The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventions

Abstract The complement system, comprising over 30 proteins, is integral to the immune system, and the coagulation system is critical for vascular homeostasis. The activation of the complement and coagulation systems involves an organized proteolytic cascade, and the overactivation of these systems...

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Main Authors: Honghong Jiang, Yiming Guo, Qihang Wang, Yiran Wang, Dingchuan Peng, Yigong Fang, Lei Yan, Zhuolin Ruan, Sheng Zhang, Yong Zhao, Wendan Zhang, Wei Shang, Zhichun Feng
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:MedComm
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Online Access:https://doi.org/10.1002/mco2.785
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author Honghong Jiang
Yiming Guo
Qihang Wang
Yiran Wang
Dingchuan Peng
Yigong Fang
Lei Yan
Zhuolin Ruan
Sheng Zhang
Yong Zhao
Wendan Zhang
Wei Shang
Zhichun Feng
author_facet Honghong Jiang
Yiming Guo
Qihang Wang
Yiran Wang
Dingchuan Peng
Yigong Fang
Lei Yan
Zhuolin Ruan
Sheng Zhang
Yong Zhao
Wendan Zhang
Wei Shang
Zhichun Feng
author_sort Honghong Jiang
collection DOAJ
description Abstract The complement system, comprising over 30 proteins, is integral to the immune system, and the coagulation system is critical for vascular homeostasis. The activation of the complement and coagulation systems involves an organized proteolytic cascade, and the overactivation of these systems is a central pathogenic mechanism in several diseases. This review describes the role of complement and coagulation system activation in critical illness, particularly sepsis. The complexities of sepsis reveal significant knowledge gaps that can be compared to a profound abyss, highlighting the urgent need for further investigation and exploration. It is well recognized that the inflammatory network, coagulation, and complement systems are integral mechanisms through which multiple factors contribute to increased susceptibility to infection and may result in a disordered immune response during septic events in patients. Given the overlapping pathogenic mechanisms in sepsis, immunomodulatory therapies currently under development may be particularly beneficial for patients with sepsis who have concurrent infections. Herein, we present recent findings regarding the molecular relationships between the coagulation and complement pathways in the advancement of sepsis, and propose potential intervention targets related to the crosstalk between coagulation and complement, aiming to provide more valuable treatment of sepsis.
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issn 2688-2663
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series MedComm
spelling doaj-art-9aa51146aadd4f388918624762d88ca72024-11-14T16:14:36ZengWileyMedComm2688-26632024-11-01511n/an/a10.1002/mco2.785The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventionsHonghong Jiang0Yiming Guo1Qihang Wang2Yiran Wang3Dingchuan Peng4Yigong Fang5Lei Yan6Zhuolin Ruan7Sheng Zhang8Yong Zhao9Wendan Zhang10Wei Shang11Zhichun Feng12Faculty of Pediatrics, the Seventh Medical Center of Chinese PLA General HospitalNational Engineering Laboratory for Birth Defects Prevention and Control of Key Technology, Beijing Key Laboratory of Pediatric Organ FailureBeijingChinaDepartment of Biological Science, The Dietrich School of Arts and SciencesUniversity of PittsburghPittsburghPennsylvaniaUSADepartment of Obstetrics and GynecologyThe Seventh Medical Center of Chinese PLA General HospitalBeijingChinaDepartment of Obstetrics and GynecologyThe sixth Medical Center of Chinese PLA General HospitalBeijingChinaSchool of MedicineSouth China University of TechnologyGuangzhouChinaInstitute of Acupuncture and MoxibustionChina Academy of Chinese Medical SciencesBeijingChinaFaculty of Pediatrics, the Seventh Medical Center of Chinese PLA General HospitalNational Engineering Laboratory for Birth Defects Prevention and Control of Key Technology, Beijing Key Laboratory of Pediatric Organ FailureBeijingChinaDepartment of Obstetrics and Gynecology,Chinese PLA General HospitalBeijing ChinaFaculty of Pediatrics, the Seventh Medical Center of Chinese PLA General HospitalNational Engineering Laboratory for Birth Defects Prevention and Control of Key Technology, Beijing Key Laboratory of Pediatric Organ FailureBeijingChinaDepartment of Obstetrics and GynecologyThe Seventh Medical Center of Chinese PLA General HospitalBeijingChinaFaculty of Pediatrics, the Seventh Medical Center of Chinese PLA General HospitalNational Engineering Laboratory for Birth Defects Prevention and Control of Key Technology, Beijing Key Laboratory of Pediatric Organ FailureBeijingChinaFaculty of Pediatrics, the Seventh Medical Center of Chinese PLA General HospitalNational Engineering Laboratory for Birth Defects Prevention and Control of Key Technology, Beijing Key Laboratory of Pediatric Organ FailureBeijingChinaFaculty of Pediatrics, the Seventh Medical Center of Chinese PLA General HospitalNational Engineering Laboratory for Birth Defects Prevention and Control of Key Technology, Beijing Key Laboratory of Pediatric Organ FailureBeijingChinaAbstract The complement system, comprising over 30 proteins, is integral to the immune system, and the coagulation system is critical for vascular homeostasis. The activation of the complement and coagulation systems involves an organized proteolytic cascade, and the overactivation of these systems is a central pathogenic mechanism in several diseases. This review describes the role of complement and coagulation system activation in critical illness, particularly sepsis. The complexities of sepsis reveal significant knowledge gaps that can be compared to a profound abyss, highlighting the urgent need for further investigation and exploration. It is well recognized that the inflammatory network, coagulation, and complement systems are integral mechanisms through which multiple factors contribute to increased susceptibility to infection and may result in a disordered immune response during septic events in patients. Given the overlapping pathogenic mechanisms in sepsis, immunomodulatory therapies currently under development may be particularly beneficial for patients with sepsis who have concurrent infections. Herein, we present recent findings regarding the molecular relationships between the coagulation and complement pathways in the advancement of sepsis, and propose potential intervention targets related to the crosstalk between coagulation and complement, aiming to provide more valuable treatment of sepsis.https://doi.org/10.1002/mco2.785coagulationcomplement systemimmune responseinflammatory networksepsis
spellingShingle Honghong Jiang
Yiming Guo
Qihang Wang
Yiran Wang
Dingchuan Peng
Yigong Fang
Lei Yan
Zhuolin Ruan
Sheng Zhang
Yong Zhao
Wendan Zhang
Wei Shang
Zhichun Feng
The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventions
MedComm
coagulation
complement system
immune response
inflammatory network
sepsis
title The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventions
title_full The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventions
title_fullStr The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventions
title_full_unstemmed The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventions
title_short The dysfunction of complement and coagulation in diseases: the implications for the therapeutic interventions
title_sort dysfunction of complement and coagulation in diseases the implications for the therapeutic interventions
topic coagulation
complement system
immune response
inflammatory network
sepsis
url https://doi.org/10.1002/mco2.785
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