title: Two isotypes of human C4, C4A and C4B have different structure and function.
abstract: The two types of human C4, C4A and C4B, differ in their amino acid sequence and in their capacity to bind to different acceptor sites. C4B is more efficient than C4A in haemolytic assays; by contrast C4A binds preferentially to immune complexes. In assays comparing haemolysis to processing of immune complexes the two types of C4 differ more than fivefold. Thus, the classical pathway is a duplicated system that allows the formation of a C3 convertase on various substrates: this duplication may be of vital importance to eliminate invading microorganisms. In addition, the clinical observation of an increased incidence of homozygous C4A null alleles in systemic lupus erythematosus may be explained in part by defective processing of immune complexes in the absence of C4A.
authors.affiliation: Département de Médecine, Hôpital Cantonal Universitaire, Geneva, Switzerland.
authors.forename: J A
authors.initials: JA
authors.lastname: Schifferli
authors.forename: J P
authors.initials: JP
authors.lastname: Paccaud
mesh_terms: D000936:Antigen-Antibody Complex; D003181:Complement C4 / Q000235:genetics* / Q000502:physiology; D015934:Complement C4a; D015935:Complement C4b; D006461:Hemolysis; D006801:Humans
chemical_list: D000936:Antigen-Antibody Complex; D003181:Complement C4; D015934:Complement C4a; D015935:Complement C4b