Evidence map›Paper›PMID 27782327›Full record

ReviewImmunological reviews2016

Evolution of the complement system: from defense of the single cell to guardian of the intravascular space.

Michelle Elvington, M Kathryn Liszewski, John P Atkinson

Open access · greenAbstract readReview
In one paragraph

Review in Immunological reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. The neuroimmune system and cognition.Nature immunology · 2026
    Review
  3. Article
  4. Review
  5. C3 inFrontiers in cellular and infection microbiology · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Emerging roles for complement in lung transplantation.The Journal of clinical investigation · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. The Complement System.Advances in experimental medicine and biology · 2025
    Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Michelle ElvingtonDepartment of Internal Medicine, Division of Rheumatology, Washington University School of Medicine, Saint Louis, MO, USA.
M Kathryn LiszewskiDepartment of Internal Medicine, Division of Rheumatology, Washington University School of Medicine, Saint Louis, MO, USA.
John P AtkinsonDepartment of Internal Medicine, Division of Rheumatology, Washington University School of Medicine, Saint Louis, MO, USA. j.p.atkinson@wustl.edu.
Washington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Viral Discovery in Rheumatoid ArthritisP30AR048335 · NIAMS · WASHINGTON UNIVERSITY · PI WEIHL, CONRAD C · 2001 to 2015
$8.9M
TRAINING IN THE IMMUNOLOGY OF RHEUMATIC DISEASEST32AR007279 · NIAMS · WASHINGTON UNIVERSITY · PI Megan Anne Cooper, Deborah J Lenschow · 1986 to 2026
$6.0M
Complement Receptor One (CRI): Structure/FunctionR01AI041592 · NIAID · WASHINGTON UNIVERSITY · PI ATKINSON, JOHN · 1997 to 2013
$3.9M
INTRACELLULAR C3 PROTEINS: SOURCE, COMPOSITION, TRAFFICKING AND FUNCTIONR01GM099111 · NIGMS · WASHINGTON UNIVERSITY · PI ATKINSON, JOHN · 2011 to 2019
$2.7M
NCATS NIH HHS UL1 TR000448NIAID NIH HHS R01 AI041592NIAMS NIH HHS P30 AR048335NIAMS NIH HHS T32 AR007279NIGMS NIH HHS R01 GM099111
6 · The paper itself

Abstract

The complement system is an evolutionarily ancient component of immunity that revolves around the central component C3. With the recent description of intracellular C3 stores in many types of human cells, our view of the complement system has expanded. In this article, we hypothesize that a primitive version of C3 comprised the first element of the original complement system and initially functioned intracellularly and on the membrane of single-celled organisms. With increasing specialization and multicellularity, C3 evolved a secretory capacity that allowed it to play a protective role in the interstitial space. Upon development of a pumped circulatory system, C3 was synthesized in large amounts and secreted by the liver to protect the intravascular space. Recent discoveries of intracellular C3 activation, a C3-based recycling pathway and C3 being a driver and programmer of cell metabolism suggest that the complement system utilizes C3 to guard not only extracellular but also the intracellular environment. We predict that the major functions of C3 in all four locations (i.e. intracellular, membrane, interstitium and circulation) are similar: opsonization, membrane perturbation, triggering inflammation, and metabolic reprogramming.

Indexed as

Biological EvolutionAnimalsBlood VesselsCell MembraneComplement ActivationComplement C3Extracellular SpaceHumansImmunityInflammationIntracellular SpaceLiverModels, ImmunologicalComplement C3C3C3 recyclingevolutionintracellular complement system

Identifiers

PMID27782327
PMCPMC5108576
OpenAlexW2544634307

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.