Department of Emergency Intensive Care Unit, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Department of General Practice, Xingyang Sishui Central Health Center, Zhengzhou, China.
Front Immunol. 2023 Mar 23;14:1145649. doi: 10.3389/fimmu.2023.1145649. eCollection 2023.
C1q is a crucial component of the complement system, which is activated through the classical pathway to perform non-specific immune functions, serving as the first line of defense against pathogens. C1q can also bind to specific receptors to carry out immune and other functions, playing a vital role in maintaining immune homeostasis and normal physiological functions. In the developing central nervous system (CNS), C1q functions in synapse formation and pruning, serving as a key player in the development and homeostasis of neuronal networks in the CNS. C1q has a close relationship with microglia and astrocytes, and under their influence, C1q may contribute to the development of CNS disorders. Furthermore, C1q can also have independent effects on neurological disorders, producing either beneficial or detrimental outcomes. Most of the evidence for these functions comes from animal models, with some also from human specimen studies. C1q is now emerging as a promising target for the treatment of a variety of diseases, and clinical trials are already underway for CNS disorders. This article highlights the role of C1q in CNS diseases, offering new directions for the diagnosis and treatment of these conditions.
C1q 是补体系统的关键组成部分,通过经典途径激活后执行非特异性免疫功能,作为抵御病原体的第一道防线。C1q 还可以与特定受体结合以发挥免疫和其他功能,在维持免疫内稳态和正常生理功能方面发挥着重要作用。在发育中的中枢神经系统 (CNS) 中,C1q 参与突触形成和修剪,是 CNS 神经元网络发育和内稳态的关键参与者。C1q 与小胶质细胞和星形胶质细胞密切相关,在它们的影响下,C1q 可能有助于 CNS 疾病的发展。此外,C1q 也可能对神经疾病产生独立的影响,产生有益或有害的结果。这些功能的大部分证据来自动物模型,也有一些来自人类标本研究。C1q 现在作为治疗多种疾病的有前途的靶点出现,针对 CNS 疾病的临床试验已经在进行中。本文强调了 C1q 在 CNS 疾病中的作用,为这些疾病的诊断和治疗提供了新的方向。