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Paroxysmal Nocturnal Haemoglobinuria (PNH) Dr Conal McConville ...

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SOLIRIS ® Blocks Terminal Complement<br />

Complement Cascade<br />

SOLIRIS®<br />

C3<br />

C3a<br />

•<br />

SOLIRIS® binds with high affinity to C5<br />

Proximal<br />

C3b<br />

•<br />

Terminal complement - C5a and C5b-9<br />

activity blocked<br />

C5<br />

C5a<br />

•<br />

Proximal functions of complement<br />

remain intact<br />

Terminal<br />

C5b<br />

C5b-9<br />

Cause of Haemolysis<br />

in <strong>PNH</strong><br />

•<br />

Weak anaphylatoxin<br />

•<br />

Immune complex clearance<br />

•<br />

Microbial opsonization<br />

1. Figueroa JE, Densen P. Clin Microbiol Rev. 1991;4(3):359-395. 2. Walport MJ. N Engl J Med. 2001;344(14):1058-66. 3. SOLIRIS® (eculizumab) [package insert]. Alexion Pharmaceuticals; 2009. 4. Rother RP et al. Nature<br />

Biotech. 2007;25(11):1256-64.<br />

August 12_10_2010Gbl<br />

27

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