Clinical and Experimental Immunology, 2013 · DOI: doi:10.1111/cei.12175 · Published: January 1, 2013
The complement system, part of the immune system, can worsen spinal cord injury (SCI). However, recent studies suggest it might also have protective effects, with C5a being a key factor. This study investigates the potential neuroprotective effect of C5a after SCI. The study found that administering C5a 24 hours after SCI in mice improved locomotor function. In vitro experiments showed C5a could prevent nerve cell death (apoptosis) and promote nerve fiber growth. These results suggest C5a has dual roles after SCI, depending on the timing and concentration. This must be considered when using treatments to block complement activation to help regeneration after SCI.
The timing of C5a administration is crucial. Delayed administration post-injury may be beneficial, while early administration could be detrimental.
The concentration of C5a should be carefully controlled to maximize its neuroprotective effects and minimize potential inflammatory responses.
Developing targeted therapies that modulate C5a activity at specific time points after SCI could improve outcomes.