Weiss L, Maillet F, Kazatchkine M
Unité d'immunopathologie et INSERM U28, hôpital Broussais, Paris.
Rev Prat. 1990 Sep 21;40(21):1937-40.
Deficiencies in proteins of the classic complement pathway are particularly frequent in patients with autoimmune diseases, notably systemic lupus erythematosus (SLE). The C4 component is a polymorphous glucoprotein coded by two closely linked genes, C4A and C4B, located within the HLA complex. C4, and in particular the C4A isotype plays a major role in maintaining immune complexes in solution. Fifty percent of patients with SLE are homozygous or heterozygous to the silent allele C4 AQO. Hereditary CE deficiency is often complicated by lupus-related diseases which may be associated with repeated infections. The biological particularity of SLE associated with complement protein deficiencies is the frequency of anti-SSA (Ro) antibodies.
经典补体途径蛋白缺陷在自身免疫性疾病患者中尤为常见,尤其是系统性红斑狼疮(SLE)患者。C4成分是一种多态性糖蛋白,由位于HLA复合体内的两个紧密连锁基因C4A和C4B编码。C4,特别是C4A同种型在维持溶液中的免疫复合物方面起主要作用。50%的SLE患者对沉默等位基因C4 AQO呈纯合或杂合状态。遗传性C4缺乏常并发与狼疮相关的疾病,这些疾病可能与反复感染有关。与补体蛋白缺陷相关的SLE的生物学特殊性是抗SSA(Ro)抗体的出现频率。