Evidence map›Paper›PMID 37499656›Full record

ArticleImmunity2023

Cell-autonomous regulation of complement C3 by factor H limits macrophage efferocytosis and exacerbates atherosclerosis.

Máté G Kiss, Nikolina Papac-Miličević, Florentina Porsch, Dimitrios Tsiantoulas, Tim Hendrikx, Minoru Takaoka, Huy Q Dinh, Marie-Sophie Narzt, Laura Göderle, Mária Ozsvár-Kozma and 14 more

Open access · greenAbstract read
In one paragraph

Article in Immunity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
10.2field-weighted citation impact, top 1% 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

49 citing papers in PubMed, 62 citations in OpenAlex.

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  19. Emerging roles for complement in lung transplantation.The Journal of clinical investigation · 2025
    Review
  20. Inside job: Roles of intracellular C3.The Journal of allergy and clinical immunology · 2025
    Review
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

24 authors at 10 institutions in 5 countries.

Máté G KissDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria. Electronic address: mate.kiss@mssm.edu.
Nikolina Papac-MiličevićDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Florentina PorschDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Dimitrios TsiantoulasDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria; Division of Cardiovascular Medicine, Department of Medicine, University of Cambridge, Cambridge, UK.
Tim HendrikxDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Minoru TakaokaDivision of Cardiovascular Medicine, Department of Medicine, University of Cambridge, Cambridge, UK.
Huy Q DinhMcArdle Laboratory for Cancer Research, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA.
Marie-Sophie NarztDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Laura GöderleDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Mária Ozsvár-KozmaDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Michael SchusterCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Nikolaus FortelnyCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria; Department of Biosciences and Medical Biology, University of Salzburg, Salzburg, Austria.
Anastasiya HladikDepartment of Medicine I, Laboratory of Infection Biology, Medical University of Vienna, Vienna, Austria.
Sylvia KnappDepartment of Medicine I, Laboratory of Infection Biology, Medical University of Vienna, Vienna, Austria.
Florian GruberDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Matthew C PickeringCentre for Inflammatory Disease, Imperial College, London, UK.
Christoph BockCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria; Medical University of Vienna, Institute of Artificial Intelligence, Center for Medical Data Science, Vienna, Austria.
Filip K SwirskiCardiovascular Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Klaus LeyImmunology Center of Georgia, Augusta University, Augusta, GA, USA.
Alma ZerneckeInstitute of Experimental Biomedicine, University Hospital Würzburg, Würzburg, Germany.
Clément CochainInstitute of Experimental Biomedicine, University Hospital Würzburg, Würzburg, Germany; Comprehensive Heart Failure Center Würzburg, University Hospital Würzburg, Würzburg, Germany.
Claudia KemperInflammation Research Section, National Heart, Lung and Blood Institute, Bethesda, MD 20892, USA.
Ziad MallatDivision of Cardiovascular Medicine, Department of Medicine, University of Cambridge, Cambridge, UK; Institut National de la Santé et de la Recherche Médicale, Paris Cardiovascular Research Center, Paris, France.
Christoph J BinderDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria; CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria. Electronic address: christoph.binder@meduniwien.ac.at.
Medical University of Vienna · ATAustrian Academy of Sciences · ATUniversitätsklinikum Würzburg · DEUniversity of Cambridge · GBAugusta University Health · USIcahn School of Medicine at Mount Sinai · USImperial College London · GBInserm · FRNational Heart Lung and Blood Institute · USUniversity of Wisconsin–Madison · US

Funding

Vascular macrophages and T cells in atherosclerosisR35HL145241 · NHLBI · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI LEY, KLAUS F. · 2019 to 2025
$5.9M
The role of the intracellular complement system - the complosome - in monocytesZIAHL006222 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI KEMPER, CLAUDIA · 2017 to 2025
$3.2M
British Heart Foundation CH/10/001/27642Intramural NIH HHS Z99 HL999999NHLBI NIH HHS R35 HL145241
6 · The paper itself

Abstract

Complement factor H (CFH) negatively regulates consumption of complement component 3 (C3), thereby restricting complement activation. Genetic variants in CFH predispose to chronic inflammatory disease. Here, we examined the impact of CFH on atherosclerosis development. In a mouse model of atherosclerosis, CFH deficiency limited plaque necrosis in a C3-dependent manner. Deletion of CFH in monocyte-derived inflammatory macrophages propagated uncontrolled cell-autonomous C3 consumption without downstream C5 activation and heightened efferocytotic capacity. Among leukocytes, Cfh expression was restricted to monocytes and macrophages, increased during inflammation, and coincided with the accumulation of intracellular C3. Macrophage-derived CFH was sufficient to dampen resolution of inflammation, and hematopoietic deletion of CFH in atherosclerosis-prone mice promoted lesional efferocytosis and reduced plaque size. Furthermore, we identified monocyte-derived inflammatory macrophages expressing C3 and CFH in human atherosclerotic plaques. Our findings reveal a regulatory axis wherein CFH controls intracellular C3 levels of macrophages in a cell-autonomous manner, evidencing the importance of on-site complement regulation in the pathogenesis of inflammatory diseases.

Indexed as

AtherosclerosisComplement C3AnimalsComplement Factor HHumansInflammationMacrophagesMiceC3 protein, mouseComplement C3Complement Factor Hatherosclerosiscell-autonomous complementcomplement factor Hcomplement protein C3efferocytosisinflammationlocal complement productionmacrophagesplaque necrosis

Identifiers

PMID37499656
PMCPMC10529786
OpenAlexW4385271312

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.