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.

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