Pre-transplant levels of ficolin-3 are associated with kidney graft survival

Clin Immunol. 2013 Mar;146(3):240-7. doi: 10.1016/j.clim.2013.01.005. Epub 2013 Jan 26.


Ficolin-3 is an initiator of the lectin complement pathway. The complement system is a mediator of the pathophysiology of graft rejection in kidney transplantation, but the role of ficolin-3 in this process is unknown. Using a prospective study design, 527 kidney transplanted patients were included. 97 blood donors served as controls. Ficolin-3, C4 and C3 were measured in pre-transplant as well as in control serum samples. In controls, deposition of ficolin-3, C4, C3 and the terminal complement complex (TCC) was measured in an assay based on acetylated albumin as matrix. The ficolin-3 levels correlated with the serum levels of C4 and C3. The serum levels of ficolin-3 correlated with the deposition of ficolin-3, C4, C3 and TCC. Survival analyses showed that high pre-transplant serum levels of ficolin-3 were associated with decreased graft survival. These results suggest an important role of ficolin-3 in the pathophysiology of kidney graft rejection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Complement System Proteins / immunology
  • Female
  • Glycoproteins / blood
  • Glycoproteins / immunology*
  • Graft Survival / immunology*
  • Humans
  • Kidney Transplantation / immunology*
  • Lectins / blood
  • Lectins / immunology*
  • Male
  • Middle Aged


  • FCN3 protein, human
  • Glycoproteins
  • Lectins
  • Complement System Proteins