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. 2025 Jan 3;12(2):e200361. doi: 10.1212/NXI.0000000000200361

Table 2.

Multivariable Associations of CSF Complement Components and Activation Products With MRI Parameters

Longitudinal brain atrophy (BPF) n = 829 MRIs/120 pat Longitudinal total T2-weighted lesion volume n = 930 MRIs/128 pat CE lesions n = 996 MRIs/133 pat PRLs n = 101 MRIs/pat
Est (%) CI p Value ME CI p Value OR CI p Value IRR CI p Value
C4a −0.24 −0.31 to −0.16 <1e-04 1.79 1.23–2.60 0.00292 1.81 0.97–3.36 0.0623 1.52 0.94–2.47 0.0906
C4 −0.05 −0.15 to 0.05 0.3607 0.93 0.59–1.46 0.75055 1.46 0.59–3.60 0.4126 0.75 0.44–1.28 0.2896
C3a −0.13 −0.21 to −0.06 0.00024 2.19 1.58–3.04 <1e-04 2.54 1.40–4.61 0.00224 2.58 1.66–4.03 <0.01
C3 −0.12 −0.16 to −0.07 <1e-04 1.14 0.92–1.41 0.22440 1.26 0.88–1.82 0.2041 1.16 0.90–1.49 0.2605
C5a −0.07 −0.11 to −0.04 <1e-04 1.16 0.98–1.38 0.07889 1.40 1.03–1.91 0.03323 1.25 1.03–1.52 0.0264
s-C5b9 −0.06 −0.09 to −0.03 <1e-04 1.20 1.04–1.38 0.01415 1.23 0.92–1.64 0.1550 1.17 0.98–1.40 0.0863
C5 −0.07 −0.13 to −0.01 0.0332 0.82 0.56–1.21 0.31617 0.68 0.31–1.49 0.3360 0.59 0.35–1.00 0.0518
Ba −0.22 −0.29 to −0.15 <1e-04 1.97 1.26–3.08 0.00376 3.32 1.53–7.21 0.00240 2.33 1.27–4.26 <0.01
Bb −0.12 −0.17 to −0.07 <1e-04 1.15 0.85–1.56 0.35397 1.51 0.89–2.57 0.1263 1.30 0.90–1.86 0.1609
C1q +0.05 0.10 to 0.19 0.5141 0.78 0.42–1.47 0.44894 0.91 0.31–2.66 0.8674 0.51 0.24–1.10 0.0878
Factor H −0.13 −0.31 to 0.06 0.1714 1.00 0.35–2.87 0.99970 0.64 0.08–5.28 0.6809 2.85 0.63–12.86 0.173
Factor I −0.05 −0.13 to 0.03 0.24133 1.17 0.72–1.90 0.51989 0.95 0.41–2.23 0.9121 1.72 0.93–3.19 0.0826

Abbreviations: BPF = brain parenchymal fraction; CAP = complement activation product; CC = complement component; CE = contrast-enhancing; Est. = estimate; IRR = incidence rate ratio; ME = multiplicative effect; OR = odds ratio; pat = patients; PRLs = paramagnetic rim lesions.

Reading example: effect of CC/CAP concentration doubling: per doubling of CSF C3a levels longitudinal total T2-weighted lesion volume is 119% higher.