Table 1.
Patient | Genetic Variants | Disease Phase (Trigger) | Creatinine (0.3–1.3 mg/dl) | Hemoglobin (12–17 g/dl) | Platelets (130–400 109/L) | Lactate Dehydrogenase (<234 U/L) | Haptoglobin (0.3–1.8 g/L) | Serum C3 (0.8–1.9 g/L) | Serum C4 (0.1–0.5 g/L) | Serum 50% Hemolytic Complement (28–60 U/ml) | Serum C5b-9 Deposits (Mean±SEM) | Activated-Plasma C5b-9 Deposits (Mean±SEM) |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Patient 1 | MCP: (c.478G>T) p.Val160Phe | Acute (none) | 4.9 | 8.7 | 117 | 317 | N.D. | 1.0 | N.D. | 55 | 3.2±1.5a | N.A. |
Patient 2 | C3: c.3125G>A MCP: c.1148C>T | Acute (respiratory infection) | 3.9 | 9.4 | 7 | 2430 | N.D. | 0.8 | 0.3 | 72 | 2.5±1.2a | N.A. |
Remissionb | 0.8 | 12.1 | 259 | 146 | 1.1 | 0.8 | N.D. | N.D. | 1.4±0.9ac | N.A. | ||
Patient 3 | No | Acute (none) | 5 | 8.5 | 196 | 415 | N.D. | 0.7 | 0.1 | 28 | 1.9±1a | N.A. |
Remissiond | 4.4 | 9.2 | 492 | 194 | N.D. | 0.9 | 0.2 | 7 | 0.5±0.5c | N.A. | ||
Patient 4 | MCP: exon 6, heterozygosis (c.800_820Del) p.Thr267Asn273del CFH: exon 6, heterozygosis (c.292C>T) p.Leu98Phe | Acute (urinary infection) | 8.6 | 10.9 | 73 | 1353 | N.D. | 0.6 | 0.2 | 24 | 1.7±0.8a | 5.6±0.2a |
Remissione | 6 | 12.7 | 158 | 516 | 1.29 | 0.8 | 0.3 | 9 | 0.6±0.5c | 0.3±0.1c | ||
Patient 5 | CFH: exon 19, heterozygosis (c.2850G>T) p.Gln950 | Acute (postpartum) | 2.4 | 5.8 | 61 | 1678 | N.D. | N.D. | N.D. | N.D. | 2±0.8a | 4.9±0.1a |
Remissione | 0.8 | 11.7 | 305 | 247 | 0.5 | 0.9 | 0.2 | N.D. | 0.1±0.1c | 0.1±0.18c | ||
Patient 6 | No | Acute (postpartum) | 4.1 | 6.7 | 74 | 1781 | 0.2 | 1.4 | 0.5 | 21 | 1.6±0.4a | 5.9±0.4a |
Remissione | 0.8 | 10.9 | 268 | 179 | 1.12 | 0.8 | 0.2 | 12 | 0.8±0.1c | 0.3±0.1c | ||
Patient 7 | No | Acute (postpartum) | 1.6 | 13.0 | 93 | 266 | 0.3 | 1.1 | 0.3 | N.D. | 2.7±0.4a | 4.1±0.3a |
Partial remissione | 1.5 | 13.5 | 115 | 251 | 1.1 | 0.9 | 0.2 | N.D. | 2.7±0.5a | 2.4±0.1a | ||
Patient 8 | CFI: exon 5, heterozygosis (c.739T>G) p.Cys247Gly | Acute (pancreatic cancer) | 1.9 | 8.3 | 40 | 2407 | N.D. | 1.7 | 0.2 | 55 | 2.8±0.5a | 3.2±0.2a |
Remissione | 1.3 | 12.3 | 290 | 399 | 0.3 | 1.0 | 0.2 | 16 | 1.1±0.6 | 0.5±0.1c | ||
Patient 9 | CFH: heterozygosis (c.3514G>T) p.Glu172Stop | Acuteb (cocaine) | 7.2 | 7.1 | 105 | 682 | 0.3 | 0.8 | 0.2 | 41 | N.A. | 13.1±0.2a |
Remissione | 2.2 | 13.0 | 197 | 304 | 1.3 | 0.7 | 0.2 | 8 | N.A. | 0.78±0.1c | ||
Patient 10 | CFH: heterozygosis (c.3514G>T) p.Glu172Stop | Acute (cocaine) | 12.2 | 5.9 | 44 | 3214 | N.D. | N.D. | N.D. | N.D. | N.A. | 10.9±0.3a |
Remissione | 1.3 | 12.2 | 207 | 349 | 0.8 | 0.8 | 0.2 | 11 | N.A. | 1.1±0.2c | ||
Patient 11 | CFHR1::CFH, hybrid gene (loss of signal in exon 6 of CFHR1 and gain of signal exon 23 of CFH) | Acute (postpartum) | 4.2 | 9.8 | 114 | 1649 | 0.1 | 0.4 | 0.1 | 29 | N.A. | 6.4±0.2a |
Remissione | Hemodialysis | 11.3 | 214 | 430 | 1.2 | 1.0 | 0.4 | 6 | N.A. | 0.8±0.1c |
Statistical analysis was performed with raw data using the t test for paired samples. N.D., not done; N.A., sample not available.
Values statistically different than control values. (P<0.05).
Plasma exchange treatment.
Values statistically different than acute phase values. (P<0.05).
Plasma exchange and eculizumab treatment.
Eculizumab treatment.