POSSIBLE CLQ BYPASS LOOP ACTIVATION IN THE HEMOLYTIC UREMIC SYNDROME

  • 1 January 1979
    • journal article
    • research article
    • Vol. 35  (1) , 107-111
Abstract
Ultrastructural and immunofluorescent microscopic studies were performed on renal tissue obtained from 9 patients during thd acute and convalescent phase of the hemolytic uremic syndrome (HUS). All had glomerular deposits of Ig[immunoglobulin]M in the absence of circulating immune complexes. This was associated with deposition of C1q [a fragment of complement component 1] during the acute phase and properdin and C3 during the convalescent phase. C4 was consistently absent. Since such a pattern of C deposition does not fulfill criteria for alternate or classical pathway activation, the possibility of C1q bypass loop activation by IgM is suggested.