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Related Concept Videos

Brain Imaging01:14

Brain Imaging

Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans),  magnetic resonance imaging (MRI),  functional magnetic resonance imaging (fMRI), and Transcranial Magnetic Stimulation (TMS).

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Complement component C4 and neuroimaging in psychiatry: A systematic review.

Chabert Jonathan1, Laidi Charles2, Caseras Xavier3

  • 1Hôpitaux Universitaires Henri Mondor (AP-HP), Département Médico-Universitaire de Psychiatrie et d'Addictologie (DMU IMPACT), Université Paris Est Créteil (UPEC), INSERM U955, IMRB, Laboratoire de Neuro-Psychiatrie Translationnelle, F-94010 Créteil, France.

Brain, Behavior, and Immunity
|June 18, 2026
PubMed
Summary

This review found that higher complement C4A protein levels are linked to smaller entorhinal cortex size in general populations. Associations with other brain regions and psychiatric disorders were inconsistent, suggesting complex neurodevelopmental impacts.

Keywords:
C4Complement componentsMental illnessNeuroimagingSchizophreniaSynaptic pruning

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Genetics

Background:

  • The complement system, particularly C4A protein levels, is implicated in psychiatric disorders via neurodevelopmental pathways.
  • Variations in C4A protein are suggested to influence brain structure and connectivity.

Purpose of the Study:

  • To systematically review how brain micro- and macrostructure, and connectivity, are associated with in vivo brain C4A protein levels.
  • To examine these associations in both psychiatric and general-population cohorts.

Main Methods:

  • A systematic literature search was conducted across Medline, Web of Science, and Embase.
  • Studies included individuals with psychiatric disorders or healthy controls, utilized MRI neuroimaging, and employed genomic, transcriptomic, or proteomic C4A proxies.
  • Eleven studies met the inclusion criteria for analysis.

Main Results:

  • Associations between C4A levels and brain structure were heterogeneous across regions.
  • Higher C4A levels were consistently linked to smaller entorhinal cortex surface area and cortical thickness in general populations.
  • Findings for medial orbitofrontal cortex (mOFC) and dorsolateral prefrontal cortex (dlPFC) varied by metrics and clinical status.

Conclusions:

  • The limited number of studies and methodological heterogeneity complicate definitive conclusions.
  • Hypotheses include excessive synaptic pruning or inflammatory effects on the brain to explain observed associations.
  • Further research is needed to clarify the role of C4A in brain development and psychiatric disorders.