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Gut complement system: a new frontier in microbiota-host communication and intestinal homeostasis
Xianbin Tian, … , Zhiqing Wang, Meng Wu
Xianbin Tian, … , Zhiqing Wang, Meng Wu
Published October 1, 2025
Citation Information: J Clin Invest. 2025;135(19):e188349. https://doi.org/10.1172/JCI188349.
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Review Series

Gut complement system: a new frontier in microbiota-host communication and intestinal homeostasis

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Abstract

The gut microbiota plays a crucial role in maintaining intestinal homeostasis and influencing various aspects of host physiology, including immune function. Recent advances have highlighted the emerging importance of the complement system, particularly the C3 protein, as a key player in microbiota-host interactions. Traditionally known for its role in innate immunity, the complement system is now recognized for its interactions with microbial communities within the gut, where it promotes immune tolerance and protects against enteric infections. This Review explores the gut complement system as a possibly novel frontier in microbiota-host communication and examines its role in shaping microbial diversity, modulating inflammatory responses, and contributing to intestinal health. We discuss the dynamic interplay between microbiota-derived signals and complement activation, with a focus on the C3 protein and its effect on both the gut microbiome and host immune responses. Furthermore, we highlight the therapeutic potential of targeting complement pathways to restore microbial balance and treat diseases such as inflammatory bowel disease and colorectal cancer. By elucidating the functions of the gut complement system, we offer insights into its potential as a target for microbiota-based interventions aimed at restoring intestinal homeostasis and preventing disease.

Authors

Xianbin Tian, Lan Zhang, Xinyang Qian, Yangqing Peng, Fengyixin Chen, Sarah Bengtson, Zhiqing Wang, Meng Wu

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Figure 1

Unique adaptations of the intestinal complement system compared with the systemic complement system.

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Unique adaptations of the intestinal complement system compared with the...
(A) Gut-specific complement expression profile. Complement components involved in the three major activation pathways — classical, lectin, and alternative pathways — are depicted, each converging on C3 activation and leading to effector functions, including opsonization, inflammation, and membrane attack complex (MAC) formation, as in the systemic complement system. However, the intestinal complement system exhibits a locally adapted, restricted expression profile. Indicated expression levels reflect transcriptomic data from the intestine under homeostatic conditions (16): green (three dots) indicates high expression (>100 reads/million), orange (two dots) denotes moderate expression (10–100 reads/million), and red (one dot) represents low expression (<10 reads/million). Intestinal cell types responsible for producing these components are shown in pink rectangles (e.g., stromal cells, myeloid cells, and epithelial cells). (B) Systemic complement function. The liver is the primary source of circulating complement proteins. In the sterile environment of the bloodstream, these proteins support immune defense through opsonization, recruitment of immune cells, phagocytosis, and direct pathogen killing via MAC-mediated lysis. (C) Gut complement function during homeostasis and infection. Under homeostatic conditions (left), C3 is primarily expressed by stromal, myeloid, and epithelial cells in the intestine. Due to limited phagocyte presence and the absence of MAC, this locally produced C3 does not eliminate commensal microbiota. During enteric infection (right), pathogen exposure enhances complement activation, C3 deposition, and promotes neutrophil recruitment and phagocytosis, thereby supporting pathogen clearance.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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