Inhibition of classical complement activation attenuates liver ischaemia and reperfusion injury in a rat model

Clin Exp Immunol. 2006 Jan;143(1):15-23. doi: 10.1111/j.1365-2249.2005.02958.x.

Abstract

Activation of the complement system contributes to the pathogenesis of ischaemia/reperfusion (I/R) injury. We evaluated inhibition of the classical pathway of complement using C1-inhibitor (C1-inh) in a model of 70% partial liver I/R injury in male Wistar rats (n = 35). C1-inh was administered at 100, 200 or 400 IU/kg bodyweight, 5 min before 60 min ischaemia (pre-I) or 5 min before 24 h reperfusion (end-I). One hundred IU/kg bodyweight significantly reduced the increase of plasma levels of activated C4 as compared to albumin-treated control rats and attenuated the increase of alanine aminotransferase (ALT). These effects were not better with higher doses of C1-inh. Administration of C1-inh pre-I resulted in lower ALT levels and higher bile secretion after 24 h of reperfusion than administration at end-I. Immunohistochemical assessment indicated that activated C3, the membrane attack complex C5b9 and C-reactive protein (CRP) colocalized in hepatocytes within midzonal areas, suggesting CRP is a mediator of I/R-induced, classical complement activation in rats. Pre-ischaemic administration of C1-inh is an effective pharmacological intervention to protect against liver I/R injury.

MeSH terms

  • Alanine Transaminase / blood
  • Animals
  • Bile / metabolism
  • Biomarkers / blood
  • C-Reactive Protein / analysis
  • Complement C1 Inhibitor Protein / therapeutic use*
  • Complement C3a / analysis
  • Complement C4a / analysis
  • Complement Membrane Attack Complex
  • Complement Pathway, Classical / drug effects*
  • Complement System Proteins / analysis
  • Drug Administration Schedule
  • Enzyme-Linked Immunosorbent Assay
  • Glycoproteins / analysis
  • Histocytochemistry / methods
  • Ischemia / immunology
  • Ischemia / physiopathology
  • Ischemia / prevention & control*
  • Liver / blood supply*
  • Liver / metabolism
  • Male
  • Rats
  • Rats, Wistar

Substances

  • Biomarkers
  • Complement C1 Inhibitor Protein
  • Complement Membrane Attack Complex
  • Glycoproteins
  • SC5b-9 protein complex
  • Complement C3a
  • Complement C4a
  • Complement System Proteins
  • C-Reactive Protein
  • Alanine Transaminase