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Complement C4a
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'''Complement C4a''' or '''complement component 4a''' is a [[glycoprotein]] and peptide that is expressed, primarily in the liver and in [[macrophage]]s, in response to acute [[inflammation]] or tissue injury.<ref name="MeshB">{{Cite web | url = https://meshb.nlm.nih.gov/record/ui?name=Complement%20C4a | title = Complement C4a MeSH Descriptor Data 2022 {{!}} MeSH Browser | last = | first = | authorlink = | date = | website = [[National Institutes of Health]]| archive-url = | archive-date = |url-status = | access-date=2022-01-24}}</ref><ref name="Behairy2013">{{Cite journal | title = Serum complement C4a and its relation to liver fibrosis in children with chronic hepatitis C | date = 2013-08-27 | url = https://www.wjgnet.com/1948-5182/full/v5/i8/445.htm|journal=World Journal of Hepatology|volume=5 | issue = 8 | pages = 445–451 | last = Behairy|first = Behairy E. | last2 = El-Mashad | first2 = Ghada M. | last3 = Abd-Elghany | first3 = Ragab S. | last4 = Ghoneim | first4 = Enas M. | last5 = Sira | first5 = Mostafa M.|language=en|doi=10.4254/wjh.v5.i8.445}}</ref> Complement C4a is part of the Complement C4 family.<ref name="PMC2725201">{{Cite journal | title = The Role of the Anaphylatoxins in Health and Disease | date = Sep 2009 | url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2725201/|journal=Molecular immunology|volume=46 | issue = 14 | pages = 2753–2766 | last = Klos | first = Andreas | authorlink = | last2 = Tenner | first2 = Andrea J. | authorlink2 = | last3 = Johswich | first3 = Kay-Ole | author-link3 = | last4 = Ager | first4 = Rahasson R. | author-link4 = | last5 = Reis | first5 = Edimara S. | author-link5 = | last6 = Köhl | first6 = Jörg | author-link6 = |doi=10.1016/j.molimm.2009.04.027|pmc=2725201|pmid=19477527|access-date=|issn=0161-5890|quote=|via=}}</ref> ==ME/CFS== Increased C4a levels have been found one to six hours after exercise challenge tests in [[ME/CFS]] patients but not in healthy controls.<ref name="Sorensen2003"/> {{Quote frame|quote=A significant correlation was found [in Chronic Fatigue Syndrome patients] between the increase in C4a and total symptom score (P < .05) and the following individual symptoms: headaches (P < .02), joint problems (P < .05), and thinking difficulty (P < .03), through the use of 1-sided tests.<ref name="Sorensen2003"/>|source=Sorensen et al, 2003}} Nijs et al. (2010) found a strong relation between the change in [[complement C4a]] level and an increase in post-exertional [[pain]] and [[fatigue]] in ME/CFS patients.<ref name="Nijs2010">{{Cite journal | last = Nijs | first = J. | authorlink = Jo Nijs | last2 = Van Oosterwijck | first2 = J. | authorlink2 = Jessica Van Oosterwijck | last3 = Meeus | first3 = M. | author-link3 = Mira Meeus | last4 = Lambrecht | first4 = L. | author-link4 = | last5 = Metzger | first5 = K. | author-link5 = | last6 = Frémont | first6 = M. | last7 = Paul | first7 = L. | date = 2010 | title=Unravelling the nature of postexertional malaise in myalgic encephalomyelitis/chronic fatigue syndrome: the role of elastase, complement C4a and interleukin-1β | url = https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2796.2009.02178.x|journal=Journal of Internal Medicine|language=en|volume=267 | issue = 4 | pages = 418–435|doi=10.1111/j.1365-2796.2009.02178.x|issn=1365-2796|quote=|via=}}</ref> Previously, complement C4a, in combination with other proteins, was being considered as a potential diagnostic [[biomarker]] of [[post-exertional malaise]] in [[ME/CFS]].<ref name="Sorensen2009" /> ==Notable studies == *2003, Complement activation in a model of chronic fatigue syndrome<ref name="Sorensen2003">{{Cite journal | title = Complement activation in a model of chronic fatigue syndrome | date = Aug 2003 | url = https://pubmed.ncbi.nlm.nih.gov/12897748/|journal=The Journal of Allergy and Clinical Immunology|volume=112 | issue = 2 | pages = 397–403 | last = Sorensen | first = Bristol | authorlink = | last2 = Streib | first2 = Joanne E. | authorlink2 = | last3 = Strand | first3 = Matthew | author-link3 = | last4 = Make | first4 = Barry | author-link4 = | last5 = Giclas | first5 = Patricia C. | author-link5 = | last6 = Fleshner | first6 = Monika | author-link6 = | last7 = Jones | first7 = James F.|doi=10.1067/mai.2003.1615|pmc=|pmid=12897748|access-date=|issn=0091-6749|quote=|via=}}</ref> - [https://pubmed.ncbi.nlm.nih.gov/12897748/ (Abstract)] *2009, Transcriptional Control of Complement Activation in an Exercise Model of Chronic Fatigue Syndrome<ref name="Sorensen2009">{{Cite journal | last = Sorensen | first = Bristol | authorlink = | last2 = Jones | first2 = James F | authorlink2 = | last3 = Vernon | first3 = Suzanne D | author-link3 = Suzanne Vernon | last4 = Rajeevan | first4 = Mangalathu S | author-link4 = Mangalathu Rajeevan | date = Jan 2009 | title = Transcriptional Control of Complement Activation in an Exercise Model of Chronic Fatigue Syndrome | url =https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2583111/|journal=Molecular Medicine|volume=15 | issue = 1-2 | pages = 34–42|doi=10.2119/molmed.2008.00098|pmc=PMC2583111|pmid=19015737|quote=|via=}}</ref> - [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2583111/pdf/mol-15-34.pdf (Full text)] *2010, Unravelling the nature of postexertional malaise in myalgic encephalomyelitis/chronic fatigue syndrome: the role of elastase, complement C4a and interleukin-1β<ref name="Nijs2010"/> - [https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2796.2009.02178.x (Abstract)] ==See also == *[[Exercise]] *[[Post-exertional malaise]] *[[Cognitive dysfunction]] including thinking problems *[[Headache]]s ==Learn more == *[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2725201/ The Role of Anaphylatoxins in Health and Disease] == References == {{Reflist}} [[Category:Immunology]] [[Category:Biochemistry and cell biology]] [[Category:Glycoproteins]] [[Category:Proteins]] [[Category:Peptides]]
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