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Emerging Roles of Complement in Psychiatric Disorders
Mélanie Druart1,2,3, Corentin Le Magueresse1,2,3
1INSERM UMR-S 1270, Paris, France.
Insights
The complement system, crucial for immunity, also plays a key role in brain development and function. This review explores its involvement in synaptic pruning and neurological disorders, highlighting therapeutic potential.
Area of Science:
- Neuroscience
- Immunology
Background:
- The complement system comprises over 30 proteins involved in immune defense and cellular debris removal.
- Complement proteins are expressed in the brain and influence neural development and function.
Purpose of the Study:
- To review the established role of complement in immunity.
- To examine the contribution of complement to normal brain development, including neurogenesis and synaptic pruning.
- To discuss the role of complement in psychiatric and neurological diseases and its therapeutic potential.
Main Methods:
- Literature review of complement system functions in immunity and the central nervous system.
- Analysis of complement's role in neurodevelopmental processes like synaptic pruning.
- Evaluation of complement's involvement in neurological and psychiatric disorders.
Main Results:
- Complement mediates synaptic pruning, essential for normal brain development.
- The complement system is implicated in pathological synapse elimination in conditions like schizophrenia and neurodegenerative diseases.
- Complement proteins are involved in neurogenesis and neuronal migration.
Conclusions:
- The complement system has critical roles beyond immunity, significantly impacting brain development and function.
- Dysregulation of complement contributes to synapse loss in various brain disorders.
- Targeting the complement system offers potential therapeutic strategies for neurological and psychiatric conditions.
Abstract:
The complement system consists of more than 30 proteins that have long been known to participate to the immune defence against pathogens and to the removal of damaged cells. Their role, however, extends beyond immunity and clearance of altered "self" components in the periphery. In particular, complement proteins can be induced by all cell types in the brain. Recent discoveries highlight the role of complement in normal and pathological brain development. Specifically, the complement system mediates synaptic pruning, a developmental process whereby supernumerary synapses are eliminated in the immature brain. The complement system has been implicated in pathological synapse elimination in schizophrenia, West Nile virus infection, and lupus, all of which are associated with psychiatric manifestations. Complement also contributes to synapse loss in neurodegenerative conditions. This review provides a brief overview of the well-studied role of complement molecules in immunity. The contribution of complement to embryonic and adult neurogenesis, neuronal migration, and developmental synaptic elimination in the normal brain is reviewed. We discuss the role of complement in synapse loss in psychiatric and neurological diseases and evaluate the therapeutic potential of complement-targeting drugs for brain disorders.
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