TO THE EDITORThe complement system is pivotal in protection against pathogens, but it also plays important roles in bridging innate and adaptive immune responses (Scott and Botto, 2016) and in modulating local and systemic inflammation (Markiewski and Lambris, 2007). Activation of complement occurs through three different pathways (classical, alternative, and lectin), converges at C3 cleavage, and culminates in the formation of the membrane attack complex. The anaphylatoxic fragments, C3a and C5a, generated during the proteolytic cascade, recruit immune cells that can promote the removal of debris and pathogens, but they can also cause tissue damage (Markiewski and Lambris, 2007). The main source of complement is the liver. However, locally produced complement, particularly C3, can modulate inflammation in a variety of organs. There is also evidence that complement components are produced not only by immune cells such as macrophages and dendritic cells but also by nonimmune cells, which can contribute to local complement synthesis. In the skin, keratinocytes are a potential source of C3 (Pasch et al., 2000). A role for C3 in the skin has been identified in UV-induced immune tolerance (Hammerberg et al., 1998) and in the protection against Tcellemediated inflammation (Purwar et al., 2011). Furthermore, locally produced C3 contributes to the inflammatory responses accompanying wound healing (Rafail et al., 2014), an effect mediated mainly through C5a/C5aR interactions. The latter also play an important role in influencing the skin microbiome (Chehoud et al., 2013). In keeping with these observations in animal models, complement has been shown to have a role in the pathogenesis of many human skin diseases, including psoriasis (Kotnik, 2011).Psoriasis is an inflammatory skin disease characterized by epidermal hyperplasia, infiltration of immune cells, and secretion of inflammatory cytokines (Tortola et al., 2012). The anaphylatoxic fragments, C3a and C5a, have been found in corneal scale extracts from psoriatic lesions (Takematsu et al., 1986). The C5a from these lesions has been shown to chemoattract monocyte-derived dendritic cells (Mrowietz et al., 2001), indicating that complement may contribute to the inflammatory process in this disease. In the inducible AP-1edependent psoriasis-like mouse model, the S100A8-S100A9 complex that promotes skin inflammation has been shown to up-regulate C3 expression (Schonthaler et al., 2013). Psoriasis-like dermatitis can be induced by topical application of the toll-like receptor 7 agonist imiquimod (IMQ) (van der Fits et al., 2009) in the form of Aldara cream (3M Pharmaceuticals, St Paul, MN) (Walter et al., 2013). Here, we explore the role of complement in IMQ-mediated psoriasiform dermatitis.We first tested whether cutaneous IMQ treatment induces local C3 synthesis (experimental methods are provided as Supplementary Materials online) and found a progressive increase in C3 mRNA in the skin with repeated IMQ applications ( Figure 1a, and see Supplementary Figure S1a that the ...