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C1Q deficiency(C1QD; C1QD1)

MedGen UID:
462252
Concept ID:
C3150902
Disease or Syndrome
Synonyms: C1q deficiency; C1q DEFICIENCY; C1q DEFICIENCY 1; C1QD; C1QD1
 
Related genes: C1QC, C1QB, C1QA
 
Monarch Initiative: MONDO:0013343
OMIM®: 120550; 613652
OMIM® Phenotypic series: PS613652

Definition

C1q deficiency (C1QD) is a rare autosomal recessive disorder characterized by recurrent skin lesions, chronic infections, and an increased risk of autoimmune diseases, particularly systemic lupus erythematosus (SLE; see 152700) or SLE-like diseases. It has also been associated with chronic glomerulonephritis and renal failure. C1q deficiency presents in 2 different forms, absent C1q protein or presence of a dysfunctional molecule (summary by Topaloglu et al., 1996 and Vassallo et al., 2007). Genetic Heterogeneity of C1q Deficiency See also C1q deficiency-2 (C1QD2; 620321), caused by mutation in the C1QB gene (120570), and C1q deficiency-3 (C1QD3; 620322), caused by mutation in the C1QC gene (120575). [from OMIM]

Clinical features

From HPO
Autoimmunity
MedGen UID:
2136
Concept ID:
C0004368
Pathologic Function
The occurrence of an immune reaction against the organism's own cells or tissues.
Mesangiocapillary glomerulonephritis
MedGen UID:
9033
Concept ID:
C0017662
Disease or Syndrome
A type of glomerulonephritis characterized by diffuse mesangial cell proliferation and the thickening of capillary walls due to subendothelial extension of the mesangium. The term membranoproliferative glomerulonephritis is often employed to denote a general pattern of glomerular injury seen in a variety of disease processes that share a common pathogenetic mechanism, rather than to describe a single disease entity
Systemic lupus erythematosus
MedGen UID:
6146
Concept ID:
C0024141
Disease or Syndrome
Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterized by production of autoantibodies against nuclear, cytoplasmic, and cell surface molecules that transcend organ-specific boundaries. Tissue deposition of antibodies or immune complexes induces inflammation and subsequent injury of multiple organs and finally results in clinical manifestations of SLE, including glomerulonephritis, dermatitis, thrombosis, vasculitis, seizures, and arthritis. Evidence strongly suggests the involvement of genetic components in SLE susceptibility (summary by Oishi et al., 2008). Genetic Heterogeneity of Systemic Lupus Erythematosus An autosomal recessive form of systemic lupus erythematosus (SLEB16; 614420) is caused by mutation in the DNASE1L3 gene (602244) on chromosome 3p14.3. An X-linked dominant form of SLE (SLEB17; 301080) is caused by heterozygous mutation in the TLR7 gene (300365) on chromosome Xp22. See MAPPING and MOLECULAR GENETICS sections for a discussion of genetic heterogeneity of susceptibility to SLE.
Recurrent infections
MedGen UID:
65998
Concept ID:
C0239998
Finding
Increased susceptibility to infections.
Decreased circulating complement factor I concentration
MedGen UID:
370868
Concept ID:
C1970257
Finding
Concentration of the complement component factor I in the blood circulation below the lower limit of normal.

Professional guidelines

PubMed

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952

Recent clinical studies

Etiology

Triaille C, Rao NM, Rice GI, Seabra L, Sutherland FJH, Bondet V, Duffy D, Gennery AR, Fournier B, Bader-Meunier B, Troedson C, Cleary G, Buso H, Dalby-Payne J, Ranade P, Jansen K, De Somer L, Frémond ML, Chavan PP, Wong M, Dale RC, Wouters C, Quartier P, Khubchandani R, Crow YJ
J Clin Immunol 2024 Aug 28;44(8):185. doi: 10.1007/s10875-024-01788-5. PMID: 39196411Free PMC Article
Mosaad YM, Hammad A, Fawzy Z, El-Refaaey A, Tawhid Z, Hammad EM, Youssef LF, ElAttar EA, Radwan DF, Fawzy IM
Clin Exp Immunol 2015 Oct;182(1):23-34. Epub 2015 Jul 28 doi: 10.1111/cei.12666. PMID: 26095468Free PMC Article
Truedsson L
Mol Immunol 2015 Nov;68(1):14-9. Epub 2015 May 30 doi: 10.1016/j.molimm.2015.05.007. PMID: 26038300
Leffler J, Bengtsson AA, Blom AM
Ann Rheum Dis 2014 Sep;73(9):1601-6. Epub 2014 May 20 doi: 10.1136/annrheumdis-2014-205287. PMID: 24845390
Cicardi M, Zingale LC, Pappalardo E, Folcioni A, Agostoni A
Medicine (Baltimore) 2003 Jul;82(4):274-81. doi: 10.1097/01.md.0000085055.63483.09. PMID: 12861105

Diagnosis

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952
Barturen G, Alarcón-Riquelme ME
Best Pract Res Clin Rheumatol 2017 Jun;31(3):291-305. Epub 2017 Oct 21 doi: 10.1016/j.berh.2017.09.006. PMID: 29224672
Stegert M, Bock M, Trendelenburg M
Mol Immunol 2015 Sep;67(1):3-11. Epub 2015 Apr 3 doi: 10.1016/j.molimm.2015.03.007. PMID: 25846716
Leffler J, Bengtsson AA, Blom AM
Ann Rheum Dis 2014 Sep;73(9):1601-6. Epub 2014 May 20 doi: 10.1136/annrheumdis-2014-205287. PMID: 24845390
Ratnoff WD
Rheum Dis Clin North Am 1996 Feb;22(1):75-94. doi: 10.1016/s0889-857x(05)70263-5. PMID: 8907066

Therapy

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952
Jachiet M, Flageul B, Deroux A, Le Quellec A, Maurier F, Cordoliani F, Godmer P, Abasq C, Astudillo L, Belenotti P, Bessis D, Bigot A, Doutre MS, Ebbo M, Guichard I, Hachulla E, Héron E, Jeudy G, Jourde-Chiche N, Jullien D, Lavigne C, Machet L, Macher MA, Martel C, Melboucy-Belkhir S, Morice C, Petit A, Simorre B, Zenone T, Bouillet L, Bagot M, Frémeaux-Bacchi V, Guillevin L, Mouthon L, Dupin N, Aractingi S, Terrier B; French Vasculitis Study Group
Arthritis Rheumatol 2015 Feb;67(2):527-34. doi: 10.1002/art.38956. PMID: 25385679
Cohen D, Buurma A, Goemaere NN, Girardi G, le Cessie S, Scherjon S, Bloemenkamp KW, de Heer E, Bruijn JA, Bajema IM
J Pathol 2011 Dec;225(4):502-11. Epub 2011 Jun 20 doi: 10.1002/path.2893. PMID: 21688269
Cicardi M, Zingale LC, Pappalardo E, Folcioni A, Agostoni A
Medicine (Baltimore) 2003 Jul;82(4):274-81. doi: 10.1097/01.md.0000085055.63483.09. PMID: 12861105
Gordon MM, Lucie N, Porter D
Lupus 2000;9(1):68-71. doi: 10.1177/096120330000900113. PMID: 10713650

Prognosis

Buso H, Triaille C, Flinn AM, Gennery AR
Curr Opin Allergy Clin Immunol 2024 Dec 1;24(6):427-433. Epub 2024 Oct 3 doi: 10.1097/ACI.0000000000001034. PMID: 39479952
Ni XN, Yan SB, Zhang K, Sai WW, Zhang QY, Ti Y, Wang ZH, Zhang W, Zheng CY, Zhong M
Mol Immunol 2020 Apr;120:130-135. Epub 2020 Feb 28 doi: 10.1016/j.molimm.2020.02.012. PMID: 32120180
Stegert M, Bock M, Trendelenburg M
Mol Immunol 2015 Sep;67(1):3-11. Epub 2015 Apr 3 doi: 10.1016/j.molimm.2015.03.007. PMID: 25846716
Jlajla H, Sellami MK, Sfar I, Laadhar L, Zerzeri Y, Abdelmoula MS, Gorgi Y, Dridi MF, Makni S
Immunobiology 2014 Mar;219(3):241-6. Epub 2013 Nov 6 doi: 10.1016/j.imbio.2013.10.010. PMID: 24331529
Nusinow SR, Zuraw BL, Curd JG
Med Clin North Am 1985 May;69(3):487-504. doi: 10.1016/s0025-7125(16)31028-8. PMID: 3892188

Clinical prediction guides

Triaille C, Rao NM, Rice GI, Seabra L, Sutherland FJH, Bondet V, Duffy D, Gennery AR, Fournier B, Bader-Meunier B, Troedson C, Cleary G, Buso H, Dalby-Payne J, Ranade P, Jansen K, De Somer L, Frémond ML, Chavan PP, Wong M, Dale RC, Wouters C, Quartier P, Khubchandani R, Crow YJ
J Clin Immunol 2024 Aug 28;44(8):185. doi: 10.1007/s10875-024-01788-5. PMID: 39196411Free PMC Article
Hosszu KK, Valentino A, Peerschke EI, Ghebrehiwet B
Front Immunol 2020;11:583853. Epub 2020 Oct 7 doi: 10.3389/fimmu.2020.583853. PMID: 33117397Free PMC Article
Ni XN, Yan SB, Zhang K, Sai WW, Zhang QY, Ti Y, Wang ZH, Zhang W, Zheng CY, Zhong M
Mol Immunol 2020 Apr;120:130-135. Epub 2020 Feb 28 doi: 10.1016/j.molimm.2020.02.012. PMID: 32120180
Ghebrehiwet B, Peerschke EI
Curr Dir Autoimmun 2004;7:87-97. doi: 10.1159/000075688. PMID: 14719376
Mitchell DA, Pickering MC, Warren J, Fossati-Jimack L, Cortes-Hernandez J, Cook HT, Botto M, Walport MJ
J Immunol 2002 Mar 1;168(5):2538-43. doi: 10.4049/jimmunol.168.5.2538. PMID: 11859149

Recent systematic reviews

Schulz K, Trendelenburg M
Front Immunol 2022;13:958273. Epub 2022 Aug 3 doi: 10.3389/fimmu.2022.958273. PMID: 35990646Free PMC Article

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