C1 Function
Test Code
C1F
Description
The complement system is part of our innate immune response. It is vital to our defense against invasive microorganisms. Complement activation can occur through the classical, lectin and alternative pathway, which then converge to a common terminal pathway. Complement deficiency can lead to life-threatening infections as well as long-term autoimmune conditions such as systemic lupus erythematosus (SLE) and hereditary angioedema (HAE).
The C1 hemolytic assay is a sensitive method for detection of the classical complement activation protein complex C1 (C1q, C1r2, C1s2) activity or lack thereof. Severe or recurrent infections that produce strong activation of the classical complement pathway can lead to low C1 protein levels and reduced C1 activity. Low or absent C1 activity is also observed with genetic deficiencies of C1q, C1r and/or C1s that lead to a lack of or insufficient production of these proteins. Low C1 activity can be associated with low CH50 activity.
Collect
Serum from a Red top tube is the only acceptable sample type. The collection tube should be completely filled with blood. Invert tube several times to initiate the clotting process. Keep the tube filled with blood at room temperature for 30-60 minutes to allow the blood to clot.
Patient Prep
Centrifuge the collection tube at 1600 (± 200) x g (rcf) at 4°C (± 2°C) for 15 (±1) minutes. Transfer the cell-free serum to a clean cryogenic storage tube and immediately store the cryogenic tube at -60°C or below in an ultra-low freezer.
Preferred volume: 1.0 mL serum
Minimum volume: 0.25 mL serum
Pediatric Collection
Minimum volume: 0.25 mL serum
Unacceptable Conditions
Thawed samples or samples stored at room temperature prior to shipment.
Storage Transport Temp
Ship samples overnight in a well-insulated container on dry ice.
Stability
-60°C or below in an ultra-low freezer - up to 2 years
Notes
Additional testing may be needed for less than perfect samples on confirmatory testing/reflex testing.
To prevent unnecessary delays in testing, please send one aliquot per test request.
Performed
Monday - FridayMethodology
Hemolytic Assay
Turnaround Time
up to 4 weeks
Department
Complement Lab
Synonyms
Complement (C1 Function), Hemolytic Assay (C1 Function)
Study Offerings
Not offered
Reference Interval
116,373 – 264,072 Units/mL
CPT Code
86161
New York Approved
Legacy
FDA
LDT