“…In addition, while plasma containing circulating C1q as part of C1 complex (Ziccardi and Tschopp, 1982) may represent a possible source of tissue-bound C1q in cases of breached vasculature, it is increasing evident that C1q can be synthesized and secreted locally by various cell types, including macrophages, dendritic cells, fibroblasts, and mast cells that are ubiquitously distributed throughout the body (Ghebrehiwet et al, 2012). In addition, other cells selectively localized in specific tissues and organs such as microglial cells, glomerular and tubular cells, osteoclasts, and trophoblasts contribute to local production of C1q (Fonseca et al, 2017; Xavier et al, 2017). Although C1q is likely to be secreted in limited amount at the extravascular sites, recent evidence suggests that locally synthesized C1q is involved in the regulation of multiple cellular functions in addition to the cellular control of innate and adaptive immunity, as described above.…”