What is the primary cause of low Complement component 3 (C3) and elevated 8-cell count in leukocytes?

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Last updated: April 20, 2025View editorial policy

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From the Guidelines

Low aC3 and 8c cell in a leukocytes subtypes are mostly due to complement system abnormalities, particularly inherited or chronic deficiencies in C3 and C8, as seen in conditions like persistent complement component deficiencies or certain infections. The complement system plays a crucial role in the immune response, and low levels of these components often indicate ongoing consumption during immune reactions or genetic deficiencies. C3 is a central component of all complement activation pathways, and its depletion suggests active inflammation, autoimmune processes, or certain infections 1. Low C8, which is part of the membrane attack complex, can result from genetic deficiencies or excessive consumption during immune responses. These abnormalities may manifest in conditions like systemic lupus erythematosus, membranoproliferative glomerulonephritis, or certain bacterial infections where complement proteins are being actively consumed. Some key points to consider in patients with low aC3 and 8c cell in leukocytes subtypes include:

  • Inherited or chronic deficiencies in C3, C5–C9, properdin, factor D, or factor H, which can increase the risk of certain infections, such as meningococcal disease 1
  • Anatomic or functional asplenia, including sickle cell disease, which can also increase the risk of infections
  • The use of certain medications, such as eculizumab, which can act as a terminal complement inhibitor and increase the risk of infections Patients with these findings should undergo further evaluation to determine the underlying cause, which might include autoimmune disease workup, infection screening, or genetic testing for complement deficiencies. It is essential to identify the underlying cause of low aC3 and 8c cell in leukocytes subtypes to provide appropriate management and prevent potential complications.

From the Research

Low aC3 and 8c cell in Leukocytes Subtypes

  • The provided studies do not directly address the causes of low aC3 and 8c cell in leukocytes subtypes.
  • However, some studies discuss the role of immunoglobulin replacement therapy in primary immunodeficiencies 2, 3, 4.
  • One study mentions the complement system and its deficiencies, which could be related to low aC3 levels 5.
  • Another study discusses the effects of intravenous immunoglobulin replacement therapy on B cells in patients with common variable immunodeficiency, which may be relevant to understanding changes in leukocyte subtypes 6.
  • The studies suggest that immunodeficiencies and immunoglobulin replacement therapy can affect various immune cell populations, but more specific research is needed to determine the causes of low aC3 and 8c cell in leukocytes subtypes.

Relevant Immune Cell Populations

  • B cells: affected by intravenous immunoglobulin replacement therapy, which can induce B cell depletion through differentiation into apoptosis-prone CD21(low) B cells 6.
  • Complement system: deficiencies in the complement system can lead to increased susceptibility to infection and autoimmune diseases 5.
  • Leukocytes: subtypes can be affected by immunodeficiencies and immunoglobulin replacement therapy, but more research is needed to understand the specific causes of low aC3 and 8c cell in leukocytes subtypes.

Immunodeficiencies and Immunoglobulin Replacement Therapy

  • Primary immunodeficiencies: can be treated with immunoglobulin replacement therapy, which is the foundation of treatment for the majority of patients 2, 3, 4.
  • Secondary immunodeficiencies: can also be treated with immunoglobulin replacement therapy, but the decision to treat is more complex and depends on various factors 3.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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