Among 25/38 (65.8%) with low serum levels of C3 and/or C4, most cases of ANCA-associated renal vasculitis showed an overlap of low C3 and C4 levels (52%), and there were subsets of patients with isolated C4 lowering (24%, Fig. 1B). Direct comparison of serum complement C3 and C4 levels confirmed a positive association with each other (Fig. 1C
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Low C3 and C4 levels were noticed in 43% and 53% of non-renal flares respectively. Significant positive correlation was noticed between SLEDAI score and anti-dsDNA levels (0.01 level two-tailed prediction) and a significant negative correlation was observed with SLEDAI and C3, C4 levels (0.01 and 0.05 levels, two-tailed prediction) in our patients.
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Complement C4 plays a vital role in the activation of classical and lectin pathways and the formation of C3 convertase, which leads to the generation of the membrane attack complex (MAC) against microbes. It was reported that complement C4 is protective for autoimmune lupus disease independent of C3 in mice ( 30 ).
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This shows that complement C3 and C4 are not very specific indicators of SLE, but they have a screening value in the diagnosis of SLE, and the sensitivity of combined diagnosis of SLE is improved. The sensitivity and specificity of ANA and anti-ds-DNA antibody in the diagnosis of SLE were 95.36 and 96.90%, respectively; of C3 and C4 were 92.78.
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A C3 complement blood test measures the levels of a specific type of protein in your blood (C3 proteins). As part of your immune system, C3 proteins destroy microbes (germs) that can make you sick. Sometimes, C3 proteins launch an attack against healthy cells by mistake. The results of this blood test give your healthcare provider information.
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Compared with those with normal transaminase levels, serum C3 and C4 levels in patients with high transaminase levels were significantly lower (Bugdaci et al. 2012). Moreover, we previously found that C3 and C4 were associated with the risk of MetS (Liu et al. 2016), which is one of the risk factors of NAFLD. The results of the MetS study.
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Even at 125 mg/dL, a C3 turnover study or assessment of complement split products might show mildly accelerated consumption. Measuring C4, which commonly parallels changes in C3 levels, is more complicated because of C4 copy number, which is discussed elsewhere. Thus, complement levels need to be interpreted in the context of the clinical setting.
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The normal range for a complement C3 blood test is 75 to 175 milligrams per deciliter (mg/dL), or 0.75 to 1.75 grams per liter (g/L). Your complement levels will often rise very high just after an infection or injury. When your complement system responds to ongoing disease such as lupus, levels usually go down.
