Table 2

Plasma complement component level and molecular genetic abnormalities found in 11 patients with HELLP syndrome

PatientC3, mg/LC4, mg/LCFB, mg/LCFH, mg/LCFI, mg/LMCP, MFIGenetics abnormalityMutationsMutation 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    
1150 254 151 714 60 nd    
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    
PatientC3, mg/LC4, mg/LCFB, mg/LCFH, mg/LCFI, mg/LMCP, MFIGenetics abnormalityMutationsMutation 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    
1150 254 151 714 60 nd    
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.

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