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Updated: Aug 9, 2026

A Preclinical Controlled Cortical Impact Model for Traumatic Hemorrhage Contusion and Neuroinflammation
Published on: June 10, 2020
The role of complement C3 in intracerebral hemorrhage-induced brain injury
Shuxu Yang1, Takehiro Nakamura, Ya Hua
1Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan 48109-0532, USA.
Insights
Complement C3 deficiency reduces brain injury after intracerebral hemorrhage (ICH). C3-deficient mice showed less brain edema and inflammation, suggesting C3 aggravates ICH-related brain damage.
Area of Science:
- Neuroscience
- Immunology
- Biochemistry
Background:
- Complement cascade activation contributes to brain injury following intracerebral hemorrhage (ICH).
- Previous studies indicated complement C5 deficiency exacerbated ICH-induced brain injury.
- The role of upstream complement component C3 in ICH remained unclear.
Purpose of the Study:
- To investigate the specific role of complement C3 in the pathogenesis of ICH-induced brain injury.
- To determine if complement C3 deficiency impacts brain edema, inflammation, and functional outcomes after ICH.
Main Methods:
- Intracerebral hemorrhage was induced in male complement C3 deficient and sufficient mice via autologous whole blood infusion.
- Brain tissue was analyzed for edema, hemeoxygenase-1 levels, microglial activation, and neutrophil infiltration.
- Behavioral tests, including forelimb use asymmetry and corner turn, assessed functional deficits.
Main Results:
- Complement C3 deficient mice exhibited significantly reduced brain edema compared to sufficient controls.
- Lower levels of hemeoxygenase-1, decreased microglia activation, and reduced neutrophil infiltration were observed in C3 deficient mice.
- C3-deficient mice demonstrated improved forelimb use asymmetry following ICH compared to C3-sufficient mice.
Conclusions:
- Complement C3 plays a critical role in exacerbating brain injury after ICH.
- Complement C3 activation influences heme metabolism and the inflammatory response post-ICH.
- Targeting complement C3 may represent a therapeutic strategy for mitigating ICH-induced brain damage.
Abstract:
Activation of the complement cascade contributes to brain injury after intracerebral hemorrhage (ICH). However, a recent study found that complement C5 deficient mice had enhanced ICH-induced brain injury. The present study, therefore, investigated the role of complement C3 (which is upstream from C5) in ICH. Male complement C3 deficient and sufficient mice had an intracerebral infusion of 30-muL autologous whole blood. The mice were killed and the brains were sampled for edema, Western blotting, immunohistochemistry and histologic analysis. Behavioral tests including forelimb use asymmetry test and corner turn were also performed before and after ICH. Compared to complement C3 sufficient mice, C3 deficient mice had less brain edema, lower hemeoxygenase-1 levels, less microglia activation and neutrophil infiltration around the clot after ICH. In addition, the C3-deficient mice had less ICH-induced forelimb use asymmetry deficits compared with C3-sufficient mice. These results suggest complement activation may affect heme metabolism and the inflammatory response after ICH suggesting that complement C3 is an important factor causing ICH-induced brain injury.
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