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Evaluation of the Interplay Between the Complement Protein C1q and Hyaluronic Acid in Promoting Cell Adhesion
Published on: June 15, 2019
The Complement System and C1q in Chronic Hepatitis C Virus Infection and Mixed Cryoglobulinemia
Ahmed El-Shamy1,2, Andrea D Branch1, Thomas D Schiano1
1Division of Liver Disease, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Insights
The complement system plays a key role in hepatitis C virus (HCV) infection, influencing chronic infection and autoimmunity. Understanding this interplay is crucial for managing HCV pathogenesis and associated conditions like cryoglobulinemia.
Area of Science:
- Immunology
- Virology
- Hepatology
Background:
- The complement system is vital for immunity against infections, including viral pathogens.
- Chronic hepatitis C virus (HCV) infection involves dysregulation of complement pathways.
- HCV infection is linked to conditions like cryoglobulinemia and liver fibrosis, involving complement activation.
Purpose of the Study:
- To review the intricate relationship between HCV and the complement system.
- To explore how complement contributes to chronic HCV infection and autoimmunity.
- To examine the association between HCV pathogenesis and altered complement profiles.
Main Methods:
- Literature review of studies investigating HCV and complement interactions.
- Analysis of clinical and experimental evidence on complement's role in HCV manifestations.
- Synthesis of data on complement pathway activation in HCV and cryoglobulinemia.
Main Results:
- Evidence supports complement system involvement in both intrahepatic and extrahepatic HCV complications.
- HCV infection dysregulates complement-mediated immune responses.
- Abnormal complement profiles are associated with HCV pathogenesis and type II cryoglobulinemia.
Conclusions:
- The complement system is integral to chronic HCV infection, autoimmunity, and pathogenesis.
- Further research is needed to fully elucidate the complex interplay between HCV and complement.
- Understanding these interactions may reveal new therapeutic targets for HCV-related conditions.
Abstract:
The complement system bridges innate and adaptive immunity against microbial infections, with viral infection being a major trigger. Activation of the classical, alternative, and lectin pathways have been reported in chronic hepatitis C virus (HCV) infection and/or cryoglobulinemia. HCV infection leads to dysregulation of complement-mediated immune responses. Clinical and experimental evidence support involvement of complement in intra- and extrahepatic manifestations of HCV infection, such as liver fibrosis and type II cryoglobulinemia. In this review, we summarize studies that have investigated the interplay between HCV and the complement system to establish chronic infection and autoimmunity, as well as the association between HCV pathogenesis and abnormal complement profiles. Several unanswered questions are highlighted which suggest additional informative lines of investigation.
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