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Updated: Jun 16, 2026

Evaluation of the Interplay Between the Complement Protein C1q and Hyaluronic Acid in Promoting Cell Adhesion
Published on: June 15, 2019
Complement protein C1q recognizes enzymatically modified low-density lipoprotein through unesterified fatty acids
Adrienn Biro1, Wai Li Ling, Gérard J Arlaud
1Laboratoire d'Enzymologie Moléculaire, Institut de Biologie Structurale Jean-Pierre Ebel, 41 rue Jules Horowitz, 38027 Grenoble Cedex 1, France.
Enzymatically modified low-density lipoprotein (E-LDL) activates complement C1. This occurs through C1q binding to unesterified fatty acids generated by cholesterol esterase, with implications for atherogenesis.
Area of Science:
- Biochemistry
- Immunology
- Molecular Biology
Background:
- Enzymatically modified low-density lipoprotein (E-LDL) particles are recognized by C1q, initiating complement system activation.
- Previous studies identified E-LDL as a C1 activator, but the specific component recognized by C1q remained unknown.
Purpose of the Study:
- To identify the specific component(s) of E-LDL recognized by the C1q molecule.
- To elucidate the mechanism of C1 activation by E-LDL.
Main Methods:
- Enzymatic modification of low-density lipoprotein (LDL) using various proteases and cholesterol esterase.
- Lipid extraction and incorporation into model vesicles.
- C1 activation assays.
- Treatment with human serum albumin and methyl-beta-cyclodextrin.
- Electron microscopy for C1q-E-LDL interaction visualization.
Main Results:
- Cholesterol esterase treatment was crucial for C1 activation by E-LDL, generating unesterified cholesterol.
- The lipid fraction of E-LDL, specifically unesterified fatty acids, triggered C1 activation.
- Methyl-beta-cyclodextrin treatment, which reduced cholesterol and unesterified fatty acids, inhibited C1 activation.
- Linoleic acid incorporation into model vesicles induced C1q interaction and activation, enhanced by cholesterol.
- Electron microscopy confirmed C1q binding to E-LDL via its globular domains.
Conclusions:
- C1q binding to E-LDL involves the recognition of unesterified fatty acids generated by cholesterol esterase.
- The globular domain of C1q interacts with these fatty acids.
- These findings offer insights into the role of E-LDL in atherogenesis.
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