Table 2.
Demographic, genetic, and laboratory characteristics at presentation
| Patient | Sex | Age at diagnosis | Clinical presentation | Renal biopsy | C3 level (0.68–1.38) (g/l) | C4 level (0.18–0.6) (g/l) | DGKE mutation | Inheritance | Consanguinity | Affected siblingsa | Complement genetic analysis | Anti-FH Ab |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NCL25 | F | 2 yr | aHUS | Yes | 0.95b | 0.15b | c.463A>G p.(Arg155Gly)c c.1427T>C p.(Leu476Pro)c |
Comp Het | No | Yes | NMD | No |
| NCL26 | F | 1 yr 10 mo | aHUS | Yes | NA | NA | c.826delG p.(Val276Phefs∗8)c | Hom | Yes | Yes | NMD | No |
| NCL27d | M | 9 mo | aHUS/NS | Yes | 0.5 | 0.12 | c.1597A>C p.(Thr533Pro)c | Hom | No | Yes | NMD | No |
| NCL28 | F | NA | aHUS | ND | 1.01 | 0.22 | c.1A>T p.(Met1Leu)c | Hom | Yes | NA | NMD | No |
| NCL29d | M | 12 mo | aHUS/NS | Yes | 0.52 | NA | c.1597A>C p.(Thr533Pro)c | Hom | No | Yes | NMD | No |
| NCL30 | F | 2 yr 2 mo | aHUS | ND | 0.89 | 0.07 | c.393C>G p.(Asn131Lys)c c.465-2A>Gc |
Comp Het | No | No | NMD | No |
| NCL31 | F | 8 mo | aHUS/NS | ND | 1.06 | 0.28 | c.325A>G p.(Lys109Glu) | Hom | Yes | No | NMD | No |
| NCL32 | F | 3 mo | aHUS/NS | ND | 0.94 | 0.18 | c.236A>C p.(Gln79Pro)c | Hom | Yes | No | NMD | ND |
| NCL33 | F | 7 mo | aHUS | ND | 1.64 | 0.65 | c.966G>A p.(Trp322∗) | Hom | No | No | NMD | No |
| NCL34 | M | 8 yr | aHUS | Yes | 1.15 | 0.34 | c.1647_1650delAACA p.(Thr550Metfs∗13)c |
Hom | Yes | No | NMD | No |
| NCL35 | F | 6 mo | aHUS/NS | ND | 1.44 | 0.28 | c.325A>G p.(Lys109Glu) | Hom | Yes | No | NMD | ND |
| NCL36 | M | 7 mo | aHUS | ND | 0.55 | 0.18 | c.966G>A p.(Trp322∗) c.1524+2T>C |
Comp Het | No | No | NMD | ND |
| NCL37 | F | 2 yr 1 mo | NS | Yes | 1.13 | 0.24 | c.323G>A p.(Cys108Tyr)c | Hom | Yes | No | NMD | No |
| NCL38 | M | 1 yr 2 mo | aHUS | ND | 0.9 | 0.16 | c.966G>A p.(Trp322∗) | Hom | Yes | No | NMD | No |
| NCL39 | F | 1 yr 11 mo | aHUS | ND | 1.44 | 0.44 | c.966G>A p.(Trp322∗) c.465-2A>Gc |
Comp Het | No | No | NMD | No |
| NCL40 | F | 3 mo | aHUS | ND | 1.37 | 0.24 | c.966G>A p.(Trp322∗) | Hom | No | No | NMD | No |
aHUS, atypical hemolytic uremic syndrome; anti-FH Ab, anti–factor H autoantibody; Comp Het, compound heterozygote; DGKE, diacylglycerol kinase epsilon; F, female; Hom, homozygote; M, male; NA, not available; ND, not done; NMD, no mutation detected; NS, nephrotic syndrome.
Normal ranges for C3 and C4 are shown in parentheses.
See Supplementary Figure S2 for pedigrees.
Convalescent sample.
Not previously reported.
Siblings.