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Updated: Aug 14, 2026

Methods for Quantitative Detection of Antibody-induced Complement Activation on Red Blood Cells
Published on: January 29, 2014
Antibody-independent activation of the complement system by mitochondria is mediated by cardiolipin
M C Peitsch1, J Tschopp, A Kress
1Institute of Biochemistry, University of Lausanne, Switzerland.
Insights
Heart mitochondria activate complement component 1 (C1) primarily through cardiolipin, a phospholipid. This non-immune activation pathway is crucial for understanding mitochondrial interactions.
Area of Science:
- Immunology
- Biochemistry
- Cell Biology
Background:
- The first component of complement (C1) plays a role in both immune and non-immune pathways.
- Mitochondria, particularly the heart mitochondrial inner membrane, contain phospholipids like cardiolipin that may interact with complement proteins.
Purpose of the Study:
- To investigate the non-immune activation of C1 by the heart mitochondrial inner membrane.
- To determine the specific components responsible for C1 activation by mitochondria.
Main Methods:
- Investigated C1 activation by heart mitochondrial inner membrane fractions.
- Compared C1 activation by protein and phospholipid fractions.
- Assessed the effect of proteolytic digestion on mitochondrial C1 activation.
- Conducted competition experiments using cardiolipin-binding molecules (mt-CPK, adriamycin) and C1q.
Main Results:
- The phospholipid fraction of heart mitochondrial inner membranes strongly activated C1.
- Mitochondrial proteins showed weak C1 activation.
- Proteolytic digestion did not inhibit C1 activation by mitochondrial membranes.
- Cardiolipin-binding agents (mt-CPK, adriamycin) displaced C1q from mitochondria, and C1q displaced mt-CPK.
Conclusions:
- Cardiolipin is the primary activator of C1 in the heart mitochondrial inner membrane.
- Mitochondrial cardiolipin is responsible for the non-immune activation of C1 by heart mitochondria.
- These findings highlight a novel interaction between mitochondrial components and the complement system.
Abstract:
Non-immune activation of the first component of complement (C1) by the heart mitochondrial inner membrane has been investigated. Cardiolipin, the only strong activator of C1 among phospholipids, is present in large amounts in the heart mitochondrial inner membrane. We therefore studied its contribution to C1 activation by mitochondria. The proteins of the mitochondrial inner membrane were found to activate C1 only weakly, in contrast with the phospholipid fraction which induces strong C1 activation. Furthermore, the digestion of mitochondrial inner membranes with proteolytic enzymes did not affect C1 activation. Additional support in favour of cardiolipin being the responsible activator came from competition experiments with mitochondrial creatine kinase (mt-CPK) and adriamycin, known to bind to cardiolipin. Both mt-CPK and adriamycin displaced C1q from the mitochondrial inner membrane. In addition, C1q displaced mt-CPK bound to mitoplasts.
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