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Updated: Aug 5, 2026

Depletion of Specific Cell Populations by Complement Depletion
Published on: February 5, 2010
[Investigation of the complement system in clinical practice]
Véronique Frémeaux-Bacchi1, Marie-Agnès Dragon-Durey, Jacques Blouin
1Service d'Immunologie Biologique, Hôpital Européen Georges-Pompidou, Assistance Publique-Hôpitaux de Paris, 20-40, rue Leblanc, 75908 Paris Cedex 15. veronique.fremeaux-bacchi@hop.egp.ap-hop-paris.fr
Insights
The complement system aids host defense and immune complex clearance. Measuring complement proteins like CH50, C3, and C4 is crucial for diagnosing and monitoring autoimmune diseases and deficiencies.
Area of Science:
- Immunology
- Clinical Medicine
Background:
- The complement system is vital for host defense against pathogens and clearing immune complexes.
- Deficiencies in complement proteins are linked to increased susceptibility to infections and autoimmune diseases.
Purpose of the Study:
- To provide an overview of complement's medical applications.
- To emphasize complement's role in disease pathogenesis.
- To highlight the diagnostic utility of complement protein measurements.
Main Methods:
- Review of complement system functions in immunity and disease.
- Discussion of diagnostic assays for complement assessment.
- Focus on practical applications and underlying disease mechanisms.
Main Results:
- Complement system defects correlate with infections and autoimmune conditions.
- CH50, C3, and C4 measurements are key for screening complement abnormalities.
- Decreased complement levels often indicate consumption, while isolated CH50 absence suggests deficiency.
Conclusions:
- Complement investigation is essential for diagnosing and managing autoimmune diseases.
- Specific complement assays aid in identifying deficiencies and monitoring disease progression.
- Understanding complement's role is critical for effective clinical management.
Abstract:
The complement system plays an important role in defence of the host against infection and in the clearance of immune complexes. Defects in complement proteins are often associated with infections or auto/immune complex diseases. Investigation of complement is useful for diagnosis and following of auto-immune diseases. The aim of this Article is to provide an overview of important applications of complement in medicine, emphasizing the role of complement in pathogenesis and the usefulness of measurements of complement proteins in diagnosis and assessment of the evolution of disease states. Emphasis has been placed on practical applications and understanding basic mechanisms of disease. The best screen for complement deficiencies or significant activation is the CH50, which measures total classical pathway activity and the measurement of C3 and C4. The absence or decrease of multiple components is usually due to consumption of complement. Complete lack of CH50 associated with normal C3 antigen is a strong indication for complement deficiency and should be followed up with further tests to determine which component is missing.
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