Localization of the terminal C5b-9 complement complex in the human aortic atherosclerotic wall
Related Experiment Video
Updated: Aug 15, 2026

Quantitative Analysis and Characterization of Atherosclerotic Lesions in the Murine Aortic Sinus
Published on: December 7, 2013
Insights
The terminal C5b-9 complement complex was found in fibrous plaques, suggesting its role in atherosclerosis progression. Fatty streaks lacked these deposits, indicating C5b-9 is specific to advanced lesions.
Area of Science:
- Immunology
- Cardiovascular Pathology
- Atherosclerosis Research
Background:
- Atherosclerosis involves complex inflammatory processes.
- The role of the complement system in lesion development is not fully understood.
Purpose of the Study:
- To investigate the presence and localization of the terminal C5b-9 complement complex in human atherosclerotic plaques.
- To determine if C5b-9 deposition correlates with plaque morphology and other immune markers.
Main Methods:
- Indirect immunofluorescence and immunoperoxidase staining were used.
- Analysis was performed on aortic fibrous plaques and fatty streaks.
Main Results:
- Terminal C5b-9 deposits were identified in fibrous plaques, often associated with IgG, IgA, IgM, Clq, C3c, and C4.
- Fatty streaks showed no detectable C5b-9 or complement component deposits.
Conclusions:
- The presence of assembled C5b-9 in fibrous plaques suggests complement activation is involved in atherosclerotic lesion progression.
- C5b-9 deposition is specific to more advanced atherosclerotic lesions, unlike early fatty streaks.
Abstract:
The terminal C5b-9 complement complex was investigated in 15 aortic, 2 femoral fibrous plaques and 5 fatty streaks aortic intimae using indirect immunofluorescence and immunoperoxidase. All the fibrous plaques presented C5b-9 deposit-like threads in the fibrous cap and masses in the amorphous areas of the plaque. The deposits were frequently associated with other immune-related proteins such as: IgG, IgA, IgM, Clq, C3c and C4 which were simultaneously investigated. Fatty streaks intimae presented no C5b-9 and complement component deposits. Whereas the demonstration of the complement components could merely reflect a non-specific trapping, the presence of assembled C5b-9 in the damaged tissue is more indicative of the involvement of complement activation in the progression of atherosclerotic lesions.
Related Concept Videos
Inflammation
Coronary Artery Disease II: Pathophysiology
Atherosclerosis I: Introduction
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Peripheral Artery Disease I: Introduction
Aneurysm I: Introduction

