Complement in acute kidney injury: a convergent pathogenic pathway in multifactorial renal damage - Takeaways - MDSpire

Complement in acute kidney injury: a convergent pathogenic pathway in multifactorial renal damage

  • By

  • Dan Yi

  • Rong Yang

  • Yue Guo

  • Hua Zhou

  • Junjun Luan

  • May 22, 2026

  • 0 min

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  • 1

    Acute kidney injury (AKI) is characterized by diverse etiologies and significant morbidity, contributing to over 1.5 million deaths annually.

  • 2

    Dysregulated complement activation is a potential convergent mechanism of injury in various forms of AKI, though its contribution varies by etiology.

  • 3

    Complement activation can be initiated by ischemia-reperfusion injury, nephrotoxins, and sepsis, leading to inflammatory escalation and tissue injury.

  • 4

    The complement system plays a role in AKI by orchestrating endothelial activation, leukocyte recruitment, and tubular epithelial stress.

  • 5

    Complement activation exhibits spatiotemporal heterogeneity, influenced by the renal compartment, injury stage, and persistence of activation.

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