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Updated: Jul 8, 2026

Evaluation of the Interplay Between the Complement Protein C1q and Hyaluronic Acid in Promoting Cell Adhesion
Published on: June 15, 2019
Adiponectin binds C1q and activates the classical pathway of complement
Philip W Peake1, Yvonne Shen, Alexandra Walther
1Division of Medicine, Prince of Wales Hospital, High Street, Randwick, Sydney, NSW 2031, Australia.
Insights
Adiponectin binds to C1q, activating the complement system. This suggests adiponectin
Area of Science:
- Immunology
- Biochemistry
Background:
- Adiponectin, an adipose-specific protein, binds to various targets like damaged endothelium and apoptotic cells.
- The functional significance of adiponectin binding remains largely undetermined.
Purpose of the Study:
- To investigate the interaction between adiponectin and C1q.
- To elucidate the role of adiponectin in innate immunity and complement activation.
Main Methods:
- Purified C1q binding assays with recombinant and serum-derived adiponectin.
- Complement activation studies involving C4 and C3 deposition.
- Western blotting and periodate treatment to assess binding characteristics.
Main Results:
- Purified C1q binds to adiponectin under physiological conditions, dependent on Ca(++) and Mg(++).
- Binding is enhanced by modification of adiponectin's sugars and involves the globular domain of C1q.
- C1q binding to adiponectin triggers classical complement pathway activation, leading to C4 and C3 deposition.
Conclusions:
- Adiponectin interacts with C1q, a key component of the complement system.
- Adiponectin may function as a pattern-recognition molecule within the innate immune system.
- This interaction suggests a novel role for adiponectin in immune responses and autoimmune conditions.
Abstract:
The adipose-specific protein adiponectin binds to a number of target molecules, including damaged endothelium and the surface of apoptotic cells. However, the significance of this binding remains unclear. This study demonstrates the binding of purified C1q to recombinant adiponectin under physiological conditions, and the dependence of this upon Ca(++) and Mg(++). Binding was enhanced by metaperiodate-mediated destruction of glucosylgalactosyl sugars on adiponectin. Adiponectin was bound by the globular domain of the A chain of collagenase-digested C1q, and C1q binding induced deposition of C4 and C3 through activation of the classical complement pathway. After Western blotting, affinity-purified adiponectin from human serum bound C1q, whereas adiponectin in whole serum did not, unless pre-treated with metaperiodate. These results suggest adiponectin is member of the pattern-recognition family of defence collagens, able to bind target molecules and activate complement. It may therefore play an important role in innate immunity and autoimmune phenomena.
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