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. 2021 Apr 3;210(2):101–109. doi: 10.1007/s00430-021-00704-7

Table 2.

Clinical evidence of complement deposition in multi-organs from COVID-19 patients

Organ Collective evidence of complement activation References
Lung

Strong expression of MBL, MSAP2, C4a, C3, and MAC C5b-9 in paraformaldehyde-fixed lung tissue from patients who died of COVID-19

N proteins from SARS-CoV-2 could bind MBL and activate MASP-2

Gao et al. [23]

Striking deposition of C5b-9, C4d, and MASP2 in the microvasculature were found in the lung

A co-localization of COVID-19 spike glycoprotein with C4d and C5b-9 were also found in the inter-alveolar septa

Magro et al. [24]
Transcriptome data from lung tissue of two patients with SARS-CoV-2 infection, and in vitro respiratory epithelial cells showed the complement pathway was one of the most significant induced pathways Yan et al. [26]
Kidney C5b-9 deposition on tubules in all six cases along with low expression of C5b-9 on glomeruli and capillaries in kidney from COVID-19 patients Diao et al. [30]
Skin Three patients with critical COVID-19 had purpuric skin rash with striking deposition of C5b-9 and C4d in both grossly involved and normally appearing skin, and colocalization of SARS-CoV-2-specific spike glycoprotein Magro et al. [24]
Two children with Kawasaki-like hyperinflammatory syndrome were reported as a novel SARS-CoV-2 induced phenotype in Italy, with obvious complement consumption Licciardi et al. [31]