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C1Q deficiency(C1QD; C1QD1)

MedGen UID:
462252
Concept ID:
C3150902
Disease or Syndrome
Synonyms: C1q deficiency; C1q DEFICIENCY; C1q DEFICIENCY 1; C1QD; C1QD1
 
Related genes: C1QC, C1QB, C1QA
 
Monarch Initiative: MONDO:0013343
OMIM®: 120550; 613652
OMIM® Phenotypic series: PS613652

Definition

C1q deficiency (C1QD) is a rare autosomal recessive disorder characterized by recurrent skin lesions, chronic infections, and an increased risk of autoimmune diseases, particularly systemic lupus erythematosus (SLE; see 152700) or SLE-like diseases. It has also been associated with chronic glomerulonephritis and renal failure. C1q deficiency presents in 2 different forms, absent C1q protein or presence of a dysfunctional molecule (summary by Topaloglu et al., 1996 and Vassallo et al., 2007). Genetic Heterogeneity of C1q Deficiency See also C1q deficiency-2 (C1QD2; 620321), caused by mutation in the C1QB gene (120570), and C1q deficiency-3 (C1QD3; 620322), caused by mutation in the C1QC gene (120575). [from OMIM]

Clinical features

From HPO
Autoimmunity
MedGen UID:
2136
Concept ID:
C0004368
Pathologic Function
The occurrence of an immune reaction against the organism's own cells or tissues.
Mesangiocapillary glomerulonephritis
MedGen UID:
9033
Concept ID:
C0017662
Disease or Syndrome
A type of glomerulonephritis characterized by diffuse mesangial cell proliferation and the thickening of capillary walls due to subendothelial extension of the mesangium. The term membranoproliferative glomerulonephritis is often employed to denote a general pattern of glomerular injury seen in a variety of disease processes that share a common pathogenetic mechanism, rather than to describe a single disease entity
Systemic lupus erythematosus
MedGen UID:
6146
Concept ID:
C0024141
Disease or Syndrome
Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterized by production of autoantibodies against nuclear, cytoplasmic, and cell surface molecules that transcend organ-specific boundaries. Tissue deposition of antibodies or immune complexes induces inflammation and subsequent injury of multiple organs and finally results in clinical manifestations of SLE, including glomerulonephritis, dermatitis, thrombosis, vasculitis, seizures, and arthritis. Evidence strongly suggests the involvement of genetic components in SLE susceptibility (summary by Oishi et al., 2008). Genetic Heterogeneity of Systemic Lupus Erythematosus An autosomal recessive form of systemic lupus erythematosus (SLEB16; 614420) is caused by mutation in the DNASE1L3 gene (602244) on chromosome 3p14.3. An X-linked dominant form of SLE (SLEB17; 301080) is caused by heterozygous mutation in the TLR7 gene (300365) on chromosome Xp22. See MAPPING and MOLECULAR GENETICS sections for a discussion of genetic heterogeneity of susceptibility to SLE.
Recurrent infections
MedGen UID:
65998
Concept ID:
C0239998
Finding
Increased susceptibility to infections.
Decreased circulating complement factor I concentration
MedGen UID:
370868
Concept ID:
C1970257
Finding
Concentration of the complement component factor I in the blood circulation below the lower limit of normal.

Professional guidelines

PubMed

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Recent clinical studies

Etiology

Genel F, Erdem SB, Gülez N, Karaman S, Nacaroglu HT, Skattum L, Truedsson L
Iran J Immunol 2018 Dec;15(4):309-320. doi: 10.22034/IJI.2018.39400. PMID: 30593745
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Truedsson L
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Int J Rheum Dis 2011 Feb;14(1):81-5. Epub 2010 Nov 9 doi: 10.1111/j.1756-185X.2010.01574.x. PMID: 21303486

Diagnosis

Genel F, Erdem SB, Gülez N, Karaman S, Nacaroglu HT, Skattum L, Truedsson L
Iran J Immunol 2018 Dec;15(4):309-320. doi: 10.22034/IJI.2018.39400. PMID: 30593745
Stegert M, Bock M, Trendelenburg M
Mol Immunol 2015 Sep;67(1):3-11. Epub 2015 Apr 3 doi: 10.1016/j.molimm.2015.03.007. PMID: 25846716
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Therapy

Jachiet M, Flageul B, Deroux A, Le Quellec A, Maurier F, Cordoliani F, Godmer P, Abasq C, Astudillo L, Belenotti P, Bessis D, Bigot A, Doutre MS, Ebbo M, Guichard I, Hachulla E, Héron E, Jeudy G, Jourde-Chiche N, Jullien D, Lavigne C, Machet L, Macher MA, Martel C, Melboucy-Belkhir S, Morice C, Petit A, Simorre B, Zenone T, Bouillet L, Bagot M, Frémeaux-Bacchi V, Guillevin L, Mouthon L, Dupin N, Aractingi S, Terrier B; French Vasculitis Study Group
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Prognosis

Ni XN, Yan SB, Zhang K, Sai WW, Zhang QY, Ti Y, Wang ZH, Zhang W, Zheng CY, Zhong M
Mol Immunol 2020 Apr;120:130-135. Epub 2020 Feb 28 doi: 10.1016/j.molimm.2020.02.012. PMID: 32120180
Genel F, Erdem SB, Gülez N, Karaman S, Nacaroglu HT, Skattum L, Truedsson L
Iran J Immunol 2018 Dec;15(4):309-320. doi: 10.22034/IJI.2018.39400. PMID: 30593745
Stegert M, Bock M, Trendelenburg M
Mol Immunol 2015 Sep;67(1):3-11. Epub 2015 Apr 3 doi: 10.1016/j.molimm.2015.03.007. PMID: 25846716
Cicardi M, Zingale LC, Pappalardo E, Folcioni A, Agostoni A
Medicine (Baltimore) 2003 Jul;82(4):274-81. doi: 10.1097/01.md.0000085055.63483.09. PMID: 12861105
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Clinical prediction guides

Hosszu KK, Valentino A, Peerschke EI, Ghebrehiwet B
Front Immunol 2020;11:583853. Epub 2020 Oct 7 doi: 10.3389/fimmu.2020.583853. PMID: 33117397Free PMC Article
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J Biol Chem 2011 Oct 7;286(40):34941-50. Epub 2011 Aug 23 doi: 10.1074/jbc.M111.286427. PMID: 21862594Free PMC Article
Jesus AA, Liphaus BL, Silva CA, Bando SY, Andrade LE, Coutinho A, Carneiro-Sampaio M
Lupus 2011 Oct;20(12):1275-84. Epub 2011 Aug 3 doi: 10.1177/0961203311411598. PMID: 21813590
Cohen D, Buurma A, Goemaere NN, Girardi G, le Cessie S, Scherjon S, Bloemenkamp KW, de Heer E, Bruijn JA, Bajema IM
J Pathol 2011 Dec;225(4):502-11. Epub 2011 Jun 20 doi: 10.1002/path.2893. PMID: 21688269
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Recent systematic reviews

Schulz K, Trendelenburg M
Front Immunol 2022;13:958273. Epub 2022 Aug 3 doi: 10.3389/fimmu.2022.958273. PMID: 35990646Free PMC Article

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