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Clinical Complement Analysis—An Overview

Skattum, Lillemor LU (2019) In Transfusion Medicine Reviews 33(4). p.207-216
Abstract

The complement system plays an important role in varying types of disease, ranging from inflammatory and autoimmune disorders to immune deficiency states. In addition, new settings have emerged where complement analysis is of interest to monitor complement-directed therapy and aid identification of transplant complications. Therefore, it is critical that clinical laboratories offer optimized and timely complement analysis. This review presents a comprehensive overview of the most important complement analysis methods that are currently used. It also points to some areas within complement diagnostics where development is needed, for example, regarding certain analytes for which practical methods suitable for the routine laboratory are... (More)

The complement system plays an important role in varying types of disease, ranging from inflammatory and autoimmune disorders to immune deficiency states. In addition, new settings have emerged where complement analysis is of interest to monitor complement-directed therapy and aid identification of transplant complications. Therefore, it is critical that clinical laboratories offer optimized and timely complement analysis. This review presents a comprehensive overview of the most important complement analysis methods that are currently used. It also points to some areas within complement diagnostics where development is needed, for example, regarding certain analytes for which practical methods suitable for the routine laboratory are lacking. Furthermore, it contains a more detailed discussion on complement autoantibody assessment. The list of analyses providing clinically valuable information includes analysis of complement function, quantification of individual complement components and complement activation fragments, identification of autoantibodies to complement, as well as genetic complement analyses. There is still a shortage of commercially available methods suitable for high-throughput screening of complement deficiency and for assessment of complement activation, but development is under way. There is also ongoing work within the complement community to improve standardization of measurements, and recently, an extensive quality assurance program has been initiated.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Clinical complement analysis, Complement activation/consumption, Complement deficiency, Complement diagnostics, Complement function
in
Transfusion Medicine Reviews
volume
33
issue
4
pages
207 - 216
publisher
Elsevier
external identifiers
  • scopus:85074501081
  • pmid:31672339
ISSN
0887-7963
DOI
10.1016/j.tmrv.2019.09.001
language
English
LU publication?
yes
id
e9dcdaa0-66e1-4b59-8f5f-016e61d296e4
date added to LUP
2019-11-22 11:09:45
date last changed
2024-04-17 00:29:28
@article{e9dcdaa0-66e1-4b59-8f5f-016e61d296e4,
  abstract     = {{<p>The complement system plays an important role in varying types of disease, ranging from inflammatory and autoimmune disorders to immune deficiency states. In addition, new settings have emerged where complement analysis is of interest to monitor complement-directed therapy and aid identification of transplant complications. Therefore, it is critical that clinical laboratories offer optimized and timely complement analysis. This review presents a comprehensive overview of the most important complement analysis methods that are currently used. It also points to some areas within complement diagnostics where development is needed, for example, regarding certain analytes for which practical methods suitable for the routine laboratory are lacking. Furthermore, it contains a more detailed discussion on complement autoantibody assessment. The list of analyses providing clinically valuable information includes analysis of complement function, quantification of individual complement components and complement activation fragments, identification of autoantibodies to complement, as well as genetic complement analyses. There is still a shortage of commercially available methods suitable for high-throughput screening of complement deficiency and for assessment of complement activation, but development is under way. There is also ongoing work within the complement community to improve standardization of measurements, and recently, an extensive quality assurance program has been initiated.</p>}},
  author       = {{Skattum, Lillemor}},
  issn         = {{0887-7963}},
  keywords     = {{Clinical complement analysis; Complement activation/consumption; Complement deficiency; Complement diagnostics; Complement function}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{4}},
  pages        = {{207--216}},
  publisher    = {{Elsevier}},
  series       = {{Transfusion Medicine Reviews}},
  title        = {{Clinical Complement Analysis—An Overview}},
  url          = {{http://dx.doi.org/10.1016/j.tmrv.2019.09.001}},
  doi          = {{10.1016/j.tmrv.2019.09.001}},
  volume       = {{33}},
  year         = {{2019}},
}