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Complement System

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Introduction

The complement system is a network of over 30 soluble and membrane-bound [proteins](/proteins/) that constitute a major arm of innate immunity. In the brain, complement proteins are produced locally by [astrocytes](/cell-types/astrocytes) and [microglia](/cell-types/microglia). Complement genes (CLU, CR1, C4A/C4B) are risk loci for [Alzheimer's disease](/diseases/alzheimers-disease), positioning the complement system as both a biomarker and a therapeutic target in neurodegeneration. [@chen2020]

Overview

The complement system represents a critical pathological mechanism in neurodegenerative diseases, particularly [Complement-Mediated Synapse Loss](/mechanisms/complement-mediated-synapse-loss) — the strongest pathological correlate of cognitive decline in [Alzheimer's disease](/diseases/alzheimers-disease), exceeding even amyloid plaque burden and neurofibrillary tangle density. Originally discovered as a normal developmental pruning mechanism, inappropriate reactivation of complement-dependent synaptic elimination in the adult brain has emerged as a major contributor to cognitive decline in Alzheimer's disease, Huntington's Disease, [multiple sclerosis](/diseases/multiple-sclerosis), Frontotemporal Dementia, and other neurodegenerative conditions. [@zhao2025]

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📊 Evidence Profile Foundational
Evidence Balance
+0%
Certainty
100%
Debates
0
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26
Outgoing
44
0 supporting 0 contradicting 0 neutral
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