
This study is the first to demonstrate that C1q can be specifically recognized not only in the solid phase but also in the soluble phase by anti-C1q antibodies, with distinct epitopes exposed in different conformations. This finding provides new insights into the role of C1q in autoimmunity and enhances understanding of its immunopathological relevance in SLE.
Literature Overview
The article titled 'C1q Is Recognized as a Soluble Autoantigen by Anti-C1q Antibodies of Patients with Systemic Lupus Erythematosus', published in the journal Antibodies, reviews and summarizes the mechanisms by which C1q acts as an autoantigen recognized by anti-C1q antibodies in patients with systemic lupus erythematosus (SLE) and lupus nephritis (LN). The study compares the binding characteristics of soluble and solid-phase C1q and its globular head domains (ghA, ghB, ghC) using ELISA and fluorescence spectroscopy, revealing differences in epitope exposure under different conformations, thus providing experimental evidence for the dual antigenic roles of C1q in autoimmunity.Background Knowledge
C1q is the recognition component of the C1 complex in the classical complement pathway, possessing a collagen-like region (CLR) and globular head domains (gC1q). It undergoes conformational changes upon binding to immune complexes or apoptotic cells. Anti-C1q autoantibodies are commonly found in SLE and LN patients, typically targeting the CLR domain with stronger binding in the solid-phase format. This study aims to verify whether C1q is also recognized in its soluble form and to explore whether the gC1q domain exposes different epitopes under varying conformations. Current research primarily focuses on the immunogenicity of solid-phase C1q, with limited studies on its soluble state. Using multiple experimental approaches, this study systematically evaluated the levels of autoantibodies targeting soluble C1q in SLE patient sera, offering support for a novel role of C1q in autoimmunity.
Research Methods and Experiments
The research team used ELISA to analyze the binding capacity of anti-C1q autoantibodies in sera from 48 SLE and LN patients to both soluble and solid-phase C1q and its globular head domains (ghA, ghB, ghC). Biotinylated C1q and its fragments were used in binding assays with immobilized IgG antibodies, and cross-recognition among fragments was evaluated using competitive ELISA. Additionally, fluorescence spectroscopy was employed to determine the binding kinetics between soluble C1q and IgG from LN patients, assessing their binding affinity.Key Conclusions and Perspectives
Research Significance and Prospects
This study systematically analyzed the autoantibody recognition patterns of C1q in both soluble and solid-phase states, revealing how conformational changes affect epitope exposure. These findings may explain why C1q triggers autoimmune responses more readily when bound to immune complexes or apoptotic cell surfaces. Future studies should investigate the dynamic changes of these autoantibodies during disease progression and determine whether they affect the ability of C1q to mediate apoptotic cell clearance, potentially contributing to the breakdown of immune tolerance in SLE.
Conclusion
This study demonstrates that C1q can be recognized by anti-C1q antibodies not only in the solid-phase but also in the soluble state, with different globular domains exposed depending on the conformation. These findings challenge the traditional view that anti-C1q antibodies exclusively recognize C1q after conformational changes, providing experimental evidence for its dual antigenic states in SLE. Further studies are needed to evaluate whether these soluble-phase antibodies correlate with disease activity, renal damage, or other clinical features, and how they affect immune complex formation and clearance. Moreover, the findings suggest that conformational changes play a critical role in autoantigen recognition, offering new regulatory targets for understanding and modulating autoimmune mechanisms.

