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C1Q deficiency(C1QD; C1QD1)

MedGen UID:
462252
Concept ID:
C3150902
Disease or Syndrome
Synonyms: C1q deficiency; C1q DEFICIENCY; C1q DEFICIENCY 1; C1QD; C1QD1
 
Related genes: C1QC, C1QB, C1QA
 
Monarch Initiative: MONDO:0013343
OMIM®: 120550; 613652
OMIM® Phenotypic series: PS613652

Definition

C1q deficiency (C1QD) is a rare autosomal recessive disorder characterized by recurrent skin lesions, chronic infections, and an increased risk of autoimmune diseases, particularly systemic lupus erythematosus (SLE; see 152700) or SLE-like diseases. It has also been associated with chronic glomerulonephritis and renal failure. C1q deficiency presents in 2 different forms, absent C1q protein or presence of a dysfunctional molecule (summary by Topaloglu et al., 1996 and Vassallo et al., 2007). Genetic Heterogeneity of C1q Deficiency See also C1q deficiency-2 (C1QD2; 620321), caused by mutation in the C1QB gene (120570), and C1q deficiency-3 (C1QD3; 620322), caused by mutation in the C1QC gene (120575). [from OMIM]

Clinical features

From HPO
Autoimmunity
MedGen UID:
2136
Concept ID:
C0004368
Pathologic Function
The occurrence of an immune reaction against the organism's own cells or tissues.
Mesangiocapillary glomerulonephritis
MedGen UID:
9033
Concept ID:
C0017662
Disease or Syndrome
A type of glomerulonephritis characterized by diffuse mesangial cell proliferation and the thickening of capillary walls due to subendothelial extension of the mesangium. The term membranoproliferative glomerulonephritis is often employed to denote a general pattern of glomerular injury seen in a variety of disease processes that share a common pathogenetic mechanism, rather than to describe a single disease entity
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.
Recurrent infections
MedGen UID:
65998
Concept ID:
C0239998
Finding
Increased susceptibility to infections.
Decreased circulating complement factor I concentration
MedGen UID:
370868
Concept ID:
C1970257
Finding
Concentration of the complement component factor I in the blood circulation below the lower limit of normal.

Professional guidelines

PubMed

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952

Recent clinical studies

Etiology

Buso H, Adam E, Arkwright PD, Bhattad S, Hamidieh AA, Behfar M, Belot A, Benezech S, Chan AY, Crow YJ, Dvorak CC, Flinn AM, Kapoor U, Lankester A, Kobayashi M, Matsumura R, Mottaghipisheh H, Okada S, Ouachee M, Parvaneh N, Ramprakash S, Satwani P, Sharafian S, Triaille C, Wynn RF, Movahedi N, Ziaee V, Williams E, Slatter M, Gennery AR
J Clin Immunol 2024 Oct 29;45(1):35. doi: 10.1007/s10875-024-01819-1. PMID: 39470951Free PMC Article
Triaille C, Rao NM, Rice GI, Seabra L, Sutherland FJH, Bondet V, Duffy D, Gennery AR, Fournier B, Bader-Meunier B, Troedson C, Cleary G, Buso H, Dalby-Payne J, Ranade P, Jansen K, De Somer L, Frémond ML, Chavan PP, Wong M, Dale RC, Wouters C, Quartier P, Khubchandani R, Crow YJ
J Clin Immunol 2024 Aug 28;44(8):185. doi: 10.1007/s10875-024-01788-5. PMID: 39196411Free PMC Article
Mosaad YM, Hammad A, Fawzy Z, El-Refaaey A, Tawhid Z, Hammad EM, Youssef LF, ElAttar EA, Radwan DF, Fawzy IM
Clin Exp Immunol 2015 Oct;182(1):23-34. Epub 2015 Jul 28 doi: 10.1111/cei.12666. PMID: 26095468Free PMC Article
Truedsson L
Mol Immunol 2015 Nov;68(1):14-9. Epub 2015 May 30 doi: 10.1016/j.molimm.2015.05.007. PMID: 26038300
Leffler J, Bengtsson AA, Blom AM
Ann Rheum Dis 2014 Sep;73(9):1601-6. Epub 2014 May 20 doi: 10.1136/annrheumdis-2014-205287. PMID: 24845390

Diagnosis

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952
Barturen G, Alarcón-Riquelme ME
Best Pract Res Clin Rheumatol 2017 Jun;31(3):291-305. Epub 2017 Oct 21 doi: 10.1016/j.berh.2017.09.006. PMID: 29224672
Stegert M, Bock M, Trendelenburg M
Mol Immunol 2015 Sep;67(1):3-11. Epub 2015 Apr 3 doi: 10.1016/j.molimm.2015.03.007. PMID: 25846716
Crow YJ
Curr Opin Immunol 2015 Feb;32:7-12. Epub 2014 Oct 30 doi: 10.1016/j.coi.2014.10.005. PMID: 25463593
Bishop PC, Wisnieski JJ, Christensen J
West J Med 1993 Nov;159(5):605-8. PMID: 8279170Free PMC Article

Therapy

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952
Castellanos-Molina V, Gomez A, Mejía M, Toquica A, Bernal-Macías S
Lupus 2024 Jul;33(8):886-891. Epub 2024 May 8 doi: 10.1177/09612033241253156. PMID: 38719778
Hind A, Abdulmonem AG, Al-Mayouf S
Ann Saudi Med 2008 Nov-Dec;28(6):466-8. doi: 10.5144/0256-4947.2008.466. PMID: 19011311Free PMC Article
Chew GY, Gatenby PA
Clin Rheumatol 2007 Aug;26(8):1370-2. Epub 2006 Aug 30 doi: 10.1007/s10067-006-0397-9. PMID: 16944070
Di Gaetano N, Cittera E, Nota R, Vecchi A, Grieco V, Scanziani E, Botto M, Introna M, Golay J
J Immunol 2003 Aug 1;171(3):1581-7. doi: 10.4049/jimmunol.171.3.1581. PMID: 12874252

Prognosis

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952
Stegert M, Bock M, Trendelenburg M
Mol Immunol 2015 Sep;67(1):3-11. Epub 2015 Apr 3 doi: 10.1016/j.molimm.2015.03.007. PMID: 25846716
Chew GY, Gatenby PA
Clin Rheumatol 2007 Aug;26(8):1370-2. Epub 2006 Aug 30 doi: 10.1007/s10067-006-0397-9. PMID: 16944070
Sontheimer RD
Autoimmun Rev 2005 Jun;4(5):253-63. Epub 2004 Nov 12 doi: 10.1016/j.autrev.2004.10.003. PMID: 15990071
Nusinow SR, Zuraw BL, Curd JG
Med Clin North Am 1985 May;69(3):487-504. doi: 10.1016/s0025-7125(16)31028-8. PMID: 3892188

Clinical prediction guides

Triaille C, Rao NM, Rice GI, Seabra L, Sutherland FJH, Bondet V, Duffy D, Gennery AR, Fournier B, Bader-Meunier B, Troedson C, Cleary G, Buso H, Dalby-Payne J, Ranade P, Jansen K, De Somer L, Frémond ML, Chavan PP, Wong M, Dale RC, Wouters C, Quartier P, Khubchandani R, Crow YJ
J Clin Immunol 2024 Aug 28;44(8):185. doi: 10.1007/s10875-024-01788-5. PMID: 39196411Free PMC Article
Schulz K, Trendelenburg M
Front Immunol 2022;13:958273. Epub 2022 Aug 3 doi: 10.3389/fimmu.2022.958273. PMID: 35990646Free PMC Article
Hosszu KK, Valentino A, Peerschke EI, Ghebrehiwet B
Front Immunol 2020;11:583853. Epub 2020 Oct 7 doi: 10.3389/fimmu.2020.583853. PMID: 33117397Free PMC Article
Coutinho A, Carneiro-Sampaio M
J Clin Immunol 2008 May;28 Suppl 1:S4-10. Epub 2008 Feb 22 doi: 10.1007/s10875-007-9167-y. PMID: 18293069
Ghebrehiwet B, Peerschke EI
Curr Dir Autoimmun 2004;7:87-97. doi: 10.1159/000075688. PMID: 14719376

Recent systematic reviews

Schulz K, Trendelenburg M
Front Immunol 2022;13:958273. Epub 2022 Aug 3 doi: 10.3389/fimmu.2022.958273. PMID: 35990646Free PMC Article

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