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Updated: Apr 5, 2026

Measuring Erythrocyte Complement Receptor 1 Using Flow Cytometry
Published on: May 19, 2020
Role of complement receptor 1 (CR1; CD35) on epithelial cells: A model for understanding complement-mediated damage
Anuja Java1, M Kathryn Liszewski2, Dennis E Hourcade2
1Washington University School of Medicine, Department of Internal Medicine, Division of Nephrology, 660 South Euclid Avenue, St. Louis, MO 63110 USA.
Insights
Complement receptor 1 (CR1) regulates complement activation on epithelial cells. CR1 significantly reduces C3b deposition via decay acceleration and cofactor activity, highlighting its role in preventing complement-mediated kidney damage.
Area of Science:
- Immunology
- Molecular Biology
- Renal Medicine
Background:
- The complement system is crucial for innate immunity but requires tight regulation to prevent self-damage.
- Complement receptor 1 (CR1) is a key regulator of complement activation, primarily studied on blood cells.
- CR1's expression on kidney podocytes suggests a role in renal complement-mediated diseases, but its epithelial function is unclear.
Purpose of the Study:
- To investigate the specific functions of Complement receptor 1 (CR1) on epithelial cells.
- To determine CR1's efficacy in regulating complement pathways and handling immune complexes in an epithelial context.
Main Methods:
- Utilized a Chinese hamster ovary (CHO) cell model system engineered to express CR1.
- Assessed CR1's impact on C3b deposition during classical and alternative complement pathway activation.
- Evaluated CR1's decay accelerating activity, cofactor activity, and immune complex binding capabilities.
Main Results:
- CR1 significantly reduced C3b deposition by approximately 80% in the classical pathway and over 95% in the alternative pathway.
- CR1 exhibited potent decay accelerating activity and cofactor activity, cleaving deposited C4b and C3b to C4d and C3d.
- CR1 functioned intrinsically, bound immune complexes stably without internalization, and did not internalize opsonized complexes.
Conclusions:
- CR1 acts as an intrinsic complement regulator on epithelial cells, effectively inhibiting both classical and alternative pathways.
- CR1's ability to regulate complement and bind immune complexes underscores its potential protective role in the kidney.
- Loss of CR1 expression on podocytes may contribute to complement-mediated kidney damage, warranting further investigation.
Abstract:
The regulators of complement activation gene cluster encodes a group of proteins that have evolved to control the amplification of complement at the critical step of C3 activation. Complement receptor 1 (CR1) is the most versatile of these inhibitors with both receptor and regulatory functions. While expressed on most peripheral blood cells, the only epithelial site of expression in the kidney is by the podocyte. Its expression by this cell population has aroused considerable speculation as to its biologic function in view of many complement-mediated renal diseases. The goal of this investigation was to assess the role of CR1 on epithelial cells. To this end, we utilized a Chinese hamster ovary cell model system. Among our findings, CR1 reduced C3b deposition by ∼ 80% during classical pathway activation; however, it was an even more potent regulator (>95% reduction in C3b deposition) of the alternative pathway. This inhibition was primarily mediated by decay accelerating activity. The deposited C4b and C3b were progressively cleaved with a t½ of ∼ 30 min to C4d and C3d, respectively, by CR1-dependent cofactor activity. CR1 functioned intrinsically (i.e, worked only on the cell on which it was expressed). Moreover, CR1 efficiently and stably bound but didn't internalize C4b/C3b opsonized immune complexes. Our studies underscore the potential importance of CR1 on an epithelial cell population as both an intrinsic complement regulator and an immune adherence receptor. These results provide a framework for understanding how loss of CR1 expression on podocytes may contribute to complement-mediated damage in the kidney.
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