title: [Paroxysmal nocturnal hemoglobinuria. Increase in proteins of the alternative complement pathway].
abstract: Increased activity of the complement alternative pathway proteins C3, B and H was found in the sera of 16 patients with paroxysmal nocturnal haemoglobinuria (PNH). This increased activity might depend on protein hypersynthesis secondary to in vivo low-grade complement consumption by abnormal erythrocytes in PNH patients, despite the fact that serum levels of C3d were found to be normal. B and H activities were directly related; however, the B/H ratio was higher in patients whose sera had been taken early after an episode of haemoglobinuria. Activation of the alternative pathway, which is known to result in vitro lysis of PNH erythrocytes, only accounts for part of the events leading to chronic haemolysis and haemoglobinuria in vitro.
mesh_terms: D000328:Adult; D003167:Complement Activation; D003176:Complement C3 / Q000032:analysis*; D003180:Complement C3b Inactivator Proteins / Q000032:analysis*; D015933:Complement C3d; D011415:Complement Factor B / Q000032:analysis*; D017242:Complement Factor H; D003170:Complement Pathway, Alternative; D004792:Enzyme Precursors / Q000032:analysis*; D004912:Erythrocytes / Q000502:physiology; D005260:Female; D006457:Hemoglobinuria, Paroxysmal / Q000209:etiology / Q000276:immunology*; D006461:Hemolysis; D006801:Humans; D008297:Male
chemical_list: C493495:CFH protein, human; D003176:Complement C3; D003180:Complement C3b Inactivator Proteins; D004792:Enzyme Precursors; D015933:Complement C3d; D017242:Complement Factor H; D011415:Complement Factor B
vernacular_title: Hémoglobinurie paroxystique nocturne. Elévation des protéines de la voie alterne du complément.