Post-ischemia and reperfusion kidney injury is mitigated in a novel complement 5 knockout rat

Madison McGraw1, Amod Sharma1, Dinesh Bhattarai1

  • 1Department of Pharmacology & Toxicology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Physiological Reports
|November 5, 2025
PubMed

Insights

Researchers developed a novel rat model lacking Complement 5 (C5). These rats showed significantly reduced kidney injury and inflammation after ischemia-reperfusion injury, highlighting C5

Area of Science:

  • Nephrology
  • Immunology
  • Molecular Biology

Background:

  • Ischemia-reperfusion injury (IRI) is a major cause of acute kidney injury (AKI).
  • The complement cascade, particularly Complement 5 (C5), is implicated in IRI pathogenesis.
  • Current pharmacologic inhibition of C5 is incomplete and may not address protein variants.

Purpose of the Study:

  • To generate and characterize a CRISPR/Cas9-mediated global C5 deletion rat model (C5-/-).
  • To evaluate the role of C5 in renal IRI using this novel model.
  • To assess the impact of C5 deficiency on kidney injury, apoptosis, and immune cell response post-IRI.

Main Methods:

  • CRISPR/Cas9 gene editing was used to create C5-/- rats.
  • Baseline characterization of C5-/- rats compared to wild-type (C5+/+) littermates.
  • Renal IRI was induced, and outcomes including kidney function, apoptosis markers, and immune cell infiltration were assessed.

Main Results:

  • C5-/- rats exhibited no baseline differences in growth, blood chemistry, or kidney function.
  • Post-IRI, C5-/- rats showed significantly improved kidney injury and function compared to C5+/+ rats.
  • C5 deficiency led to attenuated apoptosis, altered circulating immune cell composition (increased NK, B, CD8+ T cells), and reduced renal immune cell infiltration.

Conclusions:

  • A functional rodent model for global C5 deletion was successfully generated.
  • C5 plays a significant injury-promoting role in kidney IRI.
  • Targeting C5 represents a promising therapeutic strategy for mitigating kidney IRI.