Plasma complement component level and molecular genetic abnormalities found in 11 patients with HELLP syndrome
Patient . | C3, mg/L . | C4, mg/L . | CFB, mg/L . | CFH, mg/L . | CFI, mg/L . | MCP, MFI . | Genetics abnormality . | Mutations . | Mutation characteristics . |
---|---|---|---|---|---|---|---|---|---|
1 | 829 | 304 | 144 | 719 | 88 | nd | CFH | pArg303Gln | Located in the SCR-1/5 fragment of FH, which is important for cofactor, C3b-binding, and decay-accelerating activity |
2 | 1020 | 232 | 135 | 657 | 75 | 791 | CFI | pArg345Gln (c1034G>A) | Located near the previously reported mutation I322T; functional analysis revealed a marked defect in both C3b and C4b cofactor activity10 |
3 | 899 | 217 | 127 | 540 | 70 | 359 | CFI | pHist183Arg (c548A>G) | Located in the heavy chain domain that is important for C3b binding and the restriction of CFI10 |
4 | 912 | 199 | 125 | 652 | 77 | 966 | MCP | pAla304Val | A304V mutation leads to deficiency in MCP to control the alternative pathway of complement activation on a cell surface11 |
5 | 664 | 169 | 85 | 555 | 54 | 1096 | |||
6 | 639 | 109 | 82 | 474 | 58 | 894 | |||
7 | 976 | 245 | 75 | 836 | 99 | 906 | |||
8 | 1150 | 254 | 151 | 714 | 60 | nd | |||
9 | 779 | 231 | 125 | 591 | 67 | 968 | |||
10 | 1170 | 354 | 150 | 759 | 72 | 985 | |||
11 | 1150 | 314 | 156 | 708 | 84 | 1246 | |||
Normal values | 660-1250 | 93-320 | 90-320 | 338-682 | 42-78 | 600-1500 |
Patient . | C3, mg/L . | C4, mg/L . | CFB, mg/L . | CFH, mg/L . | CFI, mg/L . | MCP, MFI . | Genetics abnormality . | Mutations . | Mutation characteristics . |
---|---|---|---|---|---|---|---|---|---|
1 | 829 | 304 | 144 | 719 | 88 | nd | CFH | pArg303Gln | Located in the SCR-1/5 fragment of FH, which is important for cofactor, C3b-binding, and decay-accelerating activity |
2 | 1020 | 232 | 135 | 657 | 75 | 791 | CFI | pArg345Gln (c1034G>A) | Located near the previously reported mutation I322T; functional analysis revealed a marked defect in both C3b and C4b cofactor activity10 |
3 | 899 | 217 | 127 | 540 | 70 | 359 | CFI | pHist183Arg (c548A>G) | Located in the heavy chain domain that is important for C3b binding and the restriction of CFI10 |
4 | 912 | 199 | 125 | 652 | 77 | 966 | MCP | pAla304Val | A304V mutation leads to deficiency in MCP to control the alternative pathway of complement activation on a cell surface11 |
5 | 664 | 169 | 85 | 555 | 54 | 1096 | |||
6 | 639 | 109 | 82 | 474 | 58 | 894 | |||
7 | 976 | 245 | 75 | 836 | 99 | 906 | |||
8 | 1150 | 254 | 151 | 714 | 60 | nd | |||
9 | 779 | 231 | 125 | 591 | 67 | 968 | |||
10 | 1170 | 354 | 150 | 759 | 72 | 985 | |||
11 | 1150 | 314 | 156 | 708 | 84 | 1246 | |||
Normal values | 660-1250 | 93-320 | 90-320 | 338-682 | 42-78 | 600-1500 |
Patients with identified mutations in CFH, CFI, and MCP genes are shown in bold; patients with features of an abnormal control of the complement alternative pathway and no identified mutations in CFH, CFI, and MCP genes are shown in italics. Abnormal values of C3 and Factor B levels are shown in bold.