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Updated: Aug 17, 2026

Measuring the 50% Haemolytic Complement (CH50) Activity of Serum
Published on: March 30, 2010
Early- and late-phase activation of complement evaluated by plasma levels of C3d,g and the terminal complement
Insights
Complement activation
Area of Science:
- Immunology
- Biochemistry
Background:
- The complement cascade plays a crucial role in innate immunity.
- Understanding complement activation phases is vital for clinical applications.
Purpose of the Study:
- To investigate the correlation between early and late complement cascade activation.
- To compare the in vivo elimination rates of C3d,g and the fluid-phase terminal complement complex.
Main Methods:
- Quantification of C3d,g and fluid-phase terminal complement complex.
- Analysis of spontaneous in vitro activation.
- Analysis of in vivo activation during extracorporeal circulation in coronary artery surgery.
Main Results:
- A close but incomplete correlation was observed between early and late complement activation phases.
- C3d,g and the terminal complement complex exhibit distinct in vivo elimination rates.
- Both C3d,g and the terminal complement complex serve as valuable indicators for their respective activation phases.
Conclusions:
- Early and late complement activation are closely linked but not fully synchronous.
- Distinct clearance kinetics of C3d,g and terminal complement complex impact their utility as biomarkers.
- These markers offer valuable insights into complement system dynamics during surgical procedures.
Abstract:
Activation of the initial part (early phase) and terminal part (late phase) of the complement cascade was examined. C3d,g and the fluid-phase terminal complement complex were quantified and compared after spontaneous in vitro activation and after acute in vivo activation caused by extracorporeal circulation during coronary artery surgery. The results suggest that there is a close but not complete correlation between early- and late-phase activation of complement, that C3d,g and the terminal complement complex have different elimination rates in vivo, and that these two indicators are valuable for evaluation of early- and late-phase activation, respectively.
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