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Updated: May 31, 2026

Measuring Ascending Aortic Stiffness In Vivo in Mice Using Ultrasound
Published on: December 2, 2014
Complement proteins C3 and C4 bind to collagen and elastin in the vascular wall: a potential role in vascular
Kelly J Shields1, Donna Stolz, Simon C Watkins
1University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania, USA.
Insights
Complement proteins deposit on the external elastic lamina of mouse aortas, suggesting a novel "outside-in" mechanism for vascular stiffness and atherosclerosis. This involves complement activation within the adventitia, not the endothelium.
Area of Science:
- Vascular Biology
- Immunology
- Cardiovascular Research
Background:
- Circulating inflammatory mediators, including complement activation products, are implicated in cardiovascular disease pathogenesis.
- Complement proteins have been found in atherosclerotic plaques and on the luminal surface of blood vessels.
- An unexpected observation revealed complement protein deposition along the external elastic lamina of mouse aortas, independent of luminal deposition or plaque.
Purpose of the Study:
- To investigate the hypothesis that complement activation in the adventitia, rather than the endothelium, plays a critical role in vascular stiffness and atherosclerosis.
- To ultrastructurally identify the binding targets of complement components C3 and C4 within the adventitia of the mouse aorta.
Main Methods:
- Ultrastructural identification of complement component binding targets.
- Analysis of mouse aortas from ApoE(-/-) and C57Bl/6J control mice.
- Examination of perivascular adipose tissue.
Main Results:
- Extensive binding of C3 and C4 to collagen and elastin fibers within the adventitia was observed in both mouse models.
- C3 and C4 were also found within the perivascular adipose tissue.
- Complement deposition occurred in the absence of luminal deposition or plaque development.
Conclusions:
- Complement activation may contribute to vascular stiffness and atherosclerosis via an "outside-in" mechanism originating in the adventitia.
- Perivascular adipose tissue may produce C3 and C4, which then bind to adventitial collagen and elastin.
- This binding, potentially via covalent thiolester bonds, could lead to increased vascular stiffness.
Abstract:
Circulating inflammatory mediators including complement activation products participate in the pathogenesis of cardiovascular diseases. As such, previous reports demonstrating the presence of complement proteins within atherosclerotic plaque and on the luminal surface would be anticipated. In contrast, we have recently made the unexpected observation that complement proteins also deposit along the external elastic lamina of mouse aortas in the absence of luminal deposition or plaque development. This suggests that complement activation may play a critical role in the pathogenesis of vascular stiffness and atherosclerosis through a mechanism initiated within the adventitia rather than on the endothelial surface. This hypothesis was tested in the current study by ultrastructural identification of the C3- and C4-binding targets within the adventitia of the mouse aorta. The results demonstrate extensive binding of C3 and C4 to both collagen and elastin fibers within the adventitia in both ApoE(-/-) and C57Bl/6J control mice, as well as the presence of C3 and C4 within perivascular adipose tissue. These observations suggest a potential "outside-in" mechanism of vascular stiffness during which perivascular adipose may produce C3 and C4 that bind to collagen and elastin fibers within the adventitia through covalent thiolester bonds, leading to increased vascular stiffness.
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