U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

C1 inhibitor deficiency

MedGen UID:
343867
Concept ID:
C1852700
Disease or Syndrome
Synonym: Complement component 4, partial deficiency of
 
Gene (location): SERPING1 (11q12.1)
 
Monarch Initiative: MONDO:0007361
OMIM®: 120790

Definition

Patients with partial deficiency of complement component-4 have serum C4 concentrations between 2 and 24% of normal values. One patient with systemic lupus erythematosus has been reported, but other patients had no clinical evidence of immune complex disease. Serum Cl inhibitor from affected individuals exhibits diminished C1r (613785) binding, preserved C1s (120580) binding, and relative resistance to trypsin (summary by Zahedi et al., 1995). [from OMIM]

Clinical features

From HPO
Systemic lupus erythematosus
MedGen UID:
6146
Concept ID:
C0024141
Disease or Syndrome
Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterized by production of autoantibodies against nuclear, cytoplasmic, and cell surface molecules that transcend organ-specific boundaries. Tissue deposition of antibodies or immune complexes induces inflammation and subsequent injury of multiple organs and finally results in clinical manifestations of SLE, including glomerulonephritis, dermatitis, thrombosis, vasculitis, seizures, and arthritis. Evidence strongly suggests the involvement of genetic components in SLE susceptibility (summary by Oishi et al., 2008). Genetic Heterogeneity of Systemic Lupus Erythematosus An autosomal recessive form of systemic lupus erythematosus (SLEB16; 614420) is caused by mutation in the DNASE1L3 gene (602244) on chromosome 3p14.3. An X-linked dominant form of SLE (SLEB17; 301080) is caused by heterozygous mutation in the TLR7 gene (300365) on chromosome Xp22. See MAPPING and MOLECULAR GENETICS sections for a discussion of genetic heterogeneity of susceptibility to SLE.

Professional guidelines

PubMed

Caballero T
J Investig Allergol Clin Immunol 2021 Feb;31(1):1-16. doi: 10.18176/jiaci.0653. PMID: 33602658
Busse PJ, Christiansen SC, Riedl MA, Banerji A, Bernstein JA, Castaldo AJ, Craig T, Davis-Lorton M, Frank MM, Li HH, Lumry WR, Zuraw BL
J Allergy Clin Immunol Pract 2021 Jan;9(1):132-150.e3. Epub 2020 Sep 6 doi: 10.1016/j.jaip.2020.08.046. PMID: 32898710
Levi M, Cohn D, Zeerleder S, Dziadzio M, Longhurst H
Allergy 2019 Apr;74(4):834-840. Epub 2018 Dec 18 doi: 10.1111/all.13686. PMID: 30488963

Recent clinical studies

Etiology

Do T, Riedl MA
Immunol Allergy Clin North Am 2024 Aug;44(3):561-576. Epub 2024 Apr 21 doi: 10.1016/j.iac.2024.03.009. PMID: 38937016
Kiani-Alikhan S, Gower R, Craig T, Wedner HJ, Kinaciyan T, Aygören-Pürsün E, Banerji A, Bernstein JA, Anderson J, Collis P, Johnston DT, Desai B, Tomita D, Gagnon R, Tachdjian R, Soteres DF, Farkas H, Caballero T, McNeil D, Jacobs J, Lumry WR; APeX-2 investigators
J Allergy Clin Immunol Pract 2024 Mar;12(3):733-743.e10. Epub 2023 Dec 18 doi: 10.1016/j.jaip.2023.12.019. PMID: 38122865
Fijen LM, Riedl MA, Bordone L, Bernstein JA, Raasch J, Tachdjian R, Craig T, Lumry WR, Manning ME, Alexander VJ, Newman KB, Revenko A, Baker BF, Nanavati C, MacLeod AR, Schneider E, Cohn DM
N Engl J Med 2022 Mar 17;386(11):1026-1033. doi: 10.1056/NEJMoa2109329. PMID: 35294812
Zuraw B, Lumry WR, Johnston DT, Aygören-Pürsün E, Banerji A, Bernstein JA, Christiansen SC, Jacobs JS, Sitz KV, Gower RG, Gagnon R, Wedner HJ, Kinaciyan T, Hakl R, Hanzlíková J, Anderson JT, McNeil DL, Fritz SB, Yang WH, Tachdjian R, Busse PJ, Craig TJ, Li HH, Farkas H, Best JM, Clemons D, Cornpropst M, Dobo SM, Iocca HA, Kargl D, Nagy E, Murray SC, Collis P, Sheridan WP, Maurer M, Riedl MA
J Allergy Clin Immunol 2021 Jul;148(1):164-172.e9. Epub 2020 Oct 21 doi: 10.1016/j.jaci.2020.10.015. PMID: 33098856
Otani IM, Banerji A
Immunol Allergy Clin North Am 2017 Aug;37(3):497-511. Epub 2017 May 15 doi: 10.1016/j.iac.2017.03.002. PMID: 28687105

Diagnosis

Do T, Riedl MA
Immunol Allergy Clin North Am 2024 Aug;44(3):561-576. Epub 2024 Apr 21 doi: 10.1016/j.iac.2024.03.009. PMID: 38937016
Suffritti C, Caccia S, Berra S, Parolin D, Cicardi M
Methods Mol Biol 2021;2227:115-120. doi: 10.1007/978-1-0716-1016-9_11. PMID: 33847936
Busse PJ, Christiansen SC, Riedl MA, Banerji A, Bernstein JA, Castaldo AJ, Craig T, Davis-Lorton M, Frank MM, Li HH, Lumry WR, Zuraw BL
J Allergy Clin Immunol Pract 2021 Jan;9(1):132-150.e3. Epub 2020 Sep 6 doi: 10.1016/j.jaip.2020.08.046. PMID: 32898710
Kazandjieva J, Christoff G
Clin Dermatol 2019 Nov-Dec;37(6):636-643. Epub 2019 Aug 1 doi: 10.1016/j.clindermatol.2019.07.035. PMID: 31864442
Sachse MM, Khachemoune A, Guldbakke KK, Kirschfink M
J Drugs Dermatol 2006 Oct;5(9):848-52. PMID: 17039649

Therapy

Do T, Riedl MA
Immunol Allergy Clin North Am 2024 Aug;44(3):561-576. Epub 2024 Apr 21 doi: 10.1016/j.iac.2024.03.009. PMID: 38937016
Kaegi C, Wuest B, Schreiner J, Steiner UC, Vultaggio A, Matucci A, Crowley C, Boyman O
Front Immunol 2019;10:1990. Epub 2019 Sep 6 doi: 10.3389/fimmu.2019.01990. PMID: 31555262Free PMC Article
Syed YY
Drugs 2018 Oct;78(15):1633-1637. doi: 10.1007/s40265-018-0987-2. PMID: 30267321
Frank MM, Zuraw B, Banerji A, Bernstein JA, Craig T, Busse P, Christiansen S, Davis-Lorton M, Li HH, Lumry WR, Riedl M; US Hereditary Angioedema Association Medical Advisory Board
Pediatrics 2016 Nov;138(5) doi: 10.1542/peds.2016-0575. PMID: 27940765
Sachse MM, Khachemoune A, Guldbakke KK, Kirschfink M
J Drugs Dermatol 2006 Oct;5(9):848-52. PMID: 17039649

Prognosis

Polai Z, Kajdacsi E, Cervenak L, Balla Z, Benedek S, Varga L, Farkas H
Orphanet J Rare Dis 2023 Feb 1;18(1):24. doi: 10.1186/s13023-023-02625-5. PMID: 36726161Free PMC Article
Billebeau A, Fain O, Launay D, Boccon-Gibod I, Bouillet L, Gobert D, Plu-Bureau G, Gompel A; French National Reference Center for Hereditary Angioedema (CREAK)
J Clin Immunol 2021 Jan;41(1):163-170. Epub 2020 Oct 31 doi: 10.1007/s10875-020-00902-7. PMID: 33130967
Zotter Z, Veszeli N, Kőhalmi KV, Varga L, Imreh É, Kovács G, Nallbani M, Farkas H
Allergy 2016 Dec;71(12):1791-1793. Epub 2016 Sep 15 doi: 10.1111/all.13034. PMID: 27548887
Hofman ZL, Relan A, Hack CE
Clin Rev Allergy Immunol 2016 Feb;50(1):34-40. doi: 10.1007/s12016-014-8463-6. PMID: 25527240
Bouillet L, Longhurst H, Boccon-Gibod I, Bork K, Bucher C, Bygum A, Caballero T, Drouet C, Farkas H, Massot C, Nielsen EW, Ponard D, Cicardi M
Am J Obstet Gynecol 2008 Nov;199(5):484.e1-4. Epub 2008 Jun 13 doi: 10.1016/j.ajog.2008.04.034. PMID: 18554570

Clinical prediction guides

Petersen RS, Fijen LM, Kelder JP, Cohn DM
J Allergy Clin Immunol 2024 Jul;154(1):179-183. Epub 2024 Mar 15 doi: 10.1016/j.jaci.2024.03.007. PMID: 38494092
Kiani-Alikhan S, Gower R, Craig T, Wedner HJ, Kinaciyan T, Aygören-Pürsün E, Banerji A, Bernstein JA, Anderson J, Collis P, Johnston DT, Desai B, Tomita D, Gagnon R, Tachdjian R, Soteres DF, Farkas H, Caballero T, McNeil D, Jacobs J, Lumry WR; APeX-2 investigators
J Allergy Clin Immunol Pract 2024 Mar;12(3):733-743.e10. Epub 2023 Dec 18 doi: 10.1016/j.jaip.2023.12.019. PMID: 38122865
Miyata T, Horiuchi T
Allergol Int 2023 Jul;72(3):375-384. Epub 2023 May 9 doi: 10.1016/j.alit.2023.04.004. PMID: 37169642
Fijen LM, Riedl MA, Bordone L, Bernstein JA, Raasch J, Tachdjian R, Craig T, Lumry WR, Manning ME, Alexander VJ, Newman KB, Revenko A, Baker BF, Nanavati C, MacLeod AR, Schneider E, Cohn DM
N Engl J Med 2022 Mar 17;386(11):1026-1033. doi: 10.1056/NEJMoa2109329. PMID: 35294812
Zuraw B, Lumry WR, Johnston DT, Aygören-Pürsün E, Banerji A, Bernstein JA, Christiansen SC, Jacobs JS, Sitz KV, Gower RG, Gagnon R, Wedner HJ, Kinaciyan T, Hakl R, Hanzlíková J, Anderson JT, McNeil DL, Fritz SB, Yang WH, Tachdjian R, Busse PJ, Craig TJ, Li HH, Farkas H, Best JM, Clemons D, Cornpropst M, Dobo SM, Iocca HA, Kargl D, Nagy E, Murray SC, Collis P, Sheridan WP, Maurer M, Riedl MA
J Allergy Clin Immunol 2021 Jul;148(1):164-172.e9. Epub 2020 Oct 21 doi: 10.1016/j.jaci.2020.10.015. PMID: 33098856

Recent systematic reviews

Shi Y, Wang C
Clin Immunol 2021 Sep;230:108819. Epub 2021 Aug 4 doi: 10.1016/j.clim.2021.108819. PMID: 34358691
Kaegi C, Wuest B, Schreiner J, Steiner UC, Vultaggio A, Matucci A, Crowley C, Boyman O
Front Immunol 2019;10:1990. Epub 2019 Sep 6 doi: 10.3389/fimmu.2019.01990. PMID: 31555262Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...