Systemic sclerosis & Raynaud's

Distinct Effects of Complement C4A and C4B Copy Numbers in Systemic Sclerosis Serological and Clinical Subtypes

Arthritis RheumatolPublished Genetic association study

Main finding · C4 CN association with SSc risk by subgroupResult — go to the resultOdds ratio 1.88

Authors' conclusion

This study highlights distinct genetic contributions of C4A and C4B in SSc subtypes susceptibility.

Study context

Population
Patients with systemic sclerosis (SSc), by autoantibody and cutaneous subtype, and controls
Participants
4,049 / 2,200 / 577 / 1,078 / 6,295 / 2,946 / 17,991
Comparison
SSc serological and clinical subgroups vs controls
  • ACA+n = 4,049
  • ATA+n = 2,200
  • ARA+n = 577
  • TNn = 1,078
  • lcSScn = 6,295
  • dcSScn = 2,946
  • Controlsn = 17,991reference
Outcome
Association of C4 (C4A, C4B) and HERV-K CN with SSc clinical and serologic subtypes
Methodological detailscase-control, imputed C4 copy numbers
  • Case-control
  • Imputed C4 copy numbers

Main finding

C4 CN association with SSc risk by subgroup

Odds ratio

1.88

As reported in the abstract

Observational data: associations, not effects.

Further findings

Sex-biased associations

Stronger C4A effects in dcSSc, ATA+ and ARA+ male patients; stronger C4B effects in ACA+ and lcSSc female patients

HLA alleles

HLA alleles associated with SSc subgroups appear independent of C4 copy number (CN)

Original publication

Distinct Effects of Complement C4A and C4B Copy Numbers in Systemic Sclerosis Serological and Clinical Subtypes. Arthritis Rheumatol. Published 18 February 2026. doi:10.1002/art.43433

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