Mutations in complement C3 predispose to development of atypical hemolytic uremic syndrome

  • Veronique Frémeaux-Bacchi
  • , Elizabeth C Miller
  • , M Kathryn Liszewski
  • , Lisa Strain
  • , Jacques Blouin
  • , Alison L Brown
  • , Nadeem Moghal
  • , Bernard S Kaplan
  • , Robert A Weiss
  • , Karl Lhotta
  • , Gaurav Kapur
  • , Tej Mattoo
  • , Hubert Nivet
  • , William Wong
  • , Sophie Gie
  • , Bruno Hurault de Ligny
  • , Michel Fischbach
  • , Ritu Gupta
  • , Richard Hauhart
  • , Vincent Meunier
  • Chantal Loirat, Marie-Agnès Dragon-Durey, Wolf H Fridman, Bert J C Janssen, Timothy H J Goodship, John P Atkinson

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    Atypical hemolytic uremic syndrome (aHUS) is a disease of complement dysregulation. In approximately 50% of patients, mutations have been described in the genes encoding the complement regulators factor H, MCP, and factor I or the activator factor B. We report here mutations in the central component of the complement cascade, C3, in association with aHUS. We describe 9 novel C3 mutations in 14 aHUS patients with a persistently low serum C3 level. We have demonstrated that 5 of these mutations are gain-of-function and 2 are inactivating. This establishes C3 as a susceptibility factor for aHUS.

    Original languageEnglish
    Pages (from-to)4948-52
    Number of pages5
    JournalBlood
    Volume112
    Issue number13
    DOIs
    Publication statusPublished - 15 Dec 2008

    Keywords

    • Adolescent
    • Adult
    • Child
    • Child, Preschool
    • Codon, Nonsense
    • Complement C3/analysis
    • DNA Mutational Analysis
    • Genetic Predisposition to Disease
    • Hemolytic-Uremic Syndrome/etiology
    • Heterozygote
    • Humans
    • Infant
    • Mutation
    • Mutation, Missense
    • Young Adult

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