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Updated: Aug 28, 2025

Studying Left Ventricular Reverse Remodeling by Aortic Debanding in Rodents
Published on: July 14, 2021
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.
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.
Abstract:
Failure of the right ventricle plays a critical role in any type of heart failure. However, the mechanism remains unclear, and there is no specific therapy. Here, we show that the right ventricle predominantly expresses alternative complement pathway-related genes, including Cfd and C3aR1. Complement 3 (C3)-knockout attenuates right ventricular dysfunction and fibrosis in a mouse model of right ventricular failure. C3a is produced from C3 by the C3 convertase complex, which includes the essential component complement factor D (Cfd). Cfd-knockout mice also show attenuation of right ventricular failure. Moreover, the plasma concentration of CFD correlates with the severity of right ventricular failure in patients with chronic right ventricular failure. A C3a receptor (C3aR) antagonist dramatically improves right ventricular dysfunction in mice. In summary, we demonstrate the crucial role of the C3-Cfd-C3aR axis in right ventricular failure and highlight potential therapeutic targets for right ventricular failure.
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