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Any classic complement early component deficiency in which the cause of the disease is a mutation in the C4A gene.
Features include: Glomerulonephritis, Cutaneous photosensitivity, Reduced circulating CH50 activity, and Purpura and 3 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 2 | Cutaneous photosensitivity, Systemic lupus erythematosus |
Kidneys and urinary system |
C4A encodes complement C4A (Chido/Rodgers blood group) (1,744 aa). Precursor of non-enzymatic components of the classical, lectin and GZMK complement pathways, which consist in a cascade of proteins that leads to phagocytosis and breakdown of pathogens and signaling ... Highest expression in Liver (43.4 TPM) and Adrenal Gland (35.1 TPM).
Complement component 4a deficiency is associated with mutations in the C4A gene on chromosome 6.
The C4A protein participates in C4A alpha4 fragment pathway.
C4A is classified as a druggable target (Druggable Genome and Protease Inhibitor categories) with score 0.6.
Genetic testing for C4A is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for complement component 4a deficiency has been reported in the published literature.
No clinical trials have been registered for complement component 4a deficiency.
3 publications have been identified in PubMed for complement component 4a deficiency. Research spans Diagnostic / Biomarker (67%) and Case Report / Case Series (33%).
Ljubicic J (2025). [PMID: 40788338](https://pubmed.ncbi.nlm.nih.gov/40788338/). *Rheumatology international*. [Case Report / Case Series]
Zickert A (2025). [PMID: 40280868](https://pubmed.ncbi.nlm.nih.gov/40280868/). *Rheumatology (Oxford, England)*. [Diagnostic / Biomarker]
Guo A (2024). [PMID: 38895030](https://pubmed.ncbi.nlm.nih.gov/38895030/). *Frontiers in psychiatry*. [Diagnostic / Biomarker]
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 6:52 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Common questions about complement component 4a deficiency
1 |
Glomerulonephritis |
Blood and immune system | 1 | Vasculitis |