Division of Transplantation, Department of Surgery, University of Pennsylvania, Philadelphia, PA, United States.
Rudbeck Laboratory C5:3, Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Front Immunol. 2019 Nov 8;10:2539. doi: 10.3389/fimmu.2019.02539. eCollection 2019.
Aberrations in complement system functions have been identified as either direct or indirect pathophysiological mechanisms in many diseases and pathological conditions, such as infections, autoimmune diseases, inflammation, malignancies, and allogeneic transplantation. Currently available techniques to study complement include quantification of (a) individual complement components, (b) complement activation products, and (c) molecular mechanisms/function. An emerging area of major interest in translational studies aims to study and monitor patients on complement regulatory drugs for efficacy as well as adverse events. This area is progressing rapidly with several anti-complement therapeutics under development, in clinical trials, or already in clinical use. In this review, we summarized the appropriate indications, techniques, and interpretations of basic complement analyses, exemplified by a number of clinical disorders.
补体系统功能异常已被确定为许多疾病和病理状况(如感染、自身免疫性疾病、炎症、恶性肿瘤和同种异体移植)的直接或间接病理生理机制。目前用于研究补体的技术包括:(a)单个补体成分的定量,(b)补体激活产物,以及(c)分子机制/功能。转化研究中一个新兴的主要研究领域旨在研究和监测接受补体调节药物治疗的患者的疗效和不良反应。随着几种抗补体治疗药物的开发、临床试验或已在临床应用,这一领域正在迅速发展。在这篇综述中,我们通过一些临床疾病举例,总结了基本补体分析的适用指征、技术和解释。