Complement is one of the integral buttresses of the inflammatory respo
nse. In addition to host defense activities, proinflammatory propertie
s of several complement components are described, This overview elucid
ates the role of complement in inflammatory reactions in vitro and in
vivo, focusing on the complement activation products, C5a, and the mem
brane attack complex, C5b-9, Using several approaches, the impact of t
hese complement components in mechanisms relevant to neutrophil recrui
tment is emphasized, In addition, the participation of complement in e
ndothelial superoxide generation and its essential requirement for ful
l expression of lung injury is demonstrated, as are the involved intra
cellular signal transduction pathways, Understanding the mechanisms of
complement-induced proinflammatory effects may provide a basis for fu
ture therapeutic blockade of complement and/or its activation products
.