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The most recent version of this article was published on 1 September 2008

J Clin Pathol. Published Online First: 21 May 2008. doi:10.1136/jcp.2008.056317
Copyright © 2008 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

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Immunology

Complement deficiency and disease

David J Unsworth 1*

1 North Bristol NHS Trust, United Kingdom

* To whom correspondence should be addressed. E-mail: joe.unsworth{at}nbt.nhs.uk.

Accepted 7 April 2008


*   Abstract

There are approximately 30 serum complement proteins (15% of the globulin fraction), excluding cell surface receptors, and regulatory proteins. Many are manufactured in the liver, and reduced complement is a feature of severe liver failure. Complement proteins contribute to the acute phase response, and high levels are seen in chronic untreated inflammation (e.g. rheumatoid arthritis). Once activated, complement is strongly pro-inflammatory. Indeed, almost half of the complement system proteins / receptors play regulatory roles, reflecting the importance of controlling inappropriate activation. This review focuses on disease states arising as a direct consequence of complement deficiency or dysfunction.







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Copyright © 2008 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.