Purpose. The concomitant presence of complement-activation products in
the cornea during inflammation is well described. The present study w
as undertaken to analyze the complement activity of normal human corne
al tissue and to assess the presence of complement-modulating activiti
es. Methods. Human corneal tissue was extracted in veronal-buffered sa
line. The overall complement (C) activity of the human corneal extract
(HCE) and the effect of HCE on serum C-activity were investigated usi
ng a hemolytic assay. Anion-exchange chromatography and gel filtration
were applied for biochemical analysis of HCE. Monoclonal anti-human C
3 was used to detect corneal C3 and to remove C3 from HCE by immunoads
orption. Results. It was found that C-activity of HCE was less than 20
0 U/g tissue. Experiments to test whether HCE exhibited inhibitory act
ivity led to an unexpected result: When added to human serum dilutions
, HCE caused a significant, dose-dependent increase of C-activity. Pre
treatment of HCE at 56 degrees C abolished the effect. Analysis of HCE
by anion-exchange chromatography revealed two C-enhancing peaks. One
peak was identified as C3 whereas the identity of the other protein pe
ak remained unknown. Conclusions. Results indicate that the human corn
ea contains an as yet unidentified heat sensitive factor(s) able to en
hance complement activity of serum. It is postulated that this factor(
s) may play an important role in corneal physiology and pathology.