Complement component C3 mediates inflammatory injury following focal cerebral ischemia

Circ Res. 2006 Jul 21;99(2):209-17. doi: 10.1161/01.RES.0000232544.90675.42. Epub 2006 Jun 15.

Abstract

The complement cascade has been implicated in ischemia/reperfusion injury, and recent studies have shown that complement inhibition is a promising treatment option for acute stroke. The development of clinically useful therapies has been hindered, however, by insufficient understanding of which complement subcomponents contribute to post-ischemic injury. To address this issue, we subjected mice deficient in selected complement proteins (C1q, C3, C5) to transient focal cerebral ischemia. Of the strains investigated, only C3-/- mice were protected, as demonstrated by 34% reductions in both infarct volume (P<0.01) and neurological deficit score (P<0.05). C3-deficient mice also manifested decreased granulocyte infiltration (P<0.02) and reduced oxidative stress (P<0.05). Finally, administration of a C3a-receptor antagonist resulted in commensurate neurological improvement and stroke volume reduction (P<0.05). Together, these results establish C3 activation as the key constituent in complement-related inflammatory tissue injury following stroke and suggest a C3a anaphylatoxin-mediated mechanism.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain Ischemia / etiology
  • Brain Ischemia / pathology
  • Brain Ischemia / prevention & control*
  • Cell Movement
  • Complement C3 / physiology*
  • Disease Models, Animal
  • Granulocytes
  • Inflammation / etiology
  • Inflammation / pathology
  • Inflammation / prevention & control*
  • Membrane Proteins / antagonists & inhibitors
  • Mice
  • Mice, Knockout
  • Oxidative Stress
  • Receptors, Complement / antagonists & inhibitors
  • Stroke / drug therapy
  • Stroke / pathology

Substances

  • Complement C3
  • Membrane Proteins
  • Receptors, Complement
  • complement C3a receptor