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C3 Glomerulonephritis With Multiple Mutations in Complement Factor H
Nooshin Dalili, Babak Behnam, Farzaneh Vali
1Chronic Kidney Disease Research Center, Department of Nephrology, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. pedram.ahmadpoor@gmail.com.
Insights
This study reports the first Iranian case of C3 glomerulopathy with multiple complement factor H mutations, some unexpected for the condition. Genetic analysis revealed polymorphous factor H abnormalities causing malfunction beyond typical domains.
Area of Science:
- Nephrology
- Immunology
- Genetics
Background:
- C3 glomerulopathy involves glomerular C3 fragment deposition due to complement dysregulation.
- Abnormalities in the complement alternative pathway are linked to C3 glomerulonephritis.
- Factor H (CFH) mutations are implicated in complement-mediated kidney diseases.
Abstract:
Complement C3 glomerulopathy refers to a disease process in which abnormal control of complement activation or degradation results in predominant C3 fragment deposition within the glomerulus and causes glomerular damage. Abnormal control of the complement alternative pathway is a well-established risk factor for the occurrence of C3 glomerulonephritis. It is the first reported case in Iran with multiple mutations in complement factor H, with one of these mutations we have expected in hemolytic uremic syndrome rather than C3 glomerulopathy Genetic analysis showed that the molecular abnormalities of factor H led to complement factor H malfunction that were polymorphous and not restricted to the C-terminal domains of the protein.
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