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Updated: Sep 20, 2026

In Vitro Methods for Comparing Target Binding and CDC Induction Between Therapeutic Antibodies: Applications in Biosimilarity Analysis
Published on: May 4, 2017
Complement therapeutics; history and current progress
B Paul Morgan1, Claire L Harris
1Department of Medical Biochemistry and Immunology, UWCM, Heath Park, Cardiff CF14 4XN, Wales, UK. morganbp@cardiff.ac.uk
Insights
The complement system is crucial for immunity but can cause disease. This review covers anti-complement therapies, from small molecules to engineered biologics, for treating complement-mediated pathologies.
Area of Science:
- Immunology
- Pharmacology
- Biochemistry
Background:
- The complement system is essential for immune surveillance and host defense.
- Dysregulation of the complement cascade contributes to various inflammatory diseases and injury.
- Therapeutic interventions can also trigger complement-mediated pathologies.
Purpose of the Study:
- To review the historical development of anti-complement therapeutics.
- To describe the diverse range of reagents developed to treat complement-mediated conditions.
- To discuss recent advancements and future directions in anti-complement therapy.
Main Methods:
- Literature review of historical and current anti-complement therapeutic strategies.
- Analysis of small molecule inhibitors, peptides, and biological agents.
- Evaluation of complement regulatory proteins and antibody-based inhibitors.
Main Results:
- A wide array of anti-complement agents have been developed, including natural products, synthetic peptides, and engineered biologics.
- Recombinant antibody fragments and complement regulatory protein mimics show therapeutic promise.
- Targeted drug delivery to inflammatory sites enhances anti-complement therapy efficacy.
Conclusions:
- Anti-complement therapies offer a promising approach for managing inflammatory diseases and injuries.
- Ongoing research focuses on refining existing agents and developing novel strategies for targeted delivery.
- The field is rapidly evolving, with potential applications in both acute and chronic inflammatory conditions.
Abstract:
Complement (C) performs vital roles in immune surveillance, from killing of bacteria to generation of an optimal antibody response. However, the mediators responsible for this protective role can inappropriately target self tissues and cause pathology in many inflammatory diseases, in ischaemia-reperfusion injuries and also as a result of therapeutic intervention, such as in cardiopulmonary bypass. Here we review the history of anti-complement therapeutics and describe the plethora of reagents that have evolved to treat complement-mediated pathologies. These agents range from small compounds, including natural products isolated from plants and synthetic peptides designed to target and inhibit the complement cascade, to large, intricately engineered biological reagents. Recombinant, humanised antibody fragments which inhibit at specific points in the complement cascade have been generated and used successfully in man. Other reagents, mimicking the action of the natural complement regulatory proteins present on the surface of self cells, have also been developed and extensively tested. We discuss the pros and cons of these different reagents and describe recent advances in the field, such as specific targeting of drugs to sites of inflammation, which have opened the door to the use of anti-complement therapy in both acute and chronic inflammatory conditions.
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