2021
DOI: 10.3389/fimmu.2021.694928
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Complement C4, Infections, and Autoimmune Diseases

Abstract: Complement C4, a key molecule in the complement system that is one of chief constituents of innate immunity for immediate recognition and elimination of invading microbes, plays an essential role for the functions of both classical (CP) and lectin (LP) complement pathways. Complement C4 is the most polymorphic protein in complement system. A plethora of research data demonstrated that individuals with C4 deficiency are prone to microbial infections and autoimmune disorders. In this review, we will discuss the … Show more

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Cited by 65 publications
(55 citation statements)
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“…ENSOARG00000002722 encodes complement C4-like protein, which is the key molecule in the complement system. Complement C4 is one of the chief constituents of innate immunity for immediate recognition and elimination of invading microbes, and plays an essential role in the functions of both classical and lectin complement pathways ( 47 ). ARHGEF2 encodes the microtubule-associated immune molecule guanine nucleotide exchange factor-H1 (GEF-H1), which is crucial in coupling microtubule dynamics to the initiation of microtubule-mediated immune responses ( 48 ).…”
Section: Discussionmentioning
confidence: 99%
“…ENSOARG00000002722 encodes complement C4-like protein, which is the key molecule in the complement system. Complement C4 is one of the chief constituents of innate immunity for immediate recognition and elimination of invading microbes, and plays an essential role in the functions of both classical and lectin complement pathways ( 47 ). ARHGEF2 encodes the microtubule-associated immune molecule guanine nucleotide exchange factor-H1 (GEF-H1), which is crucial in coupling microtubule dynamics to the initiation of microtubule-mediated immune responses ( 48 ).…”
Section: Discussionmentioning
confidence: 99%
“…Pleural effusion adenosine deaminase (ADA)can be used to distinguish between Gram-negative and Gram-positive infections of the pleural cavity early and quickly [19]. Complement C4 (CO4) is a key molecule in the complement system and one of the main components of innate immunity, which can immediately identify and eliminate invading microorganisms [20]. Apolipoprotein E (APOE) was a novel diagnostic marker for invasive bacterial infections in pediatric patients [21].…”
Section: Discussionmentioning
confidence: 99%
“…However, C1q deposition in the liver did not increase significantly after BDL (Figure 2A), suggesting that complement activation in CLI is not mediated through the classical pathway. Although C4 is necessary for the formation of C3 convertase in both the classical and lectin pathways and C4 deficiency leads to inhibition of these two pathways (27), its deficiency had no effect on C3 activation in the BDL mouse model (Figure 2B). Factor B is critical for activation of the alternative pathway (28).…”
Section: The Alternative Pathway Contributes To Over-activation Of Complement In Mice With CLImentioning
confidence: 99%