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.
Similar content being viewed by others
References
Emancipator SN, Gallo GR, Lamm ME (1985) IgA nephropathy: perspectives on pathogenesis and classification. Clin Nephrol 24: 161–179
Julian BA, Wyatt RJ, McMorrow RG, Galla JH (1983) Serum complement proteins in IgA nephropathy. Clin Nephrol 20: 251–258
Welch TR, Beischel L, Balakrishnan K, Quinlan M, West CD (1986) Major histocompatibility-complex extended haplotypes in membranoproliferative glomerulonephritis. N Engl J Med 314: 1476–1481
Awdeh ZL, Alper CA (1980) Inherited structural polymorphism of the fourth component of human complement. Proc Natl Acad Sci USA 77: 3576–3580
Welch TR, Beischel L, Berry A, Forristal J, West CD (1985) The effect of null C4 alleles on complement function. Clin Immunol Immunopathol 34: 316–325
Awdeh ZL, Raum D, Alper CA (1979) Genetic polymorphism of human complement C4 and detection of heterozygotes. Nature 282: 205–207
Alper CA, Boenisch T, Watson L (1972) Genetic polymorphism in human glycine-rich beta-glycoprotein. J Exp Med 135: 68–80
Tiwari JL, Terasaki PI (1985) HLA and disease associations. Springer, New York Berlin Heidelberg, pp 25–27
Porter RR (1985) The complement components coded in the major histocompatibility complexes and their biological activities. Immunol Rev 87: 7–17
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: 2531–2537
Rosenfeld SI, Ruddy S, Austen KF (1969) Structural polymorphism of the fourth component of human complement. J Clin Invest 48: 2283–2292
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: 39–60
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: 425–428
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: 294–297
Rittner C, Meier EMM, Stradmann B, Giles CM, Kochling R, Mollenhauer E, Kreth HW (1985) Partial C4 deficiency in subacute sclerosing panencephalitis. Immunogenetics 20: 407–415
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: 855–860
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: 276–285
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: 259–263
Porter RR (1983) Complement polymorphism, the major histocompatibility complex and associated diseases: a speculation. Mol Biol Med 1: 161–168
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: 3019–3027
Author information
Authors and Affiliations
Additional information
Supported in part by grant no. RR00123 from the General Clinical Research Centers Branch National Institutes of Health. Presented in part at the 1986 meeting of the American Pediatric Society and the Society for Pediatric Research
Rights and permissions
About this article
Cite this article
Welch, T.R., Berry, A. & Beischel, L.S. C4 isotype deficiency in IgA nephropathy. Pediatr Nephrol 1, 136–139 (1987). https://doi.org/10.1007/BF00849283
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00849283