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. 2021 Apr 8;8:642864. doi: 10.3389/fmed.2021.642864

Table 2.

Recurrence risk of aHUS after kidney transplantation in the preeculizumab era.

High (RR 80–90%) - Previous recurrence
- Pathogenic mutations in CFH
- CFH/CFHR1 hybrid genes. >80 of recurrence rate. High graft loss risk (45, 114)
- CFB > 80% of recurrence risk
- TBHD = 80% (46, 47)
Moderate (RR 40–75%) - Isolated CFI mutations. 40–60% recurrence risk (11, 39, 41, 44)
- C3. 30–70%*
- Detectable circulating Anti–CFH antibodies (4850)
- Two at risk CFH haplotypes (39)
- Negative complement genetic study 30% (11)
- Complement gene mutation of unknown significance
Low (RR <20%) - Isolated MCP mutation+(41)
- DGKε mutation (13)
- Negative Anti–CFH antibodies at the time of transplantation (4850)
*

Recurrence risk varies depending on the different series.

+

Recurrences in patients with MCP account for patient with combined mutation/risk polimorphisms.

RR, recurrence risk; CFH, complement factor H; CFHR1 complement factor H related protein 1; CFB, complement factor B; TBHD, thrombomodulin; CFI, complement factor I; MCP, membrane cofactor protein; DGKε, diacylglycerol kinase epsilon.