Complement and Coagulation System Crosstalk in Synaptic and Neural Conduction in the Central and Peripheral Nervous
Shani Berkowitz1,2, Joab Chapman1,2,3,4, Amir Dori1,2,5
1Department of Neurology, The Chaim Sheba Medical Center, Ramat Gan 5266202, Israel.
Insights
The complement and coagulation systems defend the body and interact within the nervous system. Modulating their crosstalk may offer new treatments for neuroinflammation.
Area of Science:
- Neuroscience
- Immunology
- Hematology
Background:
- Complement and coagulation systems are vital for bodily defense.
- These systems share activation pathways and exhibit crosstalk.
- Both systems have components within the central and peripheral nervous systems.
Purpose of the Study:
- To review the roles of complement and coagulation in the CNS and PNS.
- To explore the crosstalk between these systems in neuroinflammation.
- To discuss potential therapeutic strategies targeting this crosstalk.
Main Methods:
- Literature review of current evidence.
- Analysis of physiological and pathophysiological roles.
- Exploration of neuroinflammatory mechanisms.
Main Results:
- Complement and coagulation influence neuronal development and synaptic plasticity.
- Upregulated factors in these systems modulate synaptic transmission and neuronal conduction during disease.
- Significant crosstalk exists between complement and coagulation in neuroinflammatory contexts.
Conclusions:
- The complement and coagulation systems play critical roles in nervous system function and dysfunction.
- Their interplay contributes to neuroinflammation, affecting synaptic transmission and neuronal conduction.
- Targeting the crosstalk between complement and coagulation presents a promising therapeutic avenue for CNS and PNS disorders.
Abstract:
Complement and coagulation are both key systems that defend the body from harm. They share multiple features and are similarly activated. They each play individual roles in the systemic circulation in physiology and pathophysiology, with significant crosstalk between them. Components from both systems are mapped to important structures in the central nervous system (CNS) and peripheral nervous system (PNS). Complement and coagulation participate in critical functions in neuronal development and synaptic plasticity. During pathophysiological states, complement and coagulation factors are upregulated and can modulate synaptic transmission and neuronal conduction. This review summarizes the current evidence regarding the roles of the complement system and the coagulation cascade in the CNS and PNS. Possible crosstalk between the two systems regarding neuroinflammatory-related effects on synaptic transmission and neuronal conduction is explored. Novel treatment based on the modulation of crosstalk between complement and coagulation may perhaps help to alleviate neuroinflammatory effects in diseased states of the CNS and PNS.
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