Ding Xuewei, Qamar Ayub, Liu Hui
College of Medical Laboratory, Dalian Medical University, Dalian 116044, China.
College of Medical Laboratory, Dalian Medical University, Dalian 116044, China.
Clin Chim Acta. 2023 Feb 15;541:117238. doi: 10.1016/j.cca.2023.117238. Epub 2023 Feb 4.
With the advancement in research in the field of the complement system, a more comprehensive understanding developed about the complement system's role in the life process of an organism. It is a system of innate immune surveillance. This system plays a pivotal role in host defense against pathogens, inflammation, B and T cell homeostasis. Complement system analysis has a significant advantage in the assessment of the immune system status, diagnosis and prognosis of diseases, and medication guidelines. Currently, complement system testing is neither yet widely used across all clinical laboratoriesnor are the testing protocols yet systematic. Based on the current research, it is suggested that the analysis of complement activator-activated complement activity and total complement activity would be comprehensively assessed to evaluate the complement system's immunological function, and combine of the detection of its components to establish a systematic protocol for the complement system testing in the clinical laboratory. This article reviews the complement system's physiological role, disease relevance and the current testing status in clinical laboratories. Further more, some suggestions have also been provided for the preparation of complement standards i.e., the standardized preparation process for complement standards seems to be a feasible option given the easy inactivation of complement.
随着补体系统领域研究的进展,人们对补体系统在生物体生命过程中的作用有了更全面的认识。它是一种先天性免疫监视系统。该系统在宿主抵御病原体、炎症、B细胞和T细胞稳态中起着关键作用。补体系统分析在评估免疫系统状态、疾病诊断和预后以及用药指导方面具有显著优势。目前,补体系统检测在所有临床实验室中尚未广泛应用,检测方案也不系统。基于目前的研究,建议综合评估补体激活剂激活的补体活性和总补体活性,以评估补体系统的免疫功能,并结合其成分检测,建立临床实验室补体系统检测的系统方案。本文综述了补体系统的生理作用、与疾病的相关性以及临床实验室目前的检测状况。此外,还针对补体制剂的制备提出了一些建议,即鉴于补体易失活,补体标准品的标准化制备过程似乎是一种可行的选择。