1. Academic Validation
  2. Mutations in complement C3 predispose to development of atypical hemolytic uremic syndrome

Mutations in complement C3 predispose to development of atypical hemolytic uremic syndrome

  • Blood. 2008 Dec 15;112(13):4948-52. doi: 10.1182/blood-2008-01-133702.
Veronique Frémeaux-Bacchi 1 Elizabeth C Miller M Kathryn Liszewski Lisa Strain Jacques Blouin Alison L Brown Nadeem Moghal Bernard S Kaplan Robert A Weiss Karl Lhotta Gaurav Kapur Tej Mattoo Hubert Nivet William Wong Sophie Gie Bruno Hurault de Ligny Michel Fischbach Ritu Gupta Richard Hauhart Vincent Meunier Chantal Loirat Marie-Agnès Dragon-Durey Wolf H Fridman Bert J C Janssen Timothy H J Goodship John P Atkinson
Affiliations

Affiliation

  • 1 Service d'Immunologie Biologique, Hôpital Européen Georges Pompidou, Paris, France.
Abstract

Atypical hemolytic uremic syndrome (aHUS) is a disease of complement dysregulation. In approximately 50% of patients, mutations have been described in the genes encoding the complement regulators Factor H, MCP, and factor I or the activator factor B. We report here mutations in the central component of the complement cascade, C3, in association with aHUS. We describe 9 novel C3 mutations in 14 aHUS patients with a persistently low serum C3 level. We have demonstrated that 5 of these mutations are gain-of-function and 2 are inactivating. This establishes C3 as a susceptibility factor for aHUS.

Figures