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Updated: Aug 11, 2025

Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
The role of complement C3 in the outcome of regional myocardial infarction
Zhou Fang1, Xiang Li1, Junying Liu1
1Department of Anesthesiology, USA.
Insights
Complement C3 deficiency reduces heart damage and fibrosis after myocardial ischemia/reperfusion injury. This suggests C3 inhibition could be a therapeutic strategy for heart failure.
Area of Science:
- Cardiovascular Science
- Immunology
- Pathophysiology
Background:
- Coronary heart disease and myocardial ischemia are primary causes of heart failure.
- Myocardial fibrosis is a key characteristic of heart failure.
- The complement system, particularly C3, is implicated in inflammatory responses.
Purpose of the Study:
- To investigate the role of complement C3 in myocardial ischemia/reperfusion injury (IRI).
- To determine the impact of C3 deficiency on cardiac fibrosis and function post-IRI.
Main Methods:
- Utilized a murine model of myocardial IRI.
- Compared wild-type (WT) mice with mice genetically deficient in C3 (C3-/-).
- Assessed myocardial necrosis, cardiac fibrosis, and cardiac function four weeks after IRI.
Main Results:
- C3-/- mice exhibited reduced myocardial necrosis compared to WT mice following IRI.
- Four weeks post-ischemia, C3-/- mice showed significantly less cardiac fibrosis.
- C3-/- mice demonstrated better cardiac function compared to WT controls.
Conclusions:
- The innate immune response mediated by complement C3 contributes to necrotic cell death after IRI.
- C3 plays a significant role in the development of cardiac fibrosis.
- Targeting complement C3 may offer a therapeutic approach to mitigate post-infarction heart failure.
Abstract:
Coronary heart disease leading to myocardial ischemia is a major cause of heart failure. A hallmark of heart failure is myocardial fibrosis. Using a murine model of myocardial ischemia/reperfusion injury (IRI), we showed that, following IRI, in mice genetically deficient in the central factor of complement system, C3, myocardial necrosis was reduced compared with WT mice. Four weeks after the ischemic period, the C3-/- mice had significantly less cardiac fibrosis and better cardiac function than the WT controls. Overall, our results suggest that innate immune response through complement C3 plays an important role in necrotic cell death, which contributes to the cardiac fibrosis that underlies post-infarction heart failure.
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