Abstract
In an immunogenetic study, 23 subacute sclerosing panencephalitis (SSPE) patients and their families were studied for the HLA region markers HLA-A, B, C, DR, BF, C2, C4A, C4B, GLO I, and PGM3. In addition, C3, C4, and factor B serum levels were determined. A highly significant association of C4A*QO with SSPE was found. Furthermore, two rare haplotypes, C4A*QOB*9QO, two C4ACh+ allotypes, and four Ch partial inhibitors were detected, which possibly impair the function of the C4 molecules. HLA-DR5 was increased. In addition, a number of rare HLA-A, C, B, DR haplotypes were observed. It is postulated that rare C4 molecular deficiency might be a predisposing factor in the pathogenesis of SSPE.
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Aysun, S., Ersoy, F., Sanal, Ö., Yalaz, K., Özdirim, E., Berkel, A. I., and Renda, Y.: HLA antigens in subacute sclerosing panencephalitis. Arch. Neurol. 40: 38–39, 1983
Baur, M. P. and Danilovs, J. A.: Population analysis of HLA-A, B, C, DR and other genetic markers. In P. I. Terasaki (ed.): Histocompatibility Testing 1980, pp. 955–1210, UCLA Tissue Typing Laboratory, Los Angeles, 1980
Böttger, E., Möller, G. P., Hadding, U., and Bitter-Suermann, D.: Influence of genetic deficiencies in C2, C4 or C3a receptor on the antibody response of guinea pigs against T dependent antigens. Immunobiology 165: 244 (Abstract), 1983
Carter, M. J., Willcocks, M. M., and ter Meulen, V.: Defective translation of measles virus matrix protein in a subacute sclerosing panencephalitis cell line. Nature 305: 153–155, 1983
Cooper, N. R. and Welsh, R. M.: Antibody and complement-dependent virus neutralization. Springer Sem. Immunopathol. 2: 285–310, 1979
Daniels, C. A., Borsos, T., Rapp, H. J., Synderman, R., and Notkins, A. L.: Neutralization of sensitized virus by the fourth component of complement. Science 165: 508–509, 1969
Fielder, A. H. L., Walport, M. J., Batchelor, J. R., Rynes, R. I., Black, C. M., Dodi, I., and Hughes, G. R. V.: Family study of the major histocompatibility complex in patients with systemic lupus erythematosus: Importance of null alleles of C4A and C4B in determining disease susceptibility. Br. Med. J. 286: 425–428, 1983
Giles, C. M.: Antigens in plasma. A seminar on antigens on blood cells and body fluids. Am. Assoc. Blood Banks pp. 33–49, 1980
Giles, C. M.: A new genetic variant for Chido. Vox Sang. 46: 149–156, 1983
Hirsch, R. L.: Complement deletion alters the pathogenesis of mumps virus infection in hamsters. Fed. Proc. 42: 965 (Abstract), 1982
Isenman, D. E. and Young, J. R.: The molecular basis for the difference in immune hemolysis activity of the Chido and Rodgers isotypes of human complement component C4. J. Immuno. 132: 3019–3027, 1984
Jackson, C. G., Ochs, H. D., and Wedgwood, R. J.: Immune response of a patient with deficiency of the fourth component of complement and systemic lupus erythematosus. N. Engl. J. Med. 300: 1124–1129, 1979
Kreth, H. W., ter Meulen, V., and Eckert, G.: HLA-A and subacute sclerosing panencephalitis. Lancet 2: 415–416, 1975
Kurent, J. E., Sever, J. L., and Terasaki, P. I.: HL-A W29 and subacute sclerosing panencephalitis. Lancet 1: 927–928, 1975
Lachmann, P.J.: Antibody and complement in viral infections. Br. Med. Bull, in press, 1984
Mauff, G., Bender, K., Giles, C. M., Goldmann, S., Opferkuch, W., and Wachauf, B.: Human C4 polymorphism: Pedigree analysis of qualitative, quantitative and functional parameters as a basis for phenotype interpretations. Hum. Genet. 65: 362–372, 1984
Mollenhauer, E., Schmidt, R., Heinrichs, M., and Rittner, C.: Scleroderma: Possible significance of silent alleles at the C4B locus. Arthritis Rheum. 27: 711–712, 1984
Nordhagen, R., Olaisen, B., Teisberg, P., and Gedde-Dahl, T., Jr.: Association between the electrophoretically determined C4M haplotype products and partial inhibition of anti-Cha. J. Immunogenet. 7: 301–306, 1980
Ochs, H. D., Wedgwood, R. J., Frank, M. M., Heller, S. R., and Hosea, W.: The role of complement in the induction of the antibody response. Clin. Exp. Immunol. 53: 208–216, 1983
Olaisen, B., Teisberg, P., and Jonassen, R.: The C4 system: Quantitative studies of different genotypes. Immunobiology 158: 82–85, 1980
Rittner, C. and Bertrams, J.: On the significance of C2, C4 and factor B polymorphism in disease. Hum. Genet. 56: 235–247, 1981
Rittner, C., Giles, C. M., Roos, M. H., Demant, P., and Mollenhauer, E.: Genetics of human C4 polymorphism: Detection and segregation of rare and duplicated haplotypes. Immunogeneties 19: 321–333, 1984a
Rittner, C., Kühnl, P., Black, C. M., Pereira, S., and Welsh, K. I.: Scleroderma: Possible association with the C4 system — a progress report. In E. D. Albert, M. P. Baur, and W. R. Mayr (eds.): Histocompatibility Testing 1984, in press, Springer Verlag Berlin-Heidelberg-New York, 1984b
Roos, M. H., Mollenhauer, E., Demant, P., and Rittner, C.: A molecular basis for the two locus model of human complement component C4. Nature 298: 854–856, 1982
Roos, M. H., Giles, C. M., Demant, P., Mollenhauer, E., and Rittner, C.: Rodgers (Rg) and Chido (Ch) determinants on human C4: Characterization of two C4 B5 subtypes one of which contains both Rg and Ch determinants. J. Immunol., in press, 1984
ter Meulen, V., Stephenson, J. R., and Kreth, H. W.: Subacute sclerosing panencephalitis. In H. Fraenkel-Conrat and R. R. Wagner (eds.): Comprehensive Virology, Vol. 18, pp. 105–159, Plenum Press, London, New York, 1983
Thomsen, G. and Bodmer, W.: HLA haplotype association with disease. Tissue Antigens 13: 91–102, 1979
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Rittner, C., Meier, E.M.M., Stradmann, B. et al. Partial C4 deficiency in subacute sclerosing panencephalitis. Immunogenetics 20, 407–415 (1984). https://doi.org/10.1007/BF00345615
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DOI: https://doi.org/10.1007/BF00345615