In humans, homozygous deficiency of the first component of the classical pa
thway of complement, C1q, is a powerful disease susceptibility factor for t
he development of systemic lupus erythematosus (SLE). This strong associati
on indicates that a functional activity of C1q protects from the developmen
t of SLE. Studies in vitro have shown that C1q can bind apoptotic keratinoc
ytes suggesting that it may have an important role in the clearance of apop
totic cells. C1q-deficient mice, generated by gene targeting, showed an inc
reased mortality and 25% of the mice had histological evidence of glomerulo
nephritis characterised by multiple apoptotic cell bodies and immune deposi
ts, assessed by immunofluorescence and electron microscopy. These observati
ons are compatible with the hypothesis that C1q deficiency causes autoimmun
ity by an impaired clearance of apoptotic cells.