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Complement factors B, D, C3bBbP and risk of future venous thromboembolism. | LitMetric

Complement factors B, D, C3bBbP and risk of future venous thromboembolism.

Clin Immunol

K.G. Jebsen - Thrombosis Research and Expertise Center (TREC), Department of Clinical Medicine, University of Tromsø - The Arctic University of Norway, Tromsø, Norway; Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.

Published: April 2023

AI Article Synopsis

  • The study explores the role of the complement system in the development of venous thromboembolism (VTE) by analyzing complement factors like B, D, and C3bBbP in patients.
  • It found that while CFB and CFD levels did not correlate with VTE risk, higher levels of C3bBbP were associated with a greater risk for "provoked" VTE events, indicating its potential significance.
  • The results suggest that increased C3bBbP levels can elevate the odds of developing VTE, but factors B and D from the alternative pathway show no such association.

Article Abstract

The complement system appears to be involved in the pathogenesis of venous thromboembolism (VTE). We investigated the association of complement factors (CF) B, D, and the alternative pathway convertase, C3bBbP, measured at inclusion, with the risk of future VTE in a nested case-control study; 380 VTE patients and 804 age- and sex-matched controls derived from the Tromsø study. Odds ratios (ORs) with 95% confidence intervals (95% CI) for VTE across tertiles of CF concentrations were estimated using logistic regression. There was no association between CFB or CFD and risk of future VTE. Higher levels of C3bBbP gave an increased risk of provoked VTE; subjects in Q4 had a 1.68-fold higher OR compared with Q1 in the age-, sex- and BMI-adjusted model (OR 1.68; 95% CI 1.08-2.64). There was no increased risk of future VTE in individuals with higher levels of complement factors B or D of the alternative pathway. Increased levels of the alternative pathway activation product, C3bBbP, showed an association with future risk of provoked VTE.

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Source
http://dx.doi.org/10.1016/j.clim.2023.109278DOI Listing

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