ID: hyp-SDA-2026-04-08-gap-pubmed-20260406-0
Hypothesis
Complement Cascade as Final Common Effector
Diverse myelopathy triggers activate the complement system through different pathways but converge on C5a/C5aR1 signaling in spinal cord tissue, creating uniform inflammatory milieu with standardized tissue damage patterns.
EvidencePending (0%)📖 5 cit🗣 1 debates✓ 5 support✗ 1 oppose
✓ All Quality Gates Passed
🧪 Overview
Diverse myelopathy triggers activate the complement system through different pathways but converge on C5a/C5aR1 signaling in spinal cord tissue, creating uniform inflammatory milieu with standardized tissue damage patterns.
🧬 Mechanism
🧬 Curated Mechanism Pathway
Curated pathway from expert analysis
flowchart TD
A["Spinal Cord Myelopathy Trigger<br/>ALS Trauma Autoimmune Ischemia"]
B["Complement Activation<br/>Classical Lectin Alternative Pathway"]
C["C3 Convertase Formation<br/>C3b Opsonization of Cord Tissue"]
D["C5 Cleavage<br/>C5a Anaphylatoxin Released"]
E["C5aR1 C5AR1 Signaling<br/>Spinal Microglia Myeloid Cells"]
F["Uniform Inflammatory Milieu<br/>Common Downstream Effector Activated"]
G["Standardized Neuroinflammation Pattern<br/>Convergent Spinal Cord Pathology"]
H["C5aR1 Antagonist Treatment<br/>Avacopan PMX53"]
I["Unified Therapeutic Strategy<br/>Across Diverse Myelopathy Triggers"]
A --> B
B --> C
C --> D
D --> E
E --> F
F --> G
H -.->|"blocks convergent effector"| E
H --> I
style E fill:#7b1fa2,stroke:#ce93d8,color:#ce93d8
style I fill:#1b5e20,stroke:#a5d6a7,color:#a5d6a7⚖️ Evidence
⚖️ Evidence Matrix5 supports0 contradicts
Supports
C5aR1(+) microglia exacerbate neuroinflammation and cerebral edema in acute brain injury.
Supports
C5a-C5aR1 induces endoplasmic reticulum stress to accelerate vascular calcification via PERK-eIF2α-ATF4-CREB3L1 pathway.
Supports
C5a-C5aR1 axis controls mitochondrial fission to promote podocyte injury in lupus nephritis.
Supports
C5a-licensed phagocytes drive sterilizing immunity during systemic fungal infection.
Supports
Mitochondrial C5aR1 activity in macrophages controls IL-1β production underlying sterile inflammation.
📖 Linked Papers
No linked papers recorded for this hypothesis yet.
🏥 Translation
🧬 3D Protein Structure — C5AR1
No curated PDB or AlphaFold mapping for C5AR1 yet. Search RCSB →
💉 Clinical Trials
No clinical trials data linked to this hypothesis yet.
No curated ClinVar variants loaded for this hypothesis.
Run scripts/backfill_clinvar_variants.py to fetch P/LP/VUS variants.
No DepMap CRISPR Chronos data found for C5AR1.
Run python3 scripts/backfill_hypothesis_depmap.py to populate.
🏆 Tournament
🏆 Arenas / Elo
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▸Metadatasource: v1_phase_c_backfill · origin_type: debate_synthesis
| source | v1_phase_c_backfill |
| origin_type | debate_synthesis |
| _schema_version | 1 |
📊 Evidence Profile
Evidence Balance
+0%
Certainty
0%
Debates
0
Incoming
0
Outgoing
0
0 supporting
0 contradicting
0 neutral
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