C5a, a 74 amino acid peptide cleaved from the complement protein C5, repres
ents the most potent anaphylatoxin and possesses inflammatory as well as im
munomodulatory acitivities. In the past, expression of the receptor for the
anaphylatoxin C5a (C5aR) has been thought to be restricted to cells of mye
loid origin. However, recent evidence suggests that the C5aR is constitutiv
ely expressed in non-myeloid cells including epithelial, endothelial and sm
ooth muscle cells in the human liver and lung. These findings are contraste
d by results from our laboratory which demonstrated that in the normal huma
n liver and lung C5aR expression is detectable exclusively in macrophages a
nd macrophage-derived cells (Kupffer cells). Interestingly, we found eviden
ce that C5aR expression may be inducible in epithelial cells as C5aR mRNA w
as observed in vivo in human keratinocytes of the inflamed but not of the n
ormal skin. Herein we review the work of our laboratory and others on the e
xpression of the CSaR in various human non-myeloid cells types. A better un
derstanding of the expression patterns of this important anaphylatoxin rece
ptor may provide new insights in the pathophysiological role of C5a in vivo
. (C) 1999 Elsevier Science Ltd. All rights reserved.