title: In-vitro activation of complement system by lactic acidosis in newborn and adults.
abstract: BACKGROUND
  Complement activation occurs secondary to a variety of external stimuli. Lactic acidosis has been previously shown to activate the complement factors C3a and C5a. In the present investigation we examined the differential effect of lactic acidosis on anaphylatoxin levels in cord and adult blood. Furthermore we aimed to determine if the entire complement cascade could be activated by lactic acidosis.
  
  
  METHODS
  Cord and adult blood samples (n = 20 each) were collected and incubated for one hour in either untreated condition or with the addition of lactate in two concentrations (5.5 mmol/l vs. 22 mmol/l). Following incubation, levels of C3a, C5a and sC5b-9, and blood gas parameters were determined.
  
  
  RESULTS
  Anaphylatoxin (C3a and C5a) and sC5b-9 levels increased with the addition of lactate in a dose-dependent manner in cord and adult blood (C3a: 1 h, 5.5 mmo/l, 22 mmol/l: 418/498/622 microg/l in cord blood; 1010/1056/1381 microg/l in adult blood, p<0,05; similar results were found for C5a and sC5b-9).
  
  
  CONCLUSIONS
  Lactic acidosis leads to an activation of the entire complement system in neonates and in adults. This activation is dose-dependent and more pronounced in adults as compared to neonates.
authors.affiliation: Department of Neonatology, Charité Virchow Hospital, Humboldt University, Berlin, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Hecke
authors.forename: T
authors.initials: T
authors.lastname: Hoehn
authors.forename: E
authors.initials: E
authors.lastname: Strauss
authors.forename: M
authors.initials: M
authors.lastname: Obladen
authors.forename: J
authors.initials: J
authors.lastname: Sonntag
mesh_terms: D000140:Acidosis, Lactic / Q000097:blood*; D000328:Adult; D000367:Age Factors; D000706:Anaphylatoxins / Q000032:analysis*; D003167:Complement Activation; D015938:Complement Membrane Attack Complex / Q000032:analysis*; D005312:Fetal Blood; D006801:Humans; D007231:Infant, Newborn
chemical_list: D000706:Anaphylatoxins; D015938:Complement Membrane Attack Complex