C4 isotype deficiency in IgA nephropathy
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Abstract
C4 and factor B typing were performed in 37 pediatric patients with primary IgA nephropathy. Null alleles for C4B occurred with a frequency of 26% in patients, as compared to 15% in healthy controls (NS). The phenotype of C4B deficiency (homozygous C4B null), however, was found in 16% of patients and 4% of controls (P<0.05). Comparison of observed C4B phenotypes with those predicted from the Hardy-Weinberg equilibrium also confirmed an excess of C4B deficiency (P<0.0005). In contrast, there was no evidence of distortion in the frequencies of the C4A null allele or phenotype, or of the factor B alleles. The data suggest that C4B deficiency may be one of multiple interacting factors contributing to the development of this glomerulopathy.
Key words
IgA nephropathy Genetics Complement C4 GlomerulonephritisPreview
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References
- 1.Emancipator SN, Gallo GR, Lamm ME (1985) IgA nephropathy: perspectives on pathogenesis and classification. Clin Nephrol 24: 161–179PubMedGoogle Scholar
- 2.Julian BA, Wyatt RJ, McMorrow RG, Galla JH (1983) Serum complement proteins in IgA nephropathy. Clin Nephrol 20: 251–258PubMedGoogle Scholar
- 3.Welch TR, Beischel L, Balakrishnan K, Quinlan M, West CD (1986) Major histocompatibility-complex extended haplotypes in membranoproliferative glomerulonephritis. N Engl J Med 314: 1476–1481PubMedGoogle Scholar
- 4.Awdeh ZL, Alper CA (1980) Inherited structural polymorphism of the fourth component of human complement. Proc Natl Acad Sci USA 77: 3576–3580PubMedGoogle Scholar
- 5.Welch TR, Beischel L, Berry A, Forristal J, West CD (1985) The effect of null C4 alleles on complement function. Clin Immunol Immunopathol 34: 316–325CrossRefPubMedGoogle Scholar
- 6.Awdeh ZL, Raum D, Alper CA (1979) Genetic polymorphism of human complement C4 and detection of heterozygotes. Nature 282: 205–207PubMedGoogle Scholar
- 7.Alper CA, Boenisch T, Watson L (1972) Genetic polymorphism in human glycine-rich beta-glycoprotein. J Exp Med 135: 68–80PubMedGoogle Scholar
- 8.Tiwari JL, Terasaki PI (1985) HLA and disease associations. Springer, New York Berlin Heidelberg, pp 25–27Google Scholar
- 9.Porter RR (1985) The complement components coded in the major histocompatibility complexes and their biological activities. Immunol Rev 87: 7–17PubMedGoogle Scholar
- 10.Takata Y, Tamura N, Fujita T (1984) Interaction of C3 with antigen-antibody complexes in the process of solubilization of immune precipitates. J Immunol 132: 2531–2537PubMedGoogle Scholar
- 11.Rosenfeld SI, Ruddy S, Austen KF (1969) Structural polymorphism of the fourth component of human complement. J Clin Invest 48: 2283–2292PubMedGoogle Scholar
- 12.Carroll MC, Belt KT, Palsdottir A, Yu Y (1985) Molecular genetics of the fourth component of human complement and steroid 21-hydroxylase. Immunol Rev 87: 39–60PubMedGoogle Scholar
- 13.Fielder AHL, Walport MJ, Batchelor JR, Rynes RI, Black CM, Dodi IA, Hughes GRV (1983) Family study of the major histocompatibility complex in patients with systemic lupus erythematosus: importance of null alleles of C4A and C4B in determining disease susceptibility. Br Med J 286: 425–428Google Scholar
- 14.Vergani D, Larcher VF, Davies ET, Wells L, Nasaruddin BA, Mieli-Vergani G, Mowat A (1985) Genetically determined low C4: a predisposing factor to autoimmune chronic active hepatitis. Lancet II: 294–297Google Scholar
- 15.Rittner C, Meier EMM, Stradmann B, Giles CM, Kochling R, Mollenhauer E, Kreth HW (1985) Partial C4 deficiency in subacute sclerosing panencephalitis. Immunogenetics 20: 407–415Google Scholar
- 16.McLean RH, Wyatt RJ, Julian BA (1984) Complement phenotypes in glomerulonephritis: increased frequency of homozygous null C4 phenotypes in IgA nephropathy and Henoch-Schönlein purpura. Kidney Int 26: 855–860PubMedGoogle Scholar
- 17.Alper CA, Awdeh ZL, Raum DD, Yunis EJ (1982) Extended major histocompatibility complex haplotypes in man: role of alleles analogous to murine t mutants. Clin Immunol Immunopathol 24: 276–285PubMedGoogle Scholar
- 18.Awdeh ZL, Raum D, Yunis EJ, Alper CA (1983) Extended HLA-complement allele haplotypes: evidence for T/t-like complex in man. Proc Natl Acad Sci USA 80: 259–263PubMedGoogle Scholar
- 19.Porter RR (1983) Complement polymorphism, the major histocompatibility complex and associated diseases: a speculation. Mol Biol Med 1: 161–168PubMedGoogle Scholar
- 20.Isenman DE, Young JR (1984) The molecular basis for the difference in immune hemolysis activity of the Chido and Rogers isotypes of human complement component C4. J Immunol 132: 3019–3027PubMedGoogle Scholar