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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

Martinez-Saguer I, Dominas N, Straben U, Greve J, Brehler R, Magerl M, Knipps LM, Knop J, Flemming A, Schubert T, Maurer M
Eur J Dermatol 2022 Jul 1;32(4):487-494. doi: 10.1684/ejd.2022.4272. PMID: 36301749
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

Recent clinical studies

Etiology

Zając M, Bożek A, Kozłowska R, Grzanka A
Medicina (Kaunas) 2023 Mar 24;59(4) doi: 10.3390/medicina59040644. PMID: 37109602Free PMC Article
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
Longhurst H, Bygum A
Clin Rev Allergy Immunol 2016 Oct;51(2):230-9. doi: 10.1007/s12016-016-8575-2. PMID: 27388236

Diagnosis

Zając M, Bożek A, Kozłowska R, Grzanka A
Medicina (Kaunas) 2023 Mar 24;59(4) doi: 10.3390/medicina59040644. PMID: 37109602Free PMC Article
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
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
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

Therapy

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
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
Craig T, Busse P, Gower RG, Johnston DT, Kashkin JM, Li HH, Lumry WR, Riedl MA, Soteres D
Ann Allergy Asthma Immunol 2018 Dec;121(6):673-679. Epub 2018 Jul 27 doi: 10.1016/j.anai.2018.07.025. PMID: 30056152
Gallais Sérézal I, Bouillet L, Dhôte R, Gayet S, Jeandel PY, Blanchard-Delaunay C, Martin L, Mekinian A, Fain O
Autoimmun Rev 2015 Jun;14(6):564-8. Epub 2015 Feb 4 doi: 10.1016/j.autrev.2015.02.001. PMID: 25660269

Prognosis

Grombirikova H, Bily V, Soucek P, Kramarek M, Hakl R, Ballonova L, Ravcukova B, Ricna D, Kozena K, Kratochvilova L, Sobotkova M, Zachova R, Kuklinek P, Kralickova P, Krcmova I, Hanzlikova J, Vachova M, Krystufkova O, Dankova E, Jesenak M, Novackova M, Svoboda M, Litzman J, Freiberger T
J Clin Immunol 2023 Nov;43(8):1974-1991. Epub 2023 Aug 25 doi: 10.1007/s10875-023-01565-w. PMID: 37620742Free PMC Article
Obtulowicz P, Piotrowicz-Wojcik K, Dyga W, Stobiecki M, Popiela T, Obtulowicz K
J Physiol Pharmacol 2022 Apr;73(2) Epub 2022 Sep 29 doi: 10.26402/jpp.2022.2.08. PMID: 36193964
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
Bova M, De Feo G, Parente R, De Pasquale T, Gravante C, Pucci S, Nettis E, Triggiani M
Int Arch Allergy Immunol 2018;175(3):126-135. Epub 2018 Jan 26 doi: 10.1159/000486312. PMID: 29393169
Malbrán E, Fernández Romero D, Juri MC, Larrauri BJ, Malbrán A
Medicina (B Aires) 2015;75(5):273-6. PMID: 26502460

Clinical prediction guides

Farkas H, Balla Z
Expert Opin Drug Saf 2023 Jul-Dec;22(7):549-561. Epub 2023 Jun 21 doi: 10.1080/14740338.2023.2226861. PMID: 37334624
Zając M, Bożek A, Kozłowska R, Grzanka A
Medicina (Kaunas) 2023 Mar 24;59(4) doi: 10.3390/medicina59040644. PMID: 37109602Free PMC Article
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
Forjaz MJ, Ayala A, Caminoa M, Prior N, Pérez-Fernández E, Caballero T; DV-HAE-QoL Study Group
J Investig Allergol Clin Immunol 2021 Jun 22;31(3):246-252. Epub 2020 Jan 14 doi: 10.18176/jiaci.0479. PMID: 31932270

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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