Molecule

C1q

Central autoantigen and complement initiator

Expression change
Depleted (consumed)
Evidence level
established
Targeted by
Anti-C1q autoantibodies (pathogenic)

Role in pathogenesis

C1q is the primary autoantigen in HUVS. Anti-C1q autoantibodies bind to the collagen-like region of C1q, forming immune complexes that activate the classical complement pathway. C1q levels are markedly reduced due to consumption. Low C1q is the most sensitive serologic marker.