The link between morphology and complement in ocular disease

Mol Immunol. 2017 Sep:89:84-99. doi: 10.1016/j.molimm.2017.05.028. Epub 2017 Jun 15.

Abstract

The complement system is a vital component of the immune-priveliged human eye that is always active at a low-grade level, preventing harmful intraocular injuries caused by accumulation of turnover products and controlling pathogens to preserve eye homeostasis and vision. The complement system is a double-edged sword that is essential for protection but may also become harmful and contribute to eye pathology. Here, we review the evidence for the involvement of complement system dysregulation in age-related macular degeneration, glaucoma, uveitis, and neuromyelitis optica, highlighting the relationship between morphogical changes and complement system protein expression and regulation in these diseases. The potential benefits of complement inhibition in age-related macular degeneration, glaucoma, uveitis, and neuromyelitis optica are abundant, as are those of further research to improve our understanding of complement-mediated injury in these diseases.

Keywords: Age-related macular degeneration; Complement; Eye; Glaucoma; Morphology; Neuromyelitis optica; Uveitis.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Complement Activation / immunology*
  • Complement System Proteins / immunology*
  • Eye Diseases / immunology*
  • Eye Diseases / pathology
  • Glaucoma / immunology
  • Glaucoma / pathology
  • Humans
  • Immunity, Innate / immunology*
  • Macular Degeneration / immunology
  • Macular Degeneration / pathology
  • Models, Immunological
  • Neuromyelitis Optica / immunology
  • Neuromyelitis Optica / pathology
  • Uveitis / immunology
  • Uveitis / pathology

Substances

  • Complement System Proteins