Human Heart Generates Complement Proteins That Are Upregulated and Activated After Myocardial Infarction

In human heart, we detected mRNAs and proteins for C1q, C1r, C1s, C2, C3, C4, C5, C6, C7, C8, and C9 with the use of reverse transcriptase-polymerase chain reaction, Western blotting, and immunohistochemical techniques. We found an upregulation of both mRNAs and proteins in areas of recent and old m...

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Veröffentlicht in:Circulation research 1998-10, Vol.83 (8), p.860-869
Hauptverfasser: Yasojima, Koji, Schwab, Claudia, McGeer, Edith G, McGeer, Patrick L
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container_end_page 869
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container_title Circulation research
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creator Yasojima, Koji
Schwab, Claudia
McGeer, Edith G
McGeer, Patrick L
description In human heart, we detected mRNAs and proteins for C1q, C1r, C1s, C2, C3, C4, C5, C6, C7, C8, and C9 with the use of reverse transcriptase-polymerase chain reaction, Western blotting, and immunohistochemical techniques. We found an upregulation of both mRNAs and proteins in areas of recent and old myocardial infarctions. In both situations, the classical complement pathway was activated, with C4d, C3d, and the membrane attack complex (C5b-9) being deposited on damaged cardiac myocytes. These activated complement components were also identified on Western blots of infarcted tissue. Complement mRNAs in infarcted heart tissue were higher than those in liver, and liver complement mRNAs were not upregulated in cases with infarcted hearts. Our results establish that (1) complement proteins are endogenously produced by human heart; (2) the classical complement pathway is fully activated after myocardial infarction; (3) complement activation is directly involved in myocardial damage after ischemic insults; and (4) damage from complement activation may be chronically sustained. These data suggest that inhibition of the complement system should be effective in treating myocardial infarction. (Circ Res. 1998;83:860-869.)
doi_str_mv 10.1161/01.RES.83.8.860
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We found an upregulation of both mRNAs and proteins in areas of recent and old myocardial infarctions. In both situations, the classical complement pathway was activated, with C4d, C3d, and the membrane attack complex (C5b-9) being deposited on damaged cardiac myocytes. These activated complement components were also identified on Western blots of infarcted tissue. Complement mRNAs in infarcted heart tissue were higher than those in liver, and liver complement mRNAs were not upregulated in cases with infarcted hearts. Our results establish that (1) complement proteins are endogenously produced by human heart; (2) the classical complement pathway is fully activated after myocardial infarction; (3) complement activation is directly involved in myocardial damage after ischemic insults; and (4) damage from complement activation may be chronically sustained. These data suggest that inhibition of the complement system should be effective in treating myocardial infarction. 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Vascular system ; Complement System Proteins - analysis ; Complement System Proteins - genetics ; Complement System Proteins - metabolism ; Coronary heart disease ; DNA Primers ; Female ; Gene Expression ; Heart ; Humans ; Immunohistochemistry ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - metabolism ; Myocardium - chemistry ; Myocardium - metabolism ; Reverse Transcriptase Polymerase Chain Reaction ; RNA, Messenger - metabolism</subject><ispartof>Circulation research, 1998-10, Vol.83 (8), p.860-869</ispartof><rights>1998 American Heart Association, Inc.</rights><rights>1998 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. 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We found an upregulation of both mRNAs and proteins in areas of recent and old myocardial infarctions. In both situations, the classical complement pathway was activated, with C4d, C3d, and the membrane attack complex (C5b-9) being deposited on damaged cardiac myocytes. These activated complement components were also identified on Western blots of infarcted tissue. Complement mRNAs in infarcted heart tissue were higher than those in liver, and liver complement mRNAs were not upregulated in cases with infarcted hearts. Our results establish that (1) complement proteins are endogenously produced by human heart; (2) the classical complement pathway is fully activated after myocardial infarction; (3) complement activation is directly involved in myocardial damage after ischemic insults; and (4) damage from complement activation may be chronically sustained. These data suggest that inhibition of the complement system should be effective in treating myocardial infarction. 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We found an upregulation of both mRNAs and proteins in areas of recent and old myocardial infarctions. In both situations, the classical complement pathway was activated, with C4d, C3d, and the membrane attack complex (C5b-9) being deposited on damaged cardiac myocytes. These activated complement components were also identified on Western blots of infarcted tissue. Complement mRNAs in infarcted heart tissue were higher than those in liver, and liver complement mRNAs were not upregulated in cases with infarcted hearts. Our results establish that (1) complement proteins are endogenously produced by human heart; (2) the classical complement pathway is fully activated after myocardial infarction; (3) complement activation is directly involved in myocardial damage after ischemic insults; and (4) damage from complement activation may be chronically sustained. These data suggest that inhibition of the complement system should be effective in treating myocardial infarction. 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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Blotting, Western
Cardiology. Vascular system
Complement System Proteins - analysis
Complement System Proteins - genetics
Complement System Proteins - metabolism
Coronary heart disease
DNA Primers
Female
Gene Expression
Heart
Humans
Immunohistochemistry
Male
Medical sciences
Middle Aged
Myocardial Infarction - metabolism
Myocardium - chemistry
Myocardium - metabolism
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - metabolism
title Human Heart Generates Complement Proteins That Are Upregulated and Activated After Myocardial Infarction
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