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Human Complement Components C4A and C4B Genetic Diversities: Complex Genotypes and Phenotypes

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  • Abstract
  • Table of Contents
  • Materials
  • Figures
  • Literature Cited

Abstract

 

This unit describes methods that can accurately determine the genotypes and phenotypes of human complement components C4A and C4B. Specifically, they allow investigators to determine how many C4 genes are present in a diploid genome of a human subject and to quantify how many of them encode C4A proteins and how many of them encode C4B proteins. In addition, methods to determine how many long and short C4 genes are present in a diploid genome of a subject are described together with experimental strategies to determine haplotypes and order or configuration of these genes in the MHC. Finally, methods to assess the degree of polymorphism in C4A and C4B proteins and whether low protein levels of plasma C4 may be caused by low C4 gene dosages and/or by mutant C4 genes.

Keywords: C4 polygenic variation; C4 genes; endogenous retrovirus HERV?K(C4); RP?C4?CYP21?TNX (RCCX) modules; C4A/C4B allotypes; Ch1/Rg1 blood group antigenic determinants; MHC complement gene cluster (MCGC); complement C2 deficiency; labeled?primer single?cycle DNA polymerization (LSP); module?specific PCR

     
 
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Table of Contents

  • Basic Protocol 1: Restriction Fragment Length Polymorphism (RFLP)–Southern Blot for Genomic DNA Analysis of C4 Gene Dosage
  • Basic Protocol 2: Long‐Range Mapping Pulsed‐Field Gel Electrophoresis (PFGE) for Determination of the Modular Structure of RP‐C4‐CYP21‐TNX (RCCX)
  • Support Protocol 1: Probe Labeling and Desalting for Southern Blots
  • Support Protocol 2: Preparation of Genomic DNA Plugs from Unicellular Nucleated Cells
  • Alternate Protocol 1: Module‐Specific PCR for Determination of the Number of RP‐C4‐CYP21‐TNX (RCCX) Modules or Total C4 Gene Dosage
  • Alternate Protocol 2: Labeled‐Primer Single‐Cycle DNA Polymerization (LSP) Reaction Coupled with Restriction Fragment Length Polymorphism (RFLP) for Determination of C4A/C4B Gene Dosages
  • Support Protocol 3: Labeling the 5′ End of Primer E29.3 with T4 Polynucleotide Kinase
  • Basic Protocol 3: Sequence‐Specific Primer (SSP)‐PCR for Determining Known Nonsense Mutations in Complement Components C2 and C4
  • Basic Protocol 4: High‐Voltage Agarose Gel Electrophoresis (HVAGE) for C4 Allotyping
  • Reagents and Solutions
  • Commentary
  • Literature Cited
  • Figures
  • Tables
     
 
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Materials

Basic Protocol 1: Restriction Fragment Length Polymorphism (RFLP)–Southern Blot for Genomic DNA Analysis of C4 Gene Dosage

  Materials
  • High‐molecular‐weight human genomic DNA, prepared from peripheral blood using commercial kit (e.g., Puregene; Gentra Systems)
  • 10 U/µl restriction endonucleases (Taq I or Psh AI and, for Psh AI‐Pvu II double digest only, Pvu II) and appropriate buffers (New England Biolabs)
  • Mineral oil (optional)
  • High‐gelling‐temperature agarose, biotechnology grade (Amaresco)
  • 1× TBE (see recipe )
  • 0.5% (v/v) ethidium bromide
  • Glycerol dye (see recipe )
  • Depurination buffer: 0.2 M HCl/0.5 M NaCl, optional
  • Denaturation buffer: 1.5 M NaCl/0.5 M NaOH
  • Neutralization buffer: 1.5 M NaCl/0.5 M Tris·Cl, pH 7.4
  • 10× SSC: 1.5 M NaCl/0.15 M sodium citrate
  • SDS‐SET solution: 0.1% (w/v) SDS in SET solution (see recipe ), 42°C
  • 20 mg/ml sheared salmon or fish sperm DNA (ssDNA; Amaresco)
  • Prehybridization solution (see recipe )
  • Appropriate radiolabeled hybridization probes (see protocol 3 )
  • 0.1% (w/v) SDS/2× SSC
  • 0.5% (w/v) SDS/0.1× SSC
  • Thermal cycler with heated top or water bath set at 65°C, for Taq I digest only
  • 25° and 37°C water baths for Psh AI and Psh AI‐Pvu II double digest, respectively
  • Horizontal agarose gel apparatus (e.g., model GNA200; Pharmacia) and constant power supply (e.g., model 3000; Pharmacia)
  • 1‐liter conical flask
  • Photodocumentation machine with UV transilluminator
  • Nylon membrane (e.g., Hybond N+; Amersham Biosciences) cut to exact size of gel (e.g., 20 cm × 20 cm)
  • Two pieces Whatman 3MM filter paper cut to exact size of gel (e.g., 20 cm × 20 cm) and additional pieces for supporting membrane
  • Blotting device (e.g., Possiblot machine; Stratagene)
  • UV cross‐linker (e.g., Stratalinker 2400; Stratagene)
  • Hybridization oven including hybridization tubes (e.g., Isotemp; Fisher Scientific), 42°C
  • Boiling water bath
  • Water bath, with shaking (e.g., Techne), 65°C
  • Plastic wrapper (e.g., Clingfilm; Fisher Scientific)
  • X‐ray film and film developer (X‐OMAT; Kodak)
  • Phosphorimager (e.g., Molecular Dynamics, Amersham Biosciences) and accompanying software (e.g., STORM; Amersham Biosciences), optional
  • Additional reagents and equipment for transferring DNA onto a nylon membrane using capillary transfer (unit 10.6 ), optional

Basic Protocol 2: Long‐Range Mapping Pulsed‐Field Gel Electrophoresis (PFGE) for Determination of the Modular Structure of RP‐C4‐CYP21‐TNX (RCCX)

  Materials
  • Very‐large‐molecular‐weight genomic DNA in low‐gelling‐temperature (LGT)‐agarose plugs (see protocol 4 )
  • TE buffer, pH 7.4 ( appendix 2A )
  • 5 U/µl Pme I or Pac I restriction enzyme and appropriate buffer
  • Agarose
  • 0.5× TBE (see recipe )
  • λDNA ladder and MidRange Marker II (New England Biolabs) molecular weight markers
  • 0.5% (w/v) InCert LGT agarose (FMC), molten
  • 0.5% (v/v) ethidium bromide
  • Depurination buffer: 0.2 M HCl/0.5 M NaCl, optional
  • Denaturation buffer: 1.5 M NaCl/0.5 M NaOH
  • Neutralization buffer: 1.5 M NaCl/0.5 M Tris·Cl, pH 7.4
  • 10× SSC: 1.5 M NaCl/0.15 M sodium citrate
  • SDS‐SET solution: 0.1% (w/v) SDS in SET solution (see recipe ), 42°C
  • 20 mg/ml sheared salmon or fish sperm DNA (ssDNA; Amaresco)
  • Prehybridization solution (see recipe )
  • Radiolabeled hybridization probe E (Table 13.8.1 ; see protocol 3 )
  • 0.1% (w/v) SDS/2× SSC
  • 0.5% (w/v) SDS/0.1× SSC
  • Scalpel, sterile
  • 2‐ml microcentrifuge tubes
  • Pulsed‐field gel electrophoresis system (e.g., CHEF Mapper XA; Bio‐Rad)
  • Glass hooks made from Pasteur pipets, sterile
  • Photodocumentation machine with UV transilluminator
  • Nylon membrane (e.g., Hybond N+; Amersham Biosciences) cut to exact size of gel
  • Two pieces Whatman 3MM filter paper cut to exact size of gel and additional pieces for supporting membrane
  • Blotting device (e.g., Possiblot machine; Stratagene)
  • UV cross‐linker (e.g., Stratalinker 2400; Stratagene)
  • Hybridization oven including hybridization tubes (e.g., Isotemp; Fisher Scientific), 42°C
  • Boiling water bath
  • Water bath, with shaking (e.g., Techne), 65°C
  • Plastic wrapper (e.g., Clingfilm; Fisher Scientific)
  • X‐ray film and film developer (X‐OMAT; Kodak)
  • Additional reagents and equipment for transferring DNA onto a nylon membrane using capillary transfer (unit 10.6 ), optional

Support Protocol 1: Probe Labeling and Desalting for Southern Blots

  Materials
  • Probe DNA (Table 13.8.1 ): restriction fragments or PCR‐amplified DNA fragments, gel purified (unit 10.5 )
  • Multiprime DNA labeling kit (e.g., GibcoBRL Random Primer DNA Labeling System; Invitrogen Life Technologies) containing dNTPs, premix buffer, and Klenow enzyme
  • [α‐32 P]dCTP (3000 Ci/mmol; Amersham Biosciences)
  • Microspin G‐50 column (Amersham Biosciences)
  • SDS‐SET solution: 0.1% (w/v) SDS in SET solution (see recipe )
  • Boiling water bath
  • 2‐ml microcentrifuge tubes
  • Tabletop centrifuge

Support Protocol 2: Preparation of Genomic DNA Plugs from Unicellular Nucleated Cells

  Materials
  • Ficoll‐Paque Plus solution (Amersham Biosciences)
  • EDTA or heparinized whole blood ( appendix 3F )
  • PBS (see recipe ), 4°C
  • 1% InCert low‐gelling‐temperature (LGT) agarose (FMC): boiled, divided into aliquots in 2‐ml microcentrifuge tubes, and equilibrated at 60°C
  • NDS solution (see recipe )
  • 1.5 mg/ml proteinase K (Fisher)
  • 15‐ml centrifuge tubes
  • Refrigerated tabletop centrifuge (e.g., Eppendorf 5810R), 4°C
  • Plug molds (Bio‐Rad), bottom openings sealed with Scotch tape
  • 2‐ml microcentrifuge tubes
  • Glass hooks made from Pasteur pipets, sterile
  • 50°C water bath

Alternate Protocol 1: Module‐Specific PCR for Determination of the Number of RP‐C4‐CYP21‐TNX (RCCX) Modules or Total C4 Gene Dosage

  Materials
  • Control genomic DNA samples from individuals with three, four, and five C4 genes
  • 100 ng/µl oligonucleotide primers:
    • b: 5′‐GCT CAA GCT GTG AGG AGA ACT‐3′
    • c: 5′‐TAT CAC AGG CTC TGG CCC CA‐3′
    • d: 5′‐TTC GTG GTC CAG TAC AGG GA‐3′
  • Deionized H 2 O, autoclaved
  • Platinum Taq PCR x DNA Polymerase (Invitrogen; or equivalent commercial high‐fidelity Taq polymerase kit), including:
    • 10× PCR buffer
    • PCR x enhancer solution
    • 50 mM MgSO 4
    • 5 U/µl Platinum Taq DNA polymerase
  • 2.5 mM dNTP mix: 2.5 mM each dNTP in TE buffer, pH 7.5 ( appendix 2A ), store at −20°C
  • Genomic DNA of interest
  • Positive control DNA with bimodular (B)/monomodular (M), B/B, and trimodular (T)/B RCCX modules (Fig. )
  • Thermal cycler and appropriate PCR tubes
  • Photodocumentation machine with UV transilluminator
  • Image quantification software (e.g., ImageQuant TL; Amersham Biosciences)
  • Linear regression software (e.g., Excel; Microsoft)
  • Additional reagents and equipment for DNA agarose gel electrophoresis (unit 10.4 )
NOTE: The steps are written for primers b, c, and d (TNXA‐RP2/TNXB ). The same method can be used with primers a, b, and c (RP1 /TNXA‐RP2 ).NOTE: The success of this experiment critically relies on the concentrations of the primers because the intensity of each band will need to represent faithfully the actual dosage of the gene segments. For each new batch of primers, this titration needs to be repeated to ensure that the experiment is working.

Alternate Protocol 2: Labeled‐Primer Single‐Cycle DNA Polymerization (LSP) Reaction Coupled with Restriction Fragment Length Polymorphism (RFLP) for Determination of C4A/C4B Gene Dosages

  Materials
  • Commercial PCR amplification kit (e.g., FailSafe PCR System; Epicentre Technologies)
  • Genomic DNA of interest
  • Forward primers (choose one):
    • Y24IN: 5′‐CAG AAG GGT GAG TGT CAC CTG AG‐3′
    • E26.5: 5′‐GCT CAC AGC CTT TGT GTT GAA‐3′
  • Reverse primer:
    • E29.3: 5′‐TTG GGT ACT GCG GAA TCC CC‐3′
  • Commercial PCR purification kit (e.g., Amicon Microncon‐PCR Centrifugal Filter Devices; Fisher)
  • [γ‐32 P]E29.3 primer (see protocol 7 )
  • Deionized water, autoclaved
  • 10 U/µl Psh AI or 5 U/µl Xcm I restriction enzyme and appropriate 10× buffer
  • Glycerol dye (see recipe )
  • High‐gelling‐temperature agarose, biotechnology grade (Amaresco)
  • Thermal cycler
  • Scalpel
  • Plastic wrapper
  • Phosphorimager, cassette, and screen (e.g., STORM; Molecular Dynamics)
  • Image analysis software (e.g., ImageQuant; Amersham Biosciences)
  • Additional reagents and equipment for DNA agarose gel electrophoresis (unit 10.4 ) and Southern blotting (see protocol 1 )
NOTE : The difference between the two forward primers is that Y24IN yields a PCR product of 1.3 kb in size, whereas E26.5 yields a 1.1‐kb fragment. It takes less time to separate the Psh AI‐digested PCR product (∼900 bp) from the undigested 1.3‐kb C4B PCR product if the Y24IN primer is used.

Support Protocol 3: Labeling the 5′ End of Primer E29.3 with T4 Polynucleotide Kinase

  Materials
  • 500 ng/µl primer E29.3 (5′‐TTG GGT ACT GCG GAA TCC CC‐3′)
  • 10 U/µl T4 polynucleotide kinase and 10× T4 polynucleotide kinase reaction buffer (New England Biolabs)
  • 10 mM spermidine
  • 250 µCi [γ‐32 P]ATP (6000 Ci/mmol; Amersham Biosciences)
  • Deionized H 2 O, autoclaved
  • Sephadex G‐25 buffered in SET solution (see recipe )
  • SDS‐SET solution: 0.1% (w/v) SDS in SET solution
  • Color dye: 0.01 g of 0.1% (w/v) xylene cyanol and 0.01 g bromphenol blue in 10 ml TE, pH 7.4 ( appendix 2A )
  • 3 M sodium acetate, pH 5.2 ( appendix 2A )
  • 95% (v/v) ethanol, 4°C
  • 70% (v/v) ethanol, room temperature
  • Pasteur pipets and small piece of glass wool
  • Clamp stand
  • 2‐ml microcentrifuge tubes
  • Microcentrifuge, 4°C
  • Glass vacuum chamber

Basic Protocol 3: Sequence‐Specific Primer (SSP)‐PCR for Determining Known Nonsense Mutations in Complement Components C2 and C4

  Materials
  • Mutation‐specific forward and reverse primers (Table 13.8.4 )
  • >100 ng/µl genomic DNA of interest
  • DNA PCR amplifying kit (e.g., FailSafe PCR System; Epicentre Technologies)
  • 10 U/µl Mbo I restriction enzyme and appropriate 10× buffer (e.g., New England Biolabs), for C4 Mutation 4 only
  • Molecular weight markers
  • Thermal cycler
  • Additional reagents and equipment for DNA agarose gel electrophoresis (unit 10.4 )
    Table 3.8.4   MaterialsProbe Design for Sequence‐Specific Primer PCR for Determining C2 and C4 Nonsense Mutations

    Mutation Definition Forward primer Reverse primer
    Mutation 1 2‐bp deletion in C4 exon 13 C4e13D5: 5′‐ATC CCG AGG GCA GAT CGT TC‐3′ C4e14.3: 5′‐CTT GCC CAT GTT GAG GGG CT‐3′
    Mutation 2 1‐bp deletion in C4 exon 13 13DELB: 5′‐CAT CAC CTG GCA CCC TCC TTT A‐3′ C4e14.3: 5′‐CTT GCC CAT GTT GAG GGG CT‐3′
    Mutation 3 1‐bp deletion in C4 exon 20 20DELF: 5′‐AGT CCA GCT CCG GGT GTT CG‐3′ C4e23.3: 5′‐GTA ACC CTG ACG TAG CTG TT‐3′
    Mutation 4 G→A mutation in C4 intron 28 I27F: 5′‐CAA GAC CCT CCT CCC GTT TTC‐3′ MBO‐28R: 5′‐GCC AGA GCC CCT CAC CCC TGA‐3′
    Mutation 5 2‐bp insertion in C4 exon 29 C4e26.5: 5′‐GCT CAC AGC CTT TGT GTT GAA‐3′ 29InsR: 5′‐GAG AAC CAG TGA CTG AGA GC‐3′
    Mutation C2 28‐bp deletion in C2 exon 6‐intron 6 5C2: 5′‐GCC TGG GCC GTA AAA TCC AAA TCC A‐3′ 3C2: 5′‐GCA CAG GAA GGC CTC TGC TGC AGG C‐3′

     

Basic Protocol 4: High‐Voltage Agarose Gel Electrophoresis (HVAGE) for C4 Allotyping

  Materials
  • EDTA‐plasma sample of interest
  • PBS (see recipe )
  • 100 U/3 ml neuraminidase (Sigma) in PBS, store in 100‐µl aliquots at −80°C
  • Control EDTA‐plasma samples with C4A3 and C4B1 allotypes, or with any other known C4 allotypes of interest
  • 10 µg/µl carboxypeptidase B (Sigma) in 0.1 M NaCl
  • 0.5× and 1× allotype running buffer (see recipe )
  • Medium electroendosmosis agarose (e.g., Agarose‐ultrapure; Invitrogen Life Technologies)
  • Hemoglobin marker: 1 g lyophilized human hemoglobin (Sigma) resuspended in 600 µl PBS
  • Goat anti–human C4 (DiaSorin)
  • Simplyblue Safestain (Invitrogen)
  • Horizontal gel apparatus and cooler (e.g., Multiphor II and MultiTemp III system; Amersham Biosciences)
  • Gelbond film (Amersham Biosciences)
  • Humidified container (plastic box with lid, lined with wet paper towel)
  • 11 × 12–cm pieces of Whatman 3MM filter paper
  • Hair dryer
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Figures

  •   Figure 13.8.1 Polygenes and gene size dichotomy of human complement C4 and RP‐C4‐CYP21‐TNX (RCCX) modular variations. (A ) A molecular map of gene organization of the MHC‐complement gene cluster with a bimodular RCCX structure. Horizontal arrows represent transcriptional orientations. Lettered vertical arrows indicate locations and names of DNA probes used for genomic Southern blot analyses (Table ). C2 is a serine proteinase subunit for the C3 and C5 convertases in the classical and lectin complement activation pathways. Bf is a serine proteinase subunit for the C3 and C5 convertases in the alternative complement activation pathway. RD is an RNA binding protein that contains 24 copies of the Arg‐Asp (RD) motif. RD is a negative transcription elongation factor. SKI2W is a nucleolar and ribosomal protein with an RNA helicase domain. DOM3Z is a cytoplasmic protein that might be involved in RNA turnover. (B ) Structures of eleven RCCX length variants. The fragment sizes of Taq I restriction fragments for RP‐C4 , CYP21 , and TNX are shown on the right. The Pme I restriction fragment sizes representing the entire RCCX resolved by pulsed‐field gel electrophoresis (PFGE) are also listed (modified from Yang et al., ).
    View Image
  •   Figure 13.8.2 Molecular basis of different Taq I restriction fragments linking RP and C4 in different RCCX modules. Solid, black boxes represent exons of complement C4 (Yu, ). Solid gray boxes represent exons of the neighboring genes RP , CYP21 , or TNX . Numbers above the C4 gene indicate exon numbers. Notice that in the first RCCX module, RP1 is located 5′ to a C4 gene, but CYP21‐TNXA‐RP2 is in this position in the second, third, and fourth RCCX modules (Bristow et al., ; Yang et al., ). HERV‐K(C4) is an endogenous retrovirus located in intron 9 of long C4 genes (Dangel et al., ); included in the diagram are its long terminal repeats (LTRs) and viral genes or genetic elements env , AT , pol , and gag . SVA is a composite retroelement in the RP1 gene (Shen et al., ). The small square box above exon 24 indicates the sequences encoding the thioester bond; the asterisk above exon 26 indicates the location of the C4A or C4B isotypic sequences; the small inverted triangle above exon 28 indicates the location of the sequences encoding the Rg1 or Ch1 antigenic determinant.
    View Image
  •   Figure 13.8.3 Genotyping of RCCX length variants and complement C4 gene dosages. Genomic DNA samples from five different subjects with two, three, four, five, and six C4 genes are used to depict the variations. (A ) Taq I genomic restriction fragment length polymorphism (RFLP) to elucidate constituents of RCCX modules: the presence and relative dosages of RP1 or RP2 linked to a long (L) or a short (S) C4 gene, steroid CYP21B (21B) functional gene versus CYP21A (21A) pseudogene, and tenascin TNXB (XB) versus TNXA (XA) gene fragment. Probes A, E, and F (Table ) were used for hybridization. The two haplotype organizations of RCCX gene constituents in each subject are shown on the right panel. (B ) Psh AI genomic RFLP using probe A (RP 3′) to illustrate the relative band intensities of RP1 and RP2 . There are two copies of RP1 genes in a diploid genome. Each duplication of the RCCX module generates one copy of the RP2 gene fragment. Therefore, the total number of RCCX modules can be deduced by the presence and relative band intensities of the Psh AI restriction fragments for RP1 (8.8 kb) and RP2 (7.3 kb). (C ) Long‐range mapping of RCCX modular variants by pulsed‐field gel electrophoresis (PFGE) of Pme I‐digested genomic DNA samples in agarose plugs. Probe E was used for hybridization. The RCCX length variants in each subject are interpreted on the right panel. S, monomodular structure with a short C4 gene; LS, bimodular structure with a long C4 gene in the first module and a short C4 gene in the second module; LL, bimodular structure with two long C4 genes; LSL, trimodular structure with a long C4 gene in the first module, a short C4 gene in the second module, and a long C4 gene in the third module; LLL, trimodular structure with three long C4 genes (modified from Chung et al., ).
    View Image
  •   Figure 13.8.4 Module‐specific PCR to elucidate the number of RCCX modules and C4 gene dosages. (A ) Schematic presentation for module‐specific PCR with primer set a, b, and c, or with primer set b, c, and d. Primer a is RP1 specific. Primer b hybridizes to the 3′ ends of RP1 and RP2 . Primer c hybridizes to the 3′ ends of TNXA and TNXB . Primer d is TNXB specific. Primers with filled and open arrows are used to produce results shown in the left and right panels, respectively, in B. (B ) Module‐specific PCR of genomic DNA samples from five human subjects with two, three, four, five, and six C4 gene copies. Left panel, primer set a, b, and c was used. Right panel, primer set b, c, and d was used. The lower panels depict the ratios of band intensities of the PCR products (modified from Chung et al., ).
    View Image
  •   Figure 13.8.5 Labeled‐primer single‐cycle DNA polymerization (LSP) and Psh AI restriction fragment length polymorphism (RFLP) analyses to determine the relative dosages of C4A and C4B . (A ) I and II: heteroduplex formation among DNA strands from allelic variants during the denaturation and annealing processes. 32 P‐labeled primer (shown with a star) was used for one cycle of DNA synthesis. III: double‐stranded DNA molecules with labeled primers and one newly synthesized DNA strand do not contain heteroduplexes. (B ) Psh AI RFLP of the DNA mixtures. The original genomic DNA sample has two C4A and two C4B genes. A Psh AI site is present in the C4A isotypic sequence in exon 26. Notice the upper panel shows false results with higher band intensity for C4B than C4A in the ethidium bromide–stained gel. This is because C4A / C4B heteroduplexes were resistant to Psh AI enzyme digestion and therefore yielded misleading result with higher C4B band intensity. The lower panel with autoradiography of radioactively labeled images faithfully shows equal intensities for C4A and C4B genes.
    View Image
  •   Figure 13.8.6 Restriction fragment length polymorphism (RFLP) analyses of labeled‐primer single‐cycle DNA polymerization (LSP) products from six human subjects with two to six C4 genes. PCR products spanning exons 26 to 29 were subjected to LSP and restriction enzyme digests. Deviations of data obtained via ethidium bromide–stained gel and via phosphorimaging (or autoradiography) from expected results (closed circles) are plotted. (A ) LSP‐ Psh AI RFLP to demonstrate the quantitative variations of C4A and C4B dosages. (B ) LSP‐ Xcm I RFLP to demonstrate the quantitative variation of C4 genes associated with Rg1 and with Ch1 antigenic determinants. Note that LSP data are closer to expected results in both cases. The asterisk on the 520‐bp band indicates the Rg1‐DNA fragment that carries the labeled primer after the Xcm I digest. This fragment is shown in the autoradiograph in the middle panel. Lanes 1 to 5 are from human subjects identical to those described in Figures and . These five subjects have zero, one, three, four, and five C4A genes, respectively. Subjects 1 and 2 each have two C4B genes. Subjects 3, 4, and 5 each have one C4B gene. Lane 6 is from an individual with two C4A genes and two C4B genes (modified from Chung et al., ).
    View Image
  •   Figure 13.8.7 Psh AI and Xcm I restriction fragment length polymorphism (RFLP) analyses of labeled‐primer single‐cycle DNA polymerization (LSP) PCR products. After 1% (w/v) agarose gel electrophoresis of the restriction enzyme–digested products, the gel portion in front of the fast blue (purple) dye can be excised and discarded to reduce the background noise generated by the labeled primer and free [γ‐32 P]ATP. It is also helpful not to let these radioactive, low‐molecular‐weight molecules migrate into the electrophoresis chambers, which could lead to high background noise on the entire gel.
    View Image
  •   Figure 13.8.8 Deleterious mutations leading to nonexpression of C4A and C4B proteins. (A ) Locations of mutations (diamonds) in long and short C4 genes (see Fig. for additional gene descriptions). 13, exon 13; 20, exon 20; i28, intron 28; 29, exon 29. (B ) HLA haplotypes, RCCX structures, and molecular basis of mutations leading to C4A and C4B protein deficiencies (modified from Yang et al., ). The number in parentheses represents the number of human subjects with complete C4A and C4B deficiencies demonstrated to have such a mutation. The mutant C4AQ0 or C4BQ0 genes with the described mutations are shown in bold fonts. The 2‐bp insertion at exon 29 is also frequently observed in Caucasian and African‐American subjects with C4A deficiency.
    View Image
  •   Figure 13.8.9 Multiplex PCR to detect common mutations in complement components C2 and C4 . Lanes 1 to 3 are from subjects with heterozygous C2 deficiency that is characterized by a 28‐bp deletion spanning exon 6 to intron 6. Lanes 5 to 7 are from subjects with a 2‐bp insertion in exon 29 of C4A (Mutation 5).
    View Image
  •   Figure 13.8.10 Phenotyping of complement C4A and C4B by immunofixation. (A ) Effects of neuraminidase and carboxyl peptidase digestions of EDTA‐plasma samples from three human subjects (1: C4A3 B1/C4A3 B1; 2: C4A3 BQ0/C4A3 BQ0; 3: C4AQ0 B1/C4AQ0 B1) for C4 allotyping. The plasma samples were resolved based on the gross differences of electric charges by high‐voltage agarose gel electrophoresis (HVAGE). An arrow represents direction of migration. The gel on the left was run for 4.5 hr. The gel on the right was run for 3.5 hr. The heterogeneities of C4 protein samples were the results of complex glycosylations and incomplete processing of the α‐ and β‐chain carboxyl termini. Notice that neuraminidase and carboxyl peptidase B digests greatly reduced the complexity of C4A and C4B allotypes (Sim and Cross, ). (B ) C4 allotyping of EDTA‐plasma samples (after neuraminidase and carboxyl peptidase B digestions) from five subjects with two to six C4 genes as described in Figures , , and . (C ) Southern blot analysis of Psh AI‐ Pvu II‐digested genomic DNA from the same subjects (modified from Chung et al., ).
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Literature Cited

   Awdeh, Z.L. and Alper, C.A. 1980. Inherited structural polymorphism of the fourth component of human complement. Proc. Natl. Acad. Sci. U.S.A. 77:3576‐3580.
   Barba, G., Rittner, C., and Schneider, P.M. 1993. Genetic basis of human complement C4A deficiency: Detection of a point mutation leading to nonexpression. J. Clin. Invest. 91:1681‐1686.
   Blanchong, C.A., Zhou, B., Rupert, K.L., Chung, E.K., Jones, K.N., Sotos, J.F., Rennebohm, R.M., and Yu, C.Y. 2000. Deficiencies of human complement component C4A and C4B and heterozygosity in length variants of RP‐C4‐CYP21‐TNX (RCCX) modules in Caucasians: The load of RCCX genetic diversity on MHC‐associated disease. J. Exp. Med. 191:2183‐2196.
   Bristow, J., Tee, M.K., Gitelman, S.E., Mellon, S.H., and Miller, W.L. 1993. Tenascin‐X: A novel extracellular matrix protein encoded by the human XB gene overlapping P450c21B. J. Cell. Biol. 122:265‐278.
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Key References
   Chung et al., 2002b. See above.
   A basic reference for current C4 genotyping techniques.
   Mauff et al., 1998. See above.
   An important reference for C4A and C4B phenotypes.
   Sim and Cross, 1986. See above.
   A seminal paper for C4 allotypes.
   Yu et al., 2003. See above.
   A comprehensive review on the genetics of human and mouse complement C4.
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