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Plasma complement proteins as biomarkers and therapeutic targets in chronic kidney disease: a Mendelian randomization
Yu-Peng Xu1,2, Zheng-Qi Song2, Ming-Li Chen1
1Department of Nephrology, The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang, Wenzhou, Zhejiang, China.
Insights
This study identifies specific plasma complement proteins as potential causal factors and biomarkers for Chronic Kidney Disease (CKD). These findings suggest new therapeutic targets for managing CKD and its progression.
Area of Science:
- Immunology
- Nephrology
- Genetics
Background:
- Chronic Kidney Disease (CKD) is a progressive condition with limited treatment options.
- The complement system, a key immune network, is implicated in CKD pathogenesis.
- Identifying reliable biomarkers for CKD onset and progression is crucial for effective management.
Purpose of the Study:
- To investigate the causal role of plasma complement proteins in CKD and its clinical subtypes.
- To discover novel biomarkers for CKD diagnosis and progression.
- To identify potential therapeutic targets within the complement system for CKD.
Main Methods:
- Utilized two-sample Mendelian randomization (MR) to analyze causal relationships.
- Examined 28 plasma complement proteins against CKD outcomes using large-scale genetic datasets (FinnGen R11, CKDgen, 35,559 Icelandic individuals).
- Performed protein-protein interaction and Gene Ontology (GO) enrichment analyses to explore biological pathways.
Main Results:
- Identified 19 plasma complement proteins with causal links to CKD, with 6 remaining significant after correction.
- CR1 and CFD showed significant associations with CKD risk and specific subtypes (membranous and diabetic nephropathy).
- Complement proteins like CD55, C6, CR2, CFHR2, and CFD correlated with indicators of kidney function.
Conclusions:
- Plasma complement proteins serve as promising biomarkers and therapeutic targets for CKD.
- The study highlights the critical role of complement activation in CKD progression.
- Findings support potential clinical applications in early CKD diagnosis, risk stratification, and treatment strategies.
Background:
Chronic Kidney Disease (CKD) is a progressive condition leading to End-Stage Kidney Disease (ESKD). With limited treatment options, identifying biomarkers related to CKD onset and progression is essential. The complement system, an immune network, has shown potential involvement in CKD pathogenesiss. This study investigates the causal role of diverse plasma complement proteins in CKD and its clinical types to discover new biomarkers and therapeutic targets.
Method:
Using two-sample Mendelian randomization (MR), we examined the causal relationships between 28 plasma complement proteins and CKD outcomes. Plasma complement levels were sourced from a genome-wide association studies involving 35,559 Icelandic individuals, CKD outcome sourced from the FinnGen R11 and kidney function indicators sourced from CKDgen. Protein-protein interactions and GO enrichment analyses were used to identify related biological pathways.
Results:
MR analysis identified causal relationships between 19 specific plasma complement proteins and CKD, 6 of which remained significant after false discovery rate correction. In addition, CR1 and CFD were not only found to be risk factors for CKD, but were also determined to be positively correlated with membranous nephropathy and diabetic nephropathy, respectively. CD55, C6, CR2, CFHR2, CFD were also correlated with renal function indicators, highlighting the role of complement proteins in CKD.
Conclusion:
This study supports plasma complement proteins as potential biomarkers and therapeutic targets for CKD. The identified causal associations highlight the relevance of complement activation in CKD progression, suggesting future potential for clinical applications in early diagnosis, risk stratification, and therapeutic intervention.
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