Complement inhibition accelerates regeneration in a model of peripheral nerve injury

Mol Immunol. 2009 Dec;47(2-3):302-9. doi: 10.1016/j.molimm.2009.09.019. Epub 2009 Oct 14.

Abstract

Complement (C) activation is a crucial event in peripheral nerve degeneration but its effect on the subsequent regeneration is unknown. Here we show that genetic deficiency of the sixth C component, C6, accelerates axonal regeneration and recovery in a rat model of sciatic nerve injury. Foot-flick test and Sciatic Function Index monitored up to 5 weeks post-injury showed a significant improvement of sensory and motor function in the C6 deficient animals compared to wildtypes. Retrograde tracing experiments showed a significantly higher number of regenerated neurons at 1 week post-injury in C6 deficient rats than wildtypes. Pathology showed improved nerve regeneration in tibials of C6 deficient animals compared to wildtypes. Reconstitution with purified human C6 protein re-established the wildtype phenotype whereas pharmacological inhibition of C activation with soluble C receptor 1 (sCR1) facilitated recovery and improved pathology similarly to C6 deficient animals. We suggest that a destructive C-mediated event during nerve degeneration hampers the subsequent regenerative process. These findings provide a rationale for the testing of anti-complement agents in human nerve injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Complement Activation / immunology
  • Complement C6 / antagonists & inhibitors*
  • Complement C6 / immunology
  • Disease Models, Animal
  • Gene Expression Profiling
  • Hemolysis / immunology
  • Humans
  • Nerve Regeneration / genetics
  • Nerve Regeneration / immunology*
  • Peripheral Nerve Injuries*
  • Peripheral Nerves / immunology*
  • Peripheral Nerves / physiopathology
  • Peripheral Nerves / ultrastructure
  • Rats
  • Receptors, Complement / blood
  • Receptors, Complement / immunology
  • Recovery of Function

Substances

  • Complement C6
  • Receptors, Complement
  • soluble complement inhibitor 1