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Updated: Jun 13, 2025

Multiphoton Intravital Imaging for Monitoring Leukocyte Recruitment during Arteriogenesis in a Murine Hindlimb Model
Published on: September 30, 2021
The Complement System Is Essential for Arteriogenesis by Enhancing Sterile Inflammation as a Relevant Step in
Amanda Zhu1,2, Carolin Baur1,2, Philipp Götz1,2
1Institute of Surgical Research at the Walter Brendel Centre of Experimental Medicine, University Hospital, Ludwig-Maximilians-Universität München, 81377 Munich, Germany.
Insights
Complement component C3 is crucial for arteriogenesis, the growth of collateral arteries. Its deficiency impairs blood flow recovery by reducing inflammatory M1-like macrophages and monocyte chemoattractant protein-1 (MCP-1) expression.
Area of Science:
- Cardiovascular Biology
- Immunology
- Inflammation Research
Background:
- Arteriogenesis is an inflammatory process involving collateral artery growth to bypass occluded arteries.
- The complement system component C3 is a known inflammatory activator.
Purpose of the Study:
- To investigate the role of complement C3 in arteriogenesis using a murine hindlimb model.
- To determine the impact of C3 deficiency on collateral artery growth and associated inflammatory responses.
Main Methods:
- Utilized C3-deficient (C3 -/-) and wildtype mice in a femoral artery ligation model.
- Assessed perfusion recovery using Laser Doppler imaging.
- Analyzed vascular cell proliferation, macrophage recruitment and polarization (CD68+, M1-like), and gene expression (MCP-1) via immunofluorescence and RT-qPCR.
Main Results:
- C3 -/- mice exhibited significantly reduced perfusion recovery and vascular cell proliferation.
- Monocyte chemoattractant protein-1 (MCP-1) expression was significantly lower in C3 -/- mice.
- While total macrophage recruitment was unaffected, C3 deficiency led to a reduction in M1-like polarized macrophages.
- Administration of Compound 48/80 or MCP-1 rescued M1-like macrophage numbers and improved perfusion in C3 -/- mice.
Conclusions:
- Complement C3 plays a critical role in arteriogenesis by promoting MCP-1 expression.
- MCP-1 is essential for inducing and enhancing sterile inflammation required for effective collateral artery growth.
- Targeting the C3-mediated inflammatory pathway could be a therapeutic strategy for improving blood flow in ischemic conditions.
Abstract:
Arteriogenesis is an inflammatory driven mechanism, describing the growth of a natural bypass from pre-existing collateral arteries to compensate for an occluded artery. The complement system component C3 is a potent natural inflammatory activator. Here, we investigated its impact on the process of collateral artery growth using C3-deficient (C3 -/-) and wildtype control mice in a murine hindlimb model of arteriogenesis. Induction of arteriogenesis by unilateral femoral artery ligation resulted in decreased perfusion recovery in C3 -/- mice on day 7 as shown by Laser Doppler imaging. Immunofluorescence staining revealed a reduced vascular cell proliferation in C3 -/- mice. Gene expression analysis displayed a significant reduction in monocyte chemoattractant protein-1 (MCP-1) expression in C3 -/- mice. Interestingly, 3 days after induction of arteriogenesis, the number of macrophages (CD68+) recruited to growing collaterals was not affected by C3 deficiency. However, a significant reduction in inflammatory M1-like polarized macrophages (CD68+/MRC1-) was noted. Forced mast cell activation by Compound 48/80 as well as exogenous MCP-1 application rescued the number of M1-like polarized macrophages along with perfusion recovery in C3 -/- mice. In summary, this study demonstrates that complement C3 influences arteriogenesis by mediating MCP-1 expression, which is essential for the induction and enhancement of sterile inflammation.
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