The relative importance of local and systemic complement production in ischaemia, transplantation and other pathologies
Abstract
Besides a critical role in innate host defence, complement activation contributes to inflammatory and immunological responses in a number of pathological conditions. Many tissues outside the liver (the primary source of complement) synthesise a variety of complement proteins, either constitutively or response to noxious stimuli. The significance of this local synthesis of complement has become clearer as a result of functional studies. It revealed that local production not only contributes to the systemic pool of complement but also influences local tissue injury and provides a link with the antigen-specific immune response. Extravascular production of complement seems particularly important at locations with poor access to circulating components and at sites of tissue stress responses, notably portals of entry of invasive microbes, such as interstitial spaces and renal tubular epithelial surfaces. Understanding the relative importance of local and systemic complement production at such locations could help to explain the differential involvement of complement in organ-specific pathology and inform the design of complement-based therapy. Here, we will describe the lessons we have learned over the last decade about the local synthesis of complement and its association with inflammatory and immunological diseases, placing emphasis on the role of local synthesis of complement in organ transplantation.
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Most complement proteins are produced in the liver, while others (C1q, C7, Factor D, and properdin) are produced at extrahepatic sites by various cells, including monocytes, macrophages, and glial and endothelial cells.
“While most complement proteins are produced in the liver, others (such as C1q, C7, Factor D, and properdin) are produced at extrahepatic sites by various cells, including monocytes, macrophages, and glial and endothelial cells [7,204,205].”
From Bruch’s Membrane: A Key Consideration with Complement-Based Therapies for Age-Related Macular Degeneration (2023) · cites this paper as [204]
In experimental mouse models, the renal tubular epithelium is more susceptible to donor kidney-derived C3.
“in experimental mouse models, the renal tubular epithelium has been found to be more susceptible to donor kidney-derived C3”
From Bruch’s Membrane: A Key Consideration with Complement-Based Therapies for Age-Related Macular Degeneration (2023) · cites this paper as [204]
In experimental mouse models, the fenestrated capillaries of the renal glomerulus are more prone to systemic C3 activation.
“while the fenestrated capillaries of the renal glomerulus are more prone to systemic C3 activation [204,207].”
From Bruch’s Membrane: A Key Consideration with Complement-Based Therapies for Age-Related Macular Degeneration (2023) · cites this paper as [204]
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Self-citationDifferential Cytokine Regulation of Complement Proteins in Human Glomerular Epithelial Cells
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Complement and Its Receptors: New Insights into Human Disease
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Single-cell reconstruction of follicular remodeling in the human adult ovary
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Self-citationTipping the balance: intricate roles of the complement system in disease and therapy
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Self-citationComplement 5a Receptor Inhibition Improves Renal Allograft Survival
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Expression of complement components, receptors and regulators by human dendritic cells
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Self-citationC1 Complex: An Adaptable Proteolytic Module for Complement and Non-Complement Functions
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Self-citationEmerging Roles of Complement in Psychiatric Disorders
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Complement-dependent NADPH oxidase enzyme activation in renal ischemia/reperfusion injury
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Complement Involvement in Periodontitis: Molecular Mechanisms and Rational Therapeutic Approaches
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Platelets and the complement cascade in atherosclerosis
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Obesity “complements” preeclampsia
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Self-citationPotential Therapeutic Strategy of Targeting Pulp Fibroblasts in Dentin-Pulp Regeneration
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Complement C3a Mobilizes Dental Pulp Stem Cells and Specifically Guides Pulp Fibroblast Recruitment
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LPS Induces Pulp Progenitor Cell Recruitment via Complement Activation
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Self-citationPost-bone marrow transplant thrombotic microangiopathy
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The human serum protein C4b-binding protein inhibits pancreatic IAPP-induced inflammasome activation
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Association of complement 5 genetic polymorphism with renal allograft outcomes in Korea
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Complement therapeutics are coming of age in rheumatology
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Enhancing Complement Control on Endothelial Barrier Reduces Renal Post-Ischemia Dysfunction
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Broad Susceptibility of Nucleolar Proteins and Autoantigens to Complement C1 Protease Degradation
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Complement in Kidney Transplantation
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Immunomodulating Drugs Based on Poxviral Proteins
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Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655408
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655426
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655441
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655435
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655405
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655438
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655432
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655423
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655417
Li, S., Schmid, K., de Vries, D. H., Korshevniuk, M., Losert, C., Oelen, R., van Blokland, I. V., Groot, H. E., Swertz, M. A., van der Harst, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22655414
- Authors
- Li, K., Sacks, S. H., & Zhou, W.
- Affiliations
- Guy's Hospital (GB)
- Corresponding author
- Zhou, Wuding
- Venue
- Molecular Immunology
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 44
- Issue
- 16
- Pages
- 3866-3874
- ISSN
- 0161-5890 (ISSN-L)
- OpenAlex
- W2062492768
- Cited by
- 98
- References
- 120
- Citations by year
- 2026: 3 · 2024: 2 · 2023: 7 · 2022: 7 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 1 · 2017: 7 · 2016: 6 · 2015: 5 · 2014: 6 · 2013: 5 · 2012: 5
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Immunology (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Wellcome Trust
- Research Councils UK
- Medical Research Council
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Complement system in diseases
- Life Sciences › Immunology and Microbiology › Immunology › Biomarkers in Disease Mechanisms
- Health Sciences › Medicine › Genetics › Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Keywords
- organ transplantation, ischemia, tissue damage, inflammation, complement activation, renal tubular epithelium, innate immunity, antigen-specific immune response
- MeSH terms
- Animals, Complement System Proteins, Complement Activation, Disease, Humans, Ischemia, Organ Specificity, Transplantation Immunology
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