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PubMed · 6355995

[B, C2 and C4 complement factors, the HLA system and diseases. Genetic relation].

M S Doutre
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Abstract

Close linkage of the complement factor loci C2, C4 and Bf to HLA loci has been firmly documented. A review of the literature was made about genetic defects of these components associated with a variety of disorders, especially immunologic diseases. Some allotypes of these factors are also closely linked to several diseases. Relationship between these diseases and the genes controlling the synthesis of C2, C4 and Bf and their allelic variants is not yet known but this association suggested several pathogenic hypotheses.

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Complement C2Complement C4Complement Factor BComplement System ProteinsHLA AntigensHumansImmune System DiseasesPolymorphism, GeneticEnglish AbstractJournal ArticleReview

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M S Doutre. 1983. [B, C2 and C4 complement factors, the HLA system and diseases. Genetic relation].. https://pubmed.ncbi.nlm.nih.gov/6355995/

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Immunoglobulin deficiencies and susceptibility to infection among homozygotes and heterozygotes for C2 deficiency.

About 25% of C2-deficient homozygotes have increased susceptibility to severe bacterial infections. C2-deficient homozygotes had significantly lower serum levels of IgG2, IgG4, IgD, and Factor B, significantly higher levels of IgA and IgG3 and levels of IgG1 and IgM similar to controls. Type 1 (28 bp deletion in C2 exon 6 on the [HLA-B18, S042, DR2] haplotype or its fragments) and type II (non-type I) C2-deficient patients with increased susceptibility to bacterial infection had significantly lower mean levels of IgG4 (p < 0.04) and IgA (p < 0.01) than those without infections (who had a higher than normal mean IgA level) but similar mean levels of other immunoglobulins and Factor B. Of 13 C2-deficient homozygotes with infections, 85% had IgG4 deficiency, compared with 64% of 25 without infections. IgD deficiency was equally extraordinarily common among infection-prone (50%) and noninfection-prone (70%) homozygous type I C2-deficient patients. IgD deficiency was also common (35%) among 31 type I C2-deficient heterozygotes (with normal or type II haplotypes), but was not found in 5 type II C2-deficient heterozygotes or 1 homozygote. Thus, C2 deficiency itself is associated with many abnormalities in serum immunoglobulin levels, some of which, such as in IgG4 and IgA, may contribute to increased susceptibility to infection. In contrast, IgD deficiency appears not to contribute to increased infections and appears to be a dominant trait determined by a gene or genes on the extended major histocompatibility complex (MHC) haplotype [HLA-B 18, S042, DR2] (but probably not on type II C2-deficient haplotypes) similar to those previously identified on [HLA-B8, SC01, DR3] and [HLA-B18, F1C30, DR3].

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