Microglia, central nervous system (CNS) resident phagocytic cells, persistently police the integrity of CNS tissue and respond to any kind of damage and pathophysiological changes. These cells sense and rapidly respond to danger and inflammatory signals by changing their cell morphology, by release of cytokines, chemokines or nitric oxide, and by changing their MHC expression profile. We have shown previously, that microglial biosynthesis of the complement subcomponent C1q may serve as a reliable marker of microglial activation ranging from undetectable levels of C1q biosynthesis in resting microglia to abundant C1q expression in activated, non-ramified microglia. In this study, we demonstrate that cultured microglial cells respond to extrinsic C1q with a marked intracellular Ca 2+ increase. A shift towards proinflammatory microglial activation is indicated by the release of IL6, TNF-α, and nitric oxide and the oxidative burst in rat primary microglial cells, an activation and differentiation process similar to pro-inflammatory response of microglia to exposure to LPS. Our findings indicate (i) that extrinsic plasma C1q is involved in the initiation of microglial activation in the course of CNS diseases with blood brain barrier impairment and (ii) C1q synthesized and released by activated microglia is likely to contribute in an autocrine/paracrine way to maintain and balance microglial activation in the diseased CNS tissue.