL2 geneComplement activation markers (C3, C5)

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