# Complement Protein C1q in Atherosclerosis

> **NIH NIH SC3** · CALIFORNIA STATE UNIVERSITY LONG BEACH · 2021 · $110,625

## Abstract

PROJECT SUMMARY
Complement Protein C1q in Atherosclerosis
Atherosclerosis is a chronic inflammatory disorder which in early stages is characterized by the migration of modified
lipoproteins and macrophages into the arterial intima and the formation and apoptosis of macrophage foam cells. In late
stages of disease, inadequate/defective apoptotic foam cell removal by macrophages leads to their secondary necrosis and
plaque formation. Damage to this plaque by pro-inflammatory cytokines, proteases and oxygen radicals can cause rupture
and thrombus formation, and acute clinical complications such as myocardial infarction and ischemic stroke. Thus,
inflammation, macrophages and vascular integrity are key in progression of this disease. Activation of complement has
been shown to contribute to inflammation and exacerbate pathology. However, studies in mice deficient in the first protein
in the classical complement pathway, C1q, suggest that this protein actually has a protective role in the early
atherosclerotic lesion. Innate immune protein C1q is not only able to trigger the inflammatory complement cascade, but is
also a pattern recognition receptor that opsonizes targets and directly interacts with phagocytes and other cells. Interaction
activates responses including phagocytosis of targets such as apoptotic cells or damaged molecules, and modulation of
cytokine and gene expression. Therefore, our central hypothesis is that complement-independent actions of C1q program
protective, anti-atherosclerotic cellular responses in atherosclerosis. Our recent studies have demonstrated C1q
modulation of macrophage inflammatory polarization in vitro and in vivo models of atherosclerosis and identified several
molecular mechanisms involved. These studies provided preliminary data that C1q modulates vascular endothelial
responses in atherosclerosis. In addition, data suggest that C1q increases levels of bioactive oxysterols 24- and 25-
hydroxycholesterol by macrophages in response to hyperlipidemic conditions in vitro and in vivo. The goal of this
project is to broaden our understanding of C1q molecular interactions beyond macrophages to the entire lesional
environment. Specific aims are: 1: Investigate C1q modulation of vascular responses in atherosclerosis. We will test
the hypothesis that C1q reduces monocyte chemotaxis and improves vascular integrity in atherosclerosis. This will be
tested using primary human monocytes and vascular endothelial cells to perform chemotaxis, transendothelial migration
and permeability assays. In addition, a comprehensive exploration of chemokines and adhesion molecules produced by
macrophages and vascular endothelial cells in response to modified LDL in the presence or absence of C1q will be
performed using human cells and in plasma harvested from C1q sufficient and deficient hyperlipidemic mice. Specific
Aim 2: Investigate C1q modulation of lipid metabolism in atherosclerosis. These studies will test the hypothesis that
C1q modu...

## Key facts

- **NIH application ID:** 10117075
- **Project number:** 5SC3GM111146-07
- **Recipient organization:** CALIFORNIA STATE UNIVERSITY LONG BEACH
- **Principal Investigator:** Deborah Ann Fraser
- **Activity code:** SC3 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $110,625
- **Award type:** 5
- **Project period:** 2014-09-05 → 2023-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10117075

## Citation

> US National Institutes of Health, RePORTER application 10117075, Complement Protein C1q in Atherosclerosis (5SC3GM111146-07). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10117075. Licensed CC0.

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