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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

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
Cicardi M, Suffritti C, Perego F, Caccia S
J Investig Allergol Clin Immunol 2016;26(4):212-21; quiz two pages after page 221. doi: 10.18176/jiaci.0087. PMID: 27470642

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
Buttgereit T, Vera Ayala C, Aykanat S, Weller K, Gutsche A, Maurer M, Magerl M
Front Immunol 2024;15:1405317. Epub 2024 May 10 doi: 10.3389/fimmu.2024.1405317. PMID: 38799421Free PMC Article
Buttgereit T, Vera C, Weller K, Gutsche A, Grekowitz EM, Aykanat S, Wahn V, Krüger R, Maurer M, Magerl M
J Allergy Clin Immunol Pract 2021 Oct;9(10):3744-3751. Epub 2021 May 20 doi: 10.1016/j.jaip.2021.04.072. PMID: 34023564
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
Christiansen SC, Zuraw BL
Immunol Allergy Clin North Am 2024 Aug;44(3):543-560. Epub 2024 May 18 doi: 10.1016/j.iac.2024.03.011. PMID: 38937015
Farkas H, Balla Z, Riedl MA
J Allergy Clin Immunol 2022 Dec;150(6):1405-1409. doi: 10.1016/j.jaci.2022.10.016. PMID: 36481049
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
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
Bova M, Valerieva A, Wu MA, Senter R, Perego F
Drug Des Devel Ther 2019;13:3635-3646. Epub 2019 Oct 22 doi: 10.2147/DDDT.S192475. PMID: 31695331Free PMC Article
Syed YY
Drugs 2018 Oct;78(15):1633-1637. doi: 10.1007/s40265-018-0987-2. PMID: 30267321
Draikiwicz S, Oppenheimer J
Immunol Allergy Clin North Am 2017 May;37(2):261-281. Epub 2017 Mar 1 doi: 10.1016/j.iac.2017.01.004. PMID: 28366476
Sachse MM, Khachemoune A, Guldbakke KK, Kirschfink M
J Drugs Dermatol 2006 Oct;5(9):848-52. PMID: 17039649

Prognosis

Buttgereit T, Vera Ayala C, Aykanat S, Weller K, Gutsche A, Maurer M, Magerl M
Front Immunol 2024;15:1405317. Epub 2024 May 10 doi: 10.3389/fimmu.2024.1405317. PMID: 38799421Free PMC Article
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
Maurer M, Caballero T, Aberer W, Zanichelli A, Bouillet L, Bygum A, Grumach AS, Botha J, Andresen I, Longhurst HJ; IOS Study Group
J Eur Acad Dermatol Venereol 2021 Dec;35(12):2421-2430. Epub 2021 Oct 5 doi: 10.1111/jdv.17654. PMID: 34506666
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

Buttgereit T, Vera Ayala C, Aykanat S, Weller K, Gutsche A, Maurer M, Magerl M
Front Immunol 2024;15:1405317. Epub 2024 May 10 doi: 10.3389/fimmu.2024.1405317. PMID: 38799421Free PMC Article
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
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

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

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