Table 1.
Characteristics of proteins involved in the pathogenesis of TTP and atypical HUS
Protein | ADAMTS13 | CFH | IF | MCP |
---|---|---|---|---|
Gene, RefSeq | NM 139026 | NM 000186 | NM 000204 | NM 002389 |
Genomic size | 37 kb | 95 kb | 63 kb | 43 kb |
Location | 9q34 | 1q32 | 4q25 | 1q32 |
No. of exons | 29 | 23 | 13 | 14 |
cDNA size | 4.7 kb | 4.0 kb | 2.0 kb | 3.4 kb |
Amino acid residues (precursor) | 1427 | 1231 | 583 | 392 |
Mol wt (kD) | ||||
Predicted | 154 | 139 | 65.7 | 43.7 |
Observed | 190 | 155 | 88 | 59–68 (BC1, BC2) |
43 | (50 & 38) | 51–58 (C1, C2) | ||
Tissue expression | Liver (stellate cells) | Liver | Liver, EC, MNC, etc. | Kidney, fetal heart, brain, MNC, spermatozoa |
Subcellular location | Plasma | Plasma | Plasma | Transmembrane protein |
Plasma concentration | 1 µg/mLa | 3.5 mg/mL | 35 µg/mL | - |
Function | Cleavage of sheared VWF | Cofactor of IF ↓ alternative C3 convertase | Cleavage of C3b, C4b | Cofactor of IF Activation of Treg |
Causes of deficiency | Inhibitory antibodies | Genetic mutations | Genetic Mutations | Genetic Mutations |
Genetic mutations | Autoantibody | |||
Disorders of deficiency | TTP | MPGN* | Pyogenic infection | Atypical HUS |
Atypical HUS | Vasculitis | |||
Atypical HUS |
HUS: hemolytic uremic syndrome; EC: endothelial cell; MNC: mononuclear cells; MPGN: membranoproliferative glomerulonephropathy; TTP: thrombotic thrombocytopenic purpura; Treg: regulatory T cells.
Estimated