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. 2014 Jul 18;124(11):1715–1726. doi: 10.1182/blood-2014-02-558296

Table 3.

Complement profile in eculizumab-treated aHUS patients

Case Mutation or anti-CFH Ab Disease phase treatment Clinical parameters* Complement parameters
Platelets (150-400 × 103/μL) LDH (266-500 IU/L) Hemoglobin (14-18 g/dL) Serum creatinine (0.55-1.25 mg/dL) Serum C3 (83-180 mg/dL) Plasma SC5b-9 (127-400 Eq/mL) Serum CH50 (79-187 U Eq/mL) C5b-9 deposits (% of control)
1 CFHR1/CFH Acute (pre-Ecu) 111 000 2000 5.1 6 79 329 227 309§
Hybrid gene 9 d post-Ecu 1200 mg 318 000 741 12.6 1.7 91 533 5 71
2 CFB -L433S Acute (pre-Ecu) 121 000 2011 5.5 27 77 156 100 1019§
14 d post-Ecu 1200 mg 280 000 357 12.9 1.22 65 967 11 106
3 No mutations Acute (pre-Ecu) 19 000 2373 9.2 1.9 50 411 142 478§
No anti-CFH Ab 21 d post-Ecu 300 mg 564 000 n.d. 12.5 0.6 76 116 46 105
4 No mutations Acute (pre-Ecu) 107 000 768 9.6 15.2 78 556 45 439§
No anti-CFH Ab 14 d post-Ecu 1200 mg 161 000 342 11.7 4.77 88 260 4 59
5 CFH-S1191L Remission (pre-Ecu) 237 000 576 10.9 8.91 93 121 72 298§
8 d post-Ecu 300 mg 67 000 560 13.5 0.52 103 195 3 152§
12 d post-Ecu 600 mg 119 000 588 13.6 0.59 95 214 3 43
11 d post-Ecu 600 mg 225 000 493 12.6 0.5 n.d. 167 6 76
6 C3-K633R Acute (pre-Ecu) 39 000 5000 7.7 1.48 123 392 93 342§
6 d post-Ecu 600 mg 159 000 854 8.5 4.29 126 231 1 119
6 d post-Ecu 900 mg 232 000 473 11.5 1.5 n.d. 566 11 82
7 CFH-R1210C Acute (pre-Ecu) 46 000 1962 7 5.7 79 421 118 474§
14 d post-Ecu 1200 mg 277 000 336 11.9 1.4 89 505 10 102
21 d post-Ecu 1200 mg 307 000 264 12.2 1.2 83 231 32 75
8 CFI-R187Q Acute (pre-Ecu) 94 000 869 7.2 4.5 99 534 n.d. 177§
14 d post-Ecu 1200 mg 212 000 401 10.1 2 89 435 6 24
1 mo post-Ecu 1200 mg 185 000 434 11.6 1.93 85 298 22 92

Ab, antibody; Ecu, eculizumab; n.d. not done.

*

Clinical data in the table are those recorded the same days when complement parameters were evaluated.

Limits of normal ranges (as defined in supplemental “Methods”).

Serum-induced C5b-9 deposits on ADP-activated endothelial cells (HMEC-1).

§

P < .01 vs control (serum from healthy subjects run in parallel, with 15 fields analyzed, as detailed in supplemental “Methods”).