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. 1985 Apr;60(1):183–190.

Inherited C8 beta subunit deficiency in a patient with recurrent meningococcal infections: in vivo functional kinetic analysis of C8.

C P Rao, J O Minta, B Laski, C A Alper, E W Gelfand
PMCID: PMC1577010  PMID: 3924449

Abstract

A 16 year old with recurrent meningococcal infections is reported. Absence of haemolytic activity in both the classical and alternative pathways resulted from an absence of functional C8. Addition of functional C8 restored hemolytic activity. Antigenically deficient C8 was present in the serum and isoelectric focusing of serum confirmed the absence of the C8 beta chain. Following the infusion of fresh frozen plasma, we followed the decay in C8 functional activity as well as total haemolytic activity. C8 activity peaked at about 3 h with a half-life survival estimated to be 28 h. The kinetics of total haemolytic activity showed a slower decay with an exponential decline over 72 h and a half-life of 55 h. Fresh frozen plasma may be of value in the treatment of patients with C8 deficiency and acute Neisserial infections.

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Selected References

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  1. Agnello V. Complement deficiency states. Medicine (Baltimore) 1978 Jan;57(1):1–23. doi: 10.1097/00005792-197801000-00001. [DOI] [PubMed] [Google Scholar]
  2. Alper C. A., Boenisch T., Watson L. Genetic polymorphism in human glycine-rich beta-glycoprotein. J Exp Med. 1972 Jan;135(1):68–80. doi: 10.1084/jem.135.1.68. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Alper C. A. Inherited structural polymorphism in human C2: evidence for genetic linkage between C2 and Bf. J Exp Med. 1976 Oct 1;144(4):1111–1115. doi: 10.1084/jem.144.4.1111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Alper C. A., Marcus D., Raum D., Petersen B. H., Spira T. J. Genetic polymorphism in C8 beta-chains. Evidence for two unlinked genetic loci for the eighth component of human complement (C8). J Clin Invest. 1983 Nov;72(5):1526–1531. doi: 10.1172/JCI111111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Alper C. A., Propp R. P. Genetic polymorphism of the third component of human complement (C'3). J Clin Invest. 1968 Sep;47(9):2181–2191. doi: 10.1172/JCI105904. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Densen P., Brown E. J., O'Neill G. J., Tedesco F., Clark R. A., Frank M. M., Webb D., Myers J. Inherited deficiency of C8 in a patient with recurrent meningococcal infections: further evidence for a dysfunctional C8 molecule and nonlinkage to the HLA system. J Clin Immunol. 1983 Jan;3(1):90–99. doi: 10.1007/BF00919144. [DOI] [PubMed] [Google Scholar]
  7. Gelfand E. W., Clarkson J. E., Minta J. O. Selective deficiency of the second component of complement in a patient with anaphylactoid purpura. Clin Immunol Immunopathol. 1975 Jul;4(2):269–276. doi: 10.1016/0090-1229(75)90062-8. [DOI] [PubMed] [Google Scholar]
  8. Giraldo G., Degos L., Beth E., Sasportes M., Marcelli A., Gharbi R., Day N. K. C8 deficiency in a family with xeroderma pigmentosum. Lack of linkage to the HLA region. Clin Immunol Immunopathol. 1977 Nov;8(3):377–384. doi: 10.1016/0090-1229(77)90002-2. [DOI] [PubMed] [Google Scholar]
  9. Jasin H. E. Absence of the eighth component of complement in association with systemic lupus erythematosus-like disease. J Clin Invest. 1977 Sep;60(3):709–715. doi: 10.1172/JCI108823. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Klob W. P., Müller-Eberhard H. J. The membrane attack mechanism of complement: the three polypeptide chain structure of the eigth component (C8). J Exp Med. 1976 May 1;143(5):1131–1139. doi: 10.1084/jem.143.5.1131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lesavre P. H., Hugli T. E., Esser A. F., Müller-Eberhard H. J. The alternative pathway C3/C5 convertase: chemical basis of factor B activation. J Immunol. 1979 Aug;123(2):529–534. [PubMed] [Google Scholar]
  12. Matthews N., Stark J. M., Harper P. S., Doran J., Jones D. M. Recurrent meningococcal infections associated with a functional deficiency of the C8 component of human complement. Clin Exp Immunol. 1980 Jan;39(1):53–59. [PMC free article] [PubMed] [Google Scholar]
  13. Monahan J. B., Sodetz J. M. Role of the beta subunit in interaction of the eighth component of human complement with the membrane-bound cytolytic complex. J Biol Chem. 1981 Apr 10;256(7):3258–3262. [PubMed] [Google Scholar]
  14. Ngan B. Y., Gelfand E. W., Minta J. O. A simple one-step hemolytic assay for C2 with C2-deficient human serum. J Immunol. 1977 Mar;118(3):736–741. [PubMed] [Google Scholar]
  15. Nicholson A., Lepow I. H. Host defense against Neisseria meningitidis requires a complement-dependent bactericidal activity. Science. 1979 Jul 20;205(4403):298–299. doi: 10.1126/science.451601. [DOI] [PubMed] [Google Scholar]
  16. Petersen B. H., Graham J. A., Brooks G. F. Human deficiency of the eighth component of complement. The requirement of C8 for serum Neisseria gonorrhoeae bactericidal activity. J Clin Invest. 1976 Feb;57(2):283–290. doi: 10.1172/JCI108279. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Petersen B. H., Lee T. J., Snyderman R., Brooks G. F. Neisseria meningitidis and Neisseria gonorrhoeae bacteremia associated with C6, C7, or C8 deficiency. Ann Intern Med. 1979 Jun;90(6):917–920. doi: 10.7326/0003-4819-90-6-917. [DOI] [PubMed] [Google Scholar]
  18. Platts-Mills T. A., Ishizaka K. Activation of the alternate pathway of human complements by rabbit cells. J Immunol. 1974 Jul;113(1):348–358. [PubMed] [Google Scholar]
  19. Raum D., Spence M. A., Balavitch D., Tideman S., Merritt A. D., Taggart R. T., Petersen B. H., Day N. K., Alper C. A. Genetic control of the eighth component of complement. J Clin Invest. 1979 Sep;64(3):858–865. doi: 10.1172/JCI109534. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Schuurman R. K., Gelfand E. W., Matheson D., Zimmerman B., Dosch H. M. Identification of Ia on a subpopulation of human T lymphocytes that stimulate in a mixed lymphocyte reaction. J Immunol. 1980 Apr;124(4):1924–1928. [PubMed] [Google Scholar]
  21. Steckel E. W., York R. G., Monahan J. B., Sodetz J. M. The eighth component of human complement. Purification and physicochemical characterization of its unusual subunit structure. J Biol Chem. 1980 Dec 25;255(24):11997–12005. [PubMed] [Google Scholar]
  22. Tedesco F., Bardare M., Giovanetti A. M., Sirchia G. A familial dysfunction of the eight component of complement (C8). Clin Immunol Immunopathol. 1980 Jun;16(2):180–191. doi: 10.1016/0090-1229(80)90202-0. [DOI] [PubMed] [Google Scholar]
  23. Tedesco F., Densen P., Villa M. A., Petersen B. H., Sirchia G. Two types of dysfunctional eighth component of complement (C8) molecules in C8 deficiency in man. Reconstitution of normal C8 from the mixture of two abnormal C8 molecules. J Clin Invest. 1983 Feb;71(2):183–191. doi: 10.1172/JCI110758. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Teisberg P., Olaisen B., Jonassen R., Gedde-Dahl T., Jr, Thorsby E. The genetic polymorphism of the fourth component of human complement: methodological aspects and a presentation of linkage and association data relevant to its localization in the HLA region. J Exp Med. 1977 Nov 1;146(5):1380–1389. doi: 10.1084/jem.146.5.1380. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Tschopp J., Esser A. F., Spira T. J., Müller-Eberhard H. J. Occurrence of an incomplete C8 molecule in homozygous C8 deficiency in man. J Exp Med. 1981 Nov 1;154(5):1599–1607. doi: 10.1084/jem.154.5.1599. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Zeitz H. J., Miller G. W., Lint T. F., Ali M. A., Gewurz H. Deficiency of C7 with systemic lupus erythematosus: solubilization of immune complexes in complement-deficient sera. Arthritis Rheum. 1981 Jan;24(1):87–93. doi: 10.1002/art.1780240114. [DOI] [PubMed] [Google Scholar]

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