The complement C3-complement factor D-C3a receptor signalling axis regulates cardiac remodelling in right ventricular

Shogo Ito1,2, Hisayuki Hashimoto1,3, Hiroyuki Yamakawa1,3

  • 1Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Nature Communications
|September 15, 2022
PubMed

Insights

The alternative complement pathway, specifically the C3-Cfd-C3aR axis, is crucial in right ventricular failure. Targeting this pathway offers potential new therapies for heart failure.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Molecular Medicine

Background:

  • Right ventricular failure is a critical component of heart failure with unclear mechanisms and limited specific therapies.
  • The alternative complement pathway, involving complement factor D (Cfd) and C3a receptor 1 (C3aR1), is implicated in cardiac function.

Purpose of the Study:

  • To investigate the role of the alternative complement pathway in right ventricular failure.
  • To identify potential therapeutic targets for right ventricular dysfunction.

Main Methods:

  • Gene expression analysis of right ventricular tissue.
  • Utilizing C3-knockout and Cfd-knockout mouse models of right ventricular failure.
  • Administering a C3a receptor antagonist in mouse models.
  • Correlating plasma Cfd levels with disease severity in human patients.

Main Results:

  • Right ventricles predominantly express alternative complement pathway genes (Cfd, C3aR1).
  • C3 and Cfd knockout attenuated right ventricular dysfunction and fibrosis in mice.
  • Plasma Cfd concentration correlated with right ventricular failure severity in patients.
  • C3a receptor antagonism significantly improved right ventricular function in mice.

Conclusions:

  • The C3-Cfd-C3aR axis plays a critical role in the pathogenesis of right ventricular failure.
  • This pathway represents a promising therapeutic target for treating right ventricular failure and associated heart conditions.

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