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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

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
Grover SP, Kawano T, Wan J, Tanratana P, Polai Z, Shim YJ, Snir O, Brækkan S, Dhrolia S, Kasthuri RR, Bendapudi PK, McCrae KR, Wolberg AS, Hansen JB, Farkas H, Mackman N
Blood 2023 May 11;141(19):2390-2401. doi: 10.1182/blood.2022018849. PMID: 36701760Free 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

Diagnosis

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
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
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

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
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
Kaplan AP
Chem Immunol Allergy 2014;100:140-7. Epub 2014 May 22 doi: 10.1159/000358619. PMID: 24925394

Prognosis

Trainotti S, Johnson F, Hahn J, Hofauer B, Greve J, Wollenberg B, Hoffmann TK, Lochbaum R
J Allergy Clin Immunol Pract 2023 Dec;11(12):3772-3779. Epub 2023 Sep 15 doi: 10.1016/j.jaip.2023.09.003. PMID: 37716525
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
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
Longhurst H, Farkas H
Expert Opin Biol Ther 2020 May;20(5):493-501. Epub 2020 Mar 19 doi: 10.1080/14712598.2020.1724280. PMID: 31994957
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

Clinical prediction guides

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
Miyata T, Horiuchi T
Allergol Int 2023 Jul;72(3):375-384. Epub 2023 May 9 doi: 10.1016/j.alit.2023.04.004. PMID: 37169642
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
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

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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