The effect of fibronectin on the processing of C1q- and C3b/bi-coated immune complexes by peripheral blood monocytes

In the past several years, it has been demonstrated that plasma fibronectin (Fn) binds to the C1q subunit of the complement system. The effect of Fn on the processing of immune complexes containing C1q and C3b by human peripheral blood monocytes was investigated. Preincubation of monocytes with Fn causes a significant increase in attachment of sheep erythrocytes coated with IgM and C1q (EIg-MC1q), but does not mediate their ingestion. EIg-MC1q attach to the Fn-treated monocytes via the C1q receptor because Fab anti-Fn antibodies do not inhibit their attachment to the monocytes. In addition, Fn-treated monocytes exhibit no change in C1q receptor number or affinity compared with monocytes treated with buffer. Fn mediates the phagocytosis of C3b/bi-coated particles, and C1q can enhance this process in two ways. First, phagocytosis of particles bearing C3b/bi and Fn is enhanced by the presence of C1q on the immune complex. Second, monocytes on Fn-coated surfaces ingest more particles if they are coated with both C3b/bi and C1q, compared with particles coated with either C3b/bi or C1q alone.