Complement at the Nano–Neuroimmune Interface: A Hypothesis-Driven Perspective on Opioid Use Disorder
Abstract
1. Introduction
2. Complement Biology in Systemic and CNS Immunity
2.1. Overview of Complement Activation Pathways and Regulators
2.2. Complement in the CNS
3. Complement Activation by Nanomaterials
3.1. Liposomes, Lipid Nanoparticles and Complement
3.2. Complement Pathway Activation Mechanisms
4. Engineering Nanoparticles to Control Complement Activation
4.1. Surface Shielding Approaches
4.2. Display of Complement Regulatory Proteins
4.3. Control of Physicochemical Properties
4.4. Temporal or Compartmental Complement Inhibition
5. Complement Signaling in Opioid Use Disorder
5.1. Human Observational Evidence
5.2. Animal and Experimental Models
5.3. Indirect and Inferential Evidence
6. Intersection of Opioids, Complement, and Neuroimmune Circuits
6.1. Glia
6.2. Synapses
7. Blood–Brain Barrier Mechanisms
7.1. Complement and Opioid Effects on the BBB
7.2. Implications for Nanomedicine
8. Complement-Targeted and Nanotechnology-Enabled Therapeutics
8.1. Clinically Established and Late-Stage Approaches
8.2. Preclinical Proof of Concept Strategies
8.3. Exploratory and Hypothesis-Driven Approaches
9. Future Directions
10. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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| Nanomaterial Class | Predominant Complement Activation Mechanism | Primary Immunological Consequence |
|---|---|---|
| Liposomes/lipid nanoparticles | Classical and lectin pathway engagement via surface lipids, glycans, or bound IgM/IgG | Opsonization, complement activation related pseudoallergy (CARPA [47]), accelerated blood clearance |
| Polymeric nanoparticles | Alternative pathway amplification driven by C3 adsorption and limited surface regulation | Sustained complement activation and macrophage uptake |
| Inorganic nanoparticles (e.g., gold, iron oxide, silica) | Mixed or noncanonical activation influenced by surface charge, curvature, and crystallinity | Inflammatory signaling and deposition of complement activation fragments |
| Dendrimers | Surface charge-dependent activation, frequently involving the alternative pathway | Dose-dependent inflammatory activation or immune quiescence |
| Hybrid or functionalized nanomaterials | Modulated activation through stealth coatings (e.g., PEGylation, zwitterionic surfaces) | Reduced or delayed complement engagement |
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Jacob, A.; Singh, H.; Satheeshkumar, P.S.; Champaneri, A.; Das, R.K.; Aalinkeel, R.K.; Mahajan, S.D.; Alexander, J.J. Complement at the Nano–Neuroimmune Interface: A Hypothesis-Driven Perspective on Opioid Use Disorder. Immuno 2026, 6, 14. https://doi.org/10.3390/immuno6010014
Jacob A, Singh H, Satheeshkumar PS, Champaneri A, Das RK, Aalinkeel RK, Mahajan SD, Alexander JJ. Complement at the Nano–Neuroimmune Interface: A Hypothesis-Driven Perspective on Opioid Use Disorder. Immuno. 2026; 6(1):14. https://doi.org/10.3390/immuno6010014
Chicago/Turabian StyleJacob, Alexander, Harbir Singh, Poolakkad S. Satheeshkumar, Aum Champaneri, Rahul K. Das, Ravi K. Aalinkeel, Supriya D. Mahajan, and Jessy J. Alexander. 2026. "Complement at the Nano–Neuroimmune Interface: A Hypothesis-Driven Perspective on Opioid Use Disorder" Immuno 6, no. 1: 14. https://doi.org/10.3390/immuno6010014
APA StyleJacob, A., Singh, H., Satheeshkumar, P. S., Champaneri, A., Das, R. K., Aalinkeel, R. K., Mahajan, S. D., & Alexander, J. J. (2026). Complement at the Nano–Neuroimmune Interface: A Hypothesis-Driven Perspective on Opioid Use Disorder. Immuno, 6(1), 14. https://doi.org/10.3390/immuno6010014

