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Any classic complement early component deficiency in which the cause of the disease is a mutation in the C4B gene.
Features include always present findings: Asthma, Recurrent otitis media, Decreased circulating complement C4b concentration, and Recurrent pneumonia and others. 8 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 2 | Asthma, Recurrent pneumonia |
C4B encodes complement C4B (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 ...
Complement component 4b deficiency is associated with mutations in the C4B gene on chromosome 6.
The C4B protein participates in C4B alpha4 fragment and dNQ, ester crosslinked-C4B(757-1446) pathways.
C4B is classified as a druggable target (Cell Surface, Druggable Genome, and Protease Inhibitor categories) with score 0.6.
Genetic testing for C4B is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for complement component 4b deficiency has been reported in the published literature.
Phenotype severity distribution: 6 always present features.
No clinical trials have been registered for complement component 4b deficiency.
15 publications have been identified in PubMed for complement component 4b deficiency. Research spans Basic Science / Preclinical (67%), Epidemiology / Natural History (13%), and Diagnostic / Biomarker (7%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 10 | 67% |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 8:40 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Common questions about complement component 4b deficiency
2 |
Chronic active hepatitis, Chronic diarrhea |
Brain and nerves | 1 | Meningitis |
Ears | 1 | Recurrent otitis media |
Age of onset: infancy, childhood.
Disease patterns and progression
2 |
13% |
Testing and diagnosis research | 1 | 7% |
Research summaries | 1 | 7% |
Patient case studies | 1 | 7% |
Fu X (2026). [PMID: 41526986](https://pubmed.ncbi.nlm.nih.gov/41526986/). *Molecular neurodegeneration*. [Epidemiology / Natural History]
Zhou Y (2026). [PMID: 41745945](https://pubmed.ncbi.nlm.nih.gov/41745945/). *Veterinary sciences*. [Basic Science / Preclinical]
Zhang Z (2026). [PMID: 41237697](https://pubmed.ncbi.nlm.nih.gov/41237697/). *International immunopharmacology*. [Basic Science / Preclinical]
Chen S (2026). [PMID: 41742408](https://pubmed.ncbi.nlm.nih.gov/41742408/). *Neuron*. [Basic Science / Preclinical]
Duddumpudi RTS (2025). [PMID: 40685223](https://pubmed.ncbi.nlm.nih.gov/40685223/). *BMJ case reports*. [Epidemiology / Natural History]
Xu J (2025). [PMID: 40274802](https://pubmed.ncbi.nlm.nih.gov/40274802/). *NPJ science of food*. [Basic Science / Preclinical]
Sim MMS (2025). [PMID: 40519989](https://pubmed.ncbi.nlm.nih.gov/40519989/). *Blood vessels, thrombosis & hemostasis*. [Diagnostic / Biomarker]
Donado CA (2025). [PMID: 39914456](https://pubmed.ncbi.nlm.nih.gov/39914456/). *Nature*. [Basic Science / Preclinical]
Jeevanagi SR (2025). [PMID: 39800843](https://pubmed.ncbi.nlm.nih.gov/39800843/). *International journal of immunogenetics*. [Basic Science / Preclinical]
Nowacka AA (2025). [PMID: 41187580](https://pubmed.ncbi.nlm.nih.gov/41187580/). *Immunobiology*. [Review / Meta-Analysis]