Molecular Classification
Enzyme, Serine protease, Multi-subunit protein complex
Other Names
Complement component 1, C1qrs complex
Disease Roles
Autoimmune diseasesInflammationHereditary angioedema

Complement C1 complex Overview

The C1 complex is the first component of the classical complement pathway, composed of C1q, C1r, and C1s subunits. It initiates the pathway upon binding to antibody-antigen complexes, leading to activation of C1r and C1s serine proteases, which cleave downstream complement components and propagate the complement cascade. Dysregulation can lead to autoimmune and inflammatory diseases.

Mechanism of Action

Inhibition of C1r and C1s serine protease activity; preventing cleavage of downstream complement components C4 and C2

Biological Functions

Immune response
Complement activation (classical pathway)
Pattern recognition
Initiation of inflammation

Disease Associations

Autoimmune diseases
Inflammation
Hereditary angioedema
Neurodegenerative diseases

Safety Considerations

  • Risk of infection with C1 inhibitors
  • Thrombotic events
  • Hypersensitivity reactions

Interacting Drugs

C1 esterase inhibitor (CINH)
Ruconest
Berinert
Other therapeutic inhibitors targeting C1 complex

Associated Biomarkers

Biomarker
C4 levels
C1q levels
Autoantibodies against C1q