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Updated: Jul 8, 2026

Measuring the 50% Haemolytic Complement (CH50) Activity of Serum
Published on: March 29, 2010
The serum concentration of the third component of complement beta-1C-beta-1A in liver disease
Insights
Serum complement C3 levels were significantly reduced in patients with acute hepatitis and massive necrosis. Chronic liver disease patients generally showed normal C3, but some with active hepatitis or cirrhosis had low levels.
Area of Science:
- Immunology
- Hepatology
- Biochemistry
Background:
- Serum complement component 3 (C3) plays a crucial role in immune responses.
- Previous studies have established normal ranges for serum C3 in healthy individuals.
- Alterations in C3 levels may indicate underlying pathological conditions, particularly in liver diseases.
Purpose of the Study:
- To investigate serum C3 concentrations in patients with acute hepatitis and chronic liver disease.
- To determine if C3 levels correlate with the severity and type of liver pathology.
- To explore potential reasons for observed C3 level changes in liver disease patients.
Main Methods:
- Quantitative measurement of serum C3 levels using established laboratory assays.
- Comparison of C3 levels between normal individuals and patient cohorts.
- Categorization of liver disease patients into acute hepatitis (with and without massive necrosis) and chronic liver disease groups.
Main Results:
- Serum C3 levels in normal individuals ranged from 85-370 mg/100 ml.
- Patients with acute hepatitis and massive necrosis exhibited consistently reduced C3 levels (below 50% of normal).
- Most patients with chronic liver disease had normal C3 levels, but hypocomplementaemia was observed in 10 patients (active chronic hepatitis and cryptogenic cirrhosis).
Conclusions:
- Significantly reduced serum C3 is a marker for acute hepatitis with massive necrosis.
- While generally normal in chronic liver disease, C3 depression can occur in specific subgroups like active chronic hepatitis and cryptogenic cirrhosis.
- The cause of C3 depression in these patients may involve decreased synthesis, increased consumption, or a combination of factors.
Abstract:
Serum C(3) (beta(1C)/beta(1A)) has been measured in normal individuals and the range found is in agreement with findings of other authors (85-370 mg/100 ml). In 18 patients with acute hepatitis and massive necrosis serum C(3) was consistently reduced to below 50% of normal. In other patients with acute hepatitis the serum C(3) concentration was normal. In the majority of the 150 patients with chronic liver disease serum C(3) concentration was normal. However, 10 patients (six with active chronic hepatitis, four with cryptogenic cirrhosis) had hypocomplementaemia. The reason for the depression is not clear but could reflect either decreased synthesis or increased consumption, or a combination of the two.
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