Table 1:
Clinical and immunological features of 165 patients with C3 Glomerulopathy including 64 children and 101 adults
Nb | All patients 165 |
Children 64 |
Adults 101 |
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---|---|---|---|---|---|
Clinical data at diagnosis | |||||
Sex (% of male) | 165 | 82 (50%) | 25 (39%) | 57 (56%) | 0.01 |
Age (years) | 165 | 20 [10–39] | 8[6–11] | 33[21–54] | <0.0001 |
Proteinuira g/day | 96 | 3,1 [1.9–6.4] | 3[1.6–5.4] | 3.5[2.3–6.6] | 0.72 |
Nephrotic range proteinuria | 143 | 67 (47%) | 23/56 (41%) | 34/85 (40%) | 0.13 |
Estimated GFR (ml/min/1.73 m2) | 151 | 65 [28–100] | 80 [40–100] | 56 [28–100] | 0.11 |
Stage 3–5 CKD n (%) | 151 | 71 (47%) | 25/61 (41%) | 46/90 (51%) | 0.22 |
Immunological data at diagnosis | |||||
C3 (660 to 1250 mg/L) | 165 | 557 [257–879] | 443[192–847] | 578[311–1680] | 0.08 |
Low C3 (<660 mg/L) (%) | 165 | 97 (59%) | 40/64 (63%) | 57/101 (56%) | 0.51 |
Soluble C5b-9 (ng/mL) | 165 | 482 [310–849] | 488[323–868] | 482[289–847] | 0.72 |
High sC5b-9 (>460ng/mL) (%) | 165 | 84 (51%) | 33 (52%) | 51 (50%) | 0.99 |
C4 (93 to 380 mg/L) | 154 | 226[169–286] | 222[151–274] | 234[179–296] | 0.42 |
Factor H level (% of normal) | 144 | 105 [82–124] | 104[82–126} | 105[83–123] | 0.85 |
Factor H (<65% of the normal) (%) | 142 | 6 (6%) | 1/50 (2%) | 5/92 (5%) | 0.33 |
Factor I level (% of the normal) | 142 | 109[95–124] | 114[99–130] | 105[92–120] | 0.12 |
Low Factor I (<) (%) | 142 | 4 (3%) | 2/50 (4%) | 2/92 (2%) | 0.52 |
C3NeF n (%) | 161 | 90 (56%) | 50/64 (78%) | 40/99 (40%) | <0.0001 |
C5NeF n (%) | 92 | 35 (38%) | 20/43 (47%) | 15/51 (29%) | 0.13 |
Anti-FH auto-antibodies n (%) | 154 | 22 (14%) | 11/56 (19%) | 11/98 (11%) | 0.15 |
rare/pathogenic variant | 140 | 26 (19%) | 9/53 (17%) | 17/87 (20%) | 0.82 |
Follow-up | |||||
Median Follow-up (months) | 162 | 47 [19–82] | 60 [20–99] | 36[16–75] | 0.02 |
ESKD n (%) | 162 | 46 (28%) | 11/62 (18%) | 35/100 (35%) | 0.02 |
Duration of evolution until ESKD (months) | 22 [9–77] | 30[18–88] | 21[6–66] | 0.33 |
Abbreviations:, CKD, chronic kidney disease, ESKD, end stage kidney disease; eGFR, Estimated Glomerular Filtration Rate, FH, factor H, sC5b9: soluble C5b9
Results are expressed as median plus interquartile (IQR).