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Molecular genetics of C1-inhibitor and hereditary angiooedema

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Complement in Health and Disease

Part of the book series: Immunology and Medicine ((IMME,volume 20))

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Abstract

The hereditary transmission of angioneurotic oedema was documented as early as 1888 by the remarkable pedigree investigations of W. Osier1. His work and subsequent family studies led to the recognition of the autosomal dominant mode of transmission of the disease2.

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References

  1. Osier, W. (1888). Hereditary angio-neurotic oedema. Am. J. Med. Sci., 95, 362–367

    Article  Google Scholar 

  2. Crowder, J. R. and Crowder, T. R. (1917). Five generations of angioneurotic edema. Arch. Intern. Med., 20, 840–852

    Article  Google Scholar 

  3. Landerman N. S. 1962. Hereditary angioneurotic edema. II. Deficiency of inhibitor for serum globulin permeability factor and/or plasma kallikrein. J. Allergy 33 330–34

    Google Scholar 

  4. Pensky, J., Levy, L. and Lepow, I. (1961). Partial purification of a serum inhibitor of C‘l esterase. J. Biol. Chem., 236, 1674–1679

    PubMed  CAS  Google Scholar 

  5. Donaldson, V. H. and Evans, R. R. (1963). A biochemical abnormality in hereditary angioneurotic edema. Absence of serum inhibitor of C‘l-esterase. Am. J. Med., 35, 37–44

    Article  PubMed  CAS  Google Scholar 

  6. Schultze, H. E., Heide, K. and Haupt, H. (1962). Uber ein bisher unbekanntes saures alpha2-glykoprotein. Naturwissenschaften, 49, 133–134

    Google Scholar 

  7. Pensky, J. and Schwick, H. G. (1969). Human serum inhibitor of C‘l esterase: identity with alpha2-neuraminoglycoprotein. Science, 163, 698–699

    Article  PubMed  CAS  Google Scholar 

  8. Bock, S. C, Skriver, K., Nielsen, E., Thogersen, H.-C, Wiman, B., Donaldson, V. H., Eddy, R. L., Marrinan, J., Radziejewska, E., Huber, R., Shows, T. B. and Magnusson, S. (1986). Human C1 inhibitor: primary structure, cDNA cloning and chromosomal localization. Biochemistry, 25, 4292–4301

    Article  PubMed  CAS  Google Scholar 

  9. Davis III, A. E., Whitehead, A. S., Harrison, R. A., Dauphinais, A., Bruns, G. A. P., Cicardi, M. and Rosen, F. S. (1986). Human inhibitor of the first component of complement, C1: characterization of cDNA clones and localization of the gene to chromosome 11. Proc. Natl. Acad. Sci. USA, 83, 3161–3165

    Article  PubMed  CAS  Google Scholar 

  10. Que, B. G. and Petra, P. H. (1986). Isolation and analysis of a cDNA coding for human C1 inhibitor. Biochem. Biophys. Res. Commun., 137, 620–625

    Article  PubMed  CAS  Google Scholar 

  11. Tosi, M., Duponchel, C, Bourgarel, P., Colomb, M. and Meo, T. (1986). Molecular cloning of human C1 inhibitor: sequence homologies with α 1-antitrypsin and other members of the serpins superfamily. Gene, 42, 265–272

    Article  PubMed  CAS  Google Scholar 

  12. Carter, P. E., Dunbar, B. and Fothergill, J. E. (1988). Genomic and cDNA cloning of the human CI inhibitor. Eur. J. Biochem., 173, 163–169

    Article  PubMed  CAS  Google Scholar 

  13. Rauth, G., Schumacher, G., Buckel, P. and Muller-Esterl, W. (1988). Molecular cloning of the cDNA coding for human CI inhibitor. Protein Seq. Data Anal., 1, 251–257

    PubMed  CAS  Google Scholar 

  14. Eldering, E., Nuijens, J. H. and Hack, C. E. (1988). Expression of functional human C1 inhibitor in COS cells. J. Biol. Chem., 263, 11776–11779

    PubMed  CAS  Google Scholar 

  15. Fukushima, Y., Byers, M., Bock, S. and Shows, T. (1987). The human C1 inhibitor gene (C1NH) is located at 1 lql2-13.1. Ninth International Workshop on Human Gene Mapping (abstract). Cytogenet. Cell. Genet., 45, 617

    Google Scholar 

  16. Theriault, A., Whaley, K., McPhaden, A. R., Boyd, E. and Connor, J. M. (1990). Regional assignment of the human CI inhibitor gene to 1 lql l-ql3.1. Hum. Genet., 84, 477–479

    Article  PubMed  CAS  Google Scholar 

  17. Skriver, K., Radziejewska, E., Silbermann, J. A., Donaldson, V. H. and Bock, S. C. (1989). Mutations in CpG dinucleotide change reactive site arginine-444 to cysteine in dysfunctional C1 inhibitor Da and histidine in dysfunctional C1 inhibitor Ri. J. Biol. Chem., 264, 3066–30671

    PubMed  CAS  Google Scholar 

  18. Carter, P., Duponchel, C, Tosi, M. and Fothergill, J. (1991). Complete nucleotide sequence of the gene for human C1-inhibitor with an unusually high density of Alu elements. Eur. J. Biochem., 197, 301–308

    Article  PubMed  CAS  Google Scholar 

  19. Huber, R. and Carrel, R. (1989). Implications of the three-dimensional structure of αl-antitrypsin for structure and function of serpins. Biochemistry, 28, 8951–8966

    Article  PubMed  CAS  Google Scholar 

  20. Carrell, R., Aulak, K. and Owen, M. (1989). The molecular pathology of the serpins. Mol. Biol. Med., 6, 35–42

    PubMed  CAS  Google Scholar 

  21. Davis III, A. E. (1988). C1 inhibitor and hereditary angioneurotic edema. Annu. Rev. Immunol., 5, 595–628

    Article  Google Scholar 

  22. Davis, A. (1989). Hereditary and acquired deficiencies of C1 inhibitor. Immunodefic. Rev., 1, 207–226

    PubMed  Google Scholar 

  23. Donaldson, V. (1989). C1 Inhibitor in hereditary angioneurotic edema: type I and type II. Behring Inst. Mitt., 84, 151–160

    PubMed  CAS  Google Scholar 

  24. Tosi, M., Stoppa-Lyonnet, D., Carter, P. and Meo, T. (1989). Molecular defects of the Cl-inhibitor gene in hereditary angio-oedema. Behring Inst. Mitt., 84, 173–179

    PubMed  CAS  Google Scholar 

  25. Harrison, R. A. (1983). Human C1 inhibitor: improved isolation and preliminary structural characterization. Biochemistry, 22, 5001–5007

    Article  PubMed  CAS  Google Scholar 

  26. Perkins, S., Smith, K., Amatayakul, S., Ashford, D., Rademacher, T., Dwek, R., Lachmann, P. and Harrison, R. (1990). Two-domain structure of the native and reactive centre cleaved forms of CI inhibitor of human complement by neutron scattering. J. Mol. Biol., 214, 751–763

    Article  PubMed  CAS  Google Scholar 

  27. Strecker, G., Ollier-Hartmann, M.-P., van Halbeek, H., Friederik, J., Vliegenthart, G., Montreuil, J. and Hartmann, L. (1985). Structure primaire des chaînes glycanniques de l‘inhibiteur de C1 esterase normal (Cl-INH) aprés I‘analyse en RMN á 400 MHz. C. R. Acad. Sci. Paris, 301, 571–576

    PubMed  CAS  Google Scholar 

  28. Odermatt, E., Berger, H. and Sano, Y. (1981). Size and shape of human Cl-inhibitor. FEBS Lett., 131, 283–285

    Article  PubMed  CAS  Google Scholar 

  29. Reboul, A., Prandini, M.-H. and Colomb, M. G. (1987). Proteolysis and deglycosylation of human C1 inhibitor. Effect on functional properties. Biochem. J., 244, 117–121

    PubMed  CAS  Google Scholar 

  30. Pemberton, P., Harrison, R., Lachmann, P. and Carrell, R. (1989). The structural basis for neutrophil inactivation of C1 inhibitor. Biochem. J., 258, 193–198

    PubMed  CAS  Google Scholar 

  31. McPhaden, A. R. M., Carter, P. E., Birnie, G. D. and Whaley, K. (1989). Kpnl RFLP in the 3 ‘flanking region of the C1 inhibitor gene. Nucl. Acids Res., 17, 4912

    Article  PubMed  CAS  Google Scholar 

  32. Rosen, F. S., Alper, C. A., Pensky, J., Klemperer, M. R. and Donaldson, V. H. (1971). Genetically determined heterogeneity of the C1 esterase inhibitor in patients with hereditary angioneurotic edema. J. Clin. Invest., 50, 2143–2149

    Article  PubMed  CAS  Google Scholar 

  33. Alper, C. A., Rosen, F. S., Pensky, J., Klemperer, M. R. and Donaldson, V. H. (1970). Heterogeneity of genetic variants in hereditary angioneurotic edema. J. Clin. Invest., 49, 3a (abstract)

    Article  Google Scholar 

  34. Donaldson, V. H., Harrison, R. A., Rosen, F. S., Bing, D. H., Kindness, G., Canar, J., Wagner, C. J. and Awad, S. (1985). Variability in purified dysfunctional Cl-inhibitor proteins from patients with hereditary angioneurotic edema. J. Clin. Invest., 75, 124–132

    Article  PubMed  CAS  Google Scholar 

  35. Shokeir, M. H. K. (1973). The genetics of hereditary angio-oedema: a hypothesis. Clin. Genet., 4, 494–499

    Article  PubMed  CAS  Google Scholar 

  36. Stoppa-Lyonnet, D., Tosi, M., Laurent, J., Sobel, A., Lagrue, G. and Meo, T. (1987). Altered Cl-inhibitor genes in type I hereditary angio-oedema. N. Engl. J. Med., 317, 1–6

    Article  PubMed  CAS  Google Scholar 

  37. Cicardi, M., Igarashi, T., Rosen, F. and Davis III, A. (1987). Molecular basis for the deficiency of complement 1 inhibitor in type I hereditary angioneurotic edema. J. Clin. Invest., 79, 698–702

    Article  PubMed  CAS  Google Scholar 

  38. Lappin, D. F., McPhaden, A. R., Peng-Lee, Y., Carter, P. E., Birnie, G. D., Fothergill, J. E. and Whaley, K. (1989). Monocyte Cl-inhibitor synthesis in patients with C1 inhibitor deficiency. Eur. J. Clin. Invest., 19, 45–52

    PubMed  CAS  Google Scholar 

  39. Strunk, R., Rosen, F. and Katz, Y. (1989). Synthesis of C1 inhibitor in fibroblasts in type I and type II hereditary angioneurotic edema. Compl. Inflamm., 6, 403–404

    Google Scholar 

  40. Kramer, J., Katz, Y., Rosen, F. S., Davis, A. E. and Strunk, R. C. (1991). Synthesis of C1 inhibitor in fibroblasts from patients with type I and type II hereditary angioneurotic edema. J. Clin. Invest., 87, 1614–1620

    Article  PubMed  CAS  Google Scholar 

  41. Quastel, M., Harrison, R., Cicardi, M., Alper, C. A. and Rosen, F. S. (1983). Behaviour in vivo of normal and dysfunctional C1 inhibitor in normal subjects and patients with hereditary angioneurotic edema. J. Clin. Invest., 71, 1041–1046

    Article  PubMed  CAS  Google Scholar 

  42. Lachmann, P. J. and Rosen, F. S. (1984). The catabolism of Cl-inhibitor and the pathogenesis of hereditary angio-edema. Acta Pathol. Microbiol. Immunol. Scand. (Suppl.), 284, 35–

    CAS  Google Scholar 

  43. Cugno, M., Nuijens, J., Hack, E., Eerenberg, A., Frangi, D., Agostoni, A. and Cicardi, M. (1990). Plasma levels of C1 inhibitor complexes and cleaved C1 inhibitor in patients with hereditary angioneurotic edema. J. Clin. Invest., 85, 1215–1220

    Article  PubMed  CAS  Google Scholar 

  44. Cicardi, M., Igarashi, T., Kim, M. S., Frangi, D., Agostoni, A. and Davis III, A. E. (1987). Restriction fragment length polymorphism of the CI inhibitor gene in hereditary angioneurotic edema. J. Clin. Invest., 80, 1640–1643

    Article  PubMed  CAS  Google Scholar 

  45. McPhaden, A., Birnie, G. and Whaley, K. (1991). Restriction fragment length polymorphism analysis of the Cl-inhibitor gene in hereditary Cl-inhibitor deficiency. Clin. Genet., 39, 161–171

    Article  PubMed  CAS  Google Scholar 

  46. Ariga, T., Igarashi, T., Ramesh, N., Parad, R., Cicardi, M. and Davis III, A. E. (1989). Type I C1 inhibitor deficiency with a small messenger RNA resulting from deletion of one exon. J. Clin. Invest., 83, 1888–1893

    Article  PubMed  CAS  Google Scholar 

  47. Ariga, T., Carter, P. E. and Davis III, A. E. (1990). Recombinations between Alu repeat sequences that result in partial deletions within the C1 inhibitor gene. Genomics, 8, 607–613

    Article  PubMed  CAS  Google Scholar 

  48. Stoppa-Lyonnet, D., Duponchel, C, Meo, T., Laurent, J., Arala-Chaves, M., Cohen, J., Dewald, G., Hauptmann, G., Intrator, L., Lagrue, G., Lesavre, P., Lopez-Trescasa, G., Misiano, G., Moraine, C, Sobel, A., Spath, P. and Tosi, M. (1991). Recombinational bias in the rearranged Cl-inhibitor genes of hereditary angio-oedema patients. Am. J. Hum. Genet., 49, 1055–1062

    PubMed  CAS  Google Scholar 

  49. Weiner, A. M., Deininger, P. L. and Efstratiadis, A. (1986). Nonviral retroposons: genes, pseudogenes, and transposable elements generated by the reverse flow of genetic information. Ann. Rev. Biochem., 55, 631–661

    Article  PubMed  CAS  Google Scholar 

  50. Lehrman, M. A., Goldstein, J. L., Russell, D. W. and Brown, M. S. (1987). Duplication of seven exons in LDL receptor gene caused by Alu-Alu recombination in a subject with familial hypercholesterolemia. Cell, 48, 827–835

    Article  PubMed  CAS  Google Scholar 

  51. Stoppa-Lyonnet, D., Carter, P. E., Meo, T. and Tosi, M. (1990). Clusters of intragenic Alu repeats predispose the human C1 inhibitor locus to deleterious rearrangements. Proc. Natl. Acad. Sci. USA, 87, 1551–1555

    Article  PubMed  CAS  Google Scholar 

  52. Siddique, Z., McPhaden, A. R., Lappin, D. L. and Whaley, K. (1991). An RNA splice site mutation in the C1-inhibitor gene causes type I hereditary angio-oedema. Hum. Genet., 88, 231–232

    Article  PubMed  CAS  Google Scholar 

  53. Colten, H. R. (1987). Hereditary angioneurotic edema 1887 to 1987. N. Engl. J. Med., 317, 43–45

    Article  PubMed  CAS  Google Scholar 

  54. Kramer, J., Rosen, F. S. and Strunk, R. C. (1991). Trans-inhibition of normal C1 inhibitor net synthesis in exon VII deleted type I C1 inhibitor deficiency. Compl. Inflamm., 8, 177

    Google Scholar 

  55. Tosi, M., Bourgarel, P., Bazzali, C, Duponchel, C, Stoppa-Lyonet, D. and Meo, T. (1990). Intracellular retention of C1 inhibitor in two hereditary angio-oedema patients. Compl. Inflamm., 7, 119

    Google Scholar 

  56. Katz, Y. and Strunk, R. C. (1989). Synthesis and regulation of C1 inhibitor in human skin fibroblasts. J. Immunol., 142, 2041–2045

    PubMed  CAS  Google Scholar 

  57. Donaldson, V. H., Olivi, L. B., Radziejewska, E., Bock, S. C. and Wagner, C. J. (1989). Human umbilical vein endothelial cells produce C1-inhibitor mRNA and secrete C1-inhibitor. Behring. Inst. Mitt., 84, 194

    Google Scholar 

  58. Aulak, K., Pemberton, P., Rosen, F., Carrell, R., Lachmann, P. and Harrison, R. (1988). Dysfunctional C1-inhibitor (At), isolated from a type II hereditary-angio-oedema plasma, contains a P1 ‘reactive centre ‘(Arg444-His) mutation. Biochem. J., 253, 615–618

    PubMed  CAS  Google Scholar 

  59. Aulak, K., Cicardi, M. and Harrison, R. (1990). Identification of a new P1 residue mutation (444Arg-Ser) in a dysfunctional C1-inhibitor protein contained in a type II hereditary angio-oedema plasma. FEBS Lett., 266, 13–16

    Article  PubMed  CAS  Google Scholar 

  60. Frangi, D., Cicardi, M., Sica, A., Colotta, F., Agostoni, A. and Davis III, A. E. (1991). Nonsense mutations affect C1 inhibitor messenger RNA levels in patients with type I hereditary angioneurotic edema. J. Clin. Invest., 88, 755–759

    Article  PubMed  CAS  Google Scholar 

  61. Cooper, D. and Youssoufian, H. (1988). The CpG dinucleotide and human genetic disease. Hum. Genet., 78, 151–155

    Google Scholar 

  62. Aulak K. Davis A. Donaldson V. Lachmann P. Rosen F. and Harrison R. (1988). Analysis of mutant dysfunctional C1inhibitor proteins isolated from type II hereditary angio-oedema plasmas. Proceedings of the Ninth European Immunology Meeting Rome Italy September 14-17 1988 (Abstract

    Google Scholar 

  63. Parad, R., Kramer, J., Strunk, R., Rosen, F. and Davis, A. (1990). Dysfunctional CI inhibitor Ta: Deletion of Lys-251 results in acquisition of an N-glycosylation site. Proc. Natl. Acad. Sci. USA, 87, 6786–6790

    Article  PubMed  CAS  Google Scholar 

  64. Levy, N., Ramesh, N., Cicardi, M. and Harrison, R. (1990). Type II hereditary angioneurotic edema that may result from a single nucleotide change in the codon for alanine-436 in the C1 inhibitor gene. Proc. Natl. Acad. Sci. USA, 87, 265–268

    Article  PubMed  CAS  Google Scholar 

  65. Eldering, E., Lubbers, Y. T. P., Aulak, K. S., Davis III A. E., Cicardi, M., Nuijens, J. H. and Hack, C. E. (1992). Analysis of a mutant C1 inhibitor from a type II HAE patient: a novel complex-like conformation in serpins as a result of alanine-436 to threonine (P10) substitution. Immunobiology, 184, 423

    Google Scholar 

  66. Skriver, K., Wikoff, W. R., Patston, P. A., Tausk, F., Schapira, M., Kaplan, A. P. and Bock, S. C. (1991). Substrate properties of C1 inhibitor Ma (alanine 434-glutamic acid): genetic and structural evidence suggesting that the P12-region contains critical determinants of serine protease inhibitor/substrate status. J. Biol. Chem., 266, 9216–92121

    PubMed  CAS  Google Scholar 

  67. Davis III A. E., Aulak, K. S., Parad, R. B, Stecklein, H. P., Eldering, E., Hack, C. E., Kramer, J., Strunk, R. C. and Rosen, F. S. (1991). Characterization and expression of C1 inhibitor nonreactive center mutations. Compl. Inflamm., 8, 138

    Google Scholar 

  68. Eldering, E., Huijbregts, C. and Hack, C. (1989). Recombinant C1 inhibitor P1 variants. Compl. Inflamm., 6, 333

    Google Scholar 

  69. Nuijens, J., Eerenberg-Belmer, A., Huijbregts, C, Schreuder, W., Felt-Bersma, R., Abbink, J., Thijs, L. and Hack, C. (1989). Proteolytic inactivation of plasma C1 inhibitor in sepsis. J. Clin. Invest., 84, 443–450

    Article  PubMed  CAS  Google Scholar 

  70. Eldering, E., Huijbregts, C, Nuijens, J. and Hack, C. (1989). C1 inhibitor variants with reduced susceptibility for neutrophil elastase. Compl. Inflamm., 6, 333

    Google Scholar 

  71. Verpy, E., Laurent, J., Spath, P. J., Meo, T. and Tosi, M. (1991). Clustering of point mutations downstream of the C1 inhibitor-reactive site in hereditary angio-oedema patients. Compl. Inflamm., 8, 238

    Google Scholar 

  72. Verpy, E. and Tosi, M. (1992). Detection of point mutations in hereditary angio-oedema patients: impaired intracellular transport and secretion of C1 inhibitor proteins with amino acid changes near the carboxylend. Immunobiology, 184, 457

    Google Scholar 

  73. Stein, P., Leslie, A., Finch, J., Turnell, W., McLaughlin, P. and Carrell, R. (1990). Crystal structure of ovalbumin as a model for the reactive centre of serpins. Nature, 347, 99–102

    Article  PubMed  CAS  Google Scholar 

  74. Zuraw, B. and Lotz, M. (1990). Regulation of the hepatic synthesis of C1 inhibitor by the hepatocyte stimulating factors interleukin 6 and interferon-γ. 1. Biol. Chem., 265, 12664–12670

    CAS  Google Scholar 

  75. Lotz, M. and Zuraw, B. L. (1987). Interferon gamma is a major regulator of Cl-inhibitor synthesis by human blood monocytes. J. Immunol., 139, 3382–3387

    PubMed  CAS  Google Scholar 

  76. Hamilton, A., Jones, L., Morrison, L. and Whaley, K. (1987). Modulation of monocyte complement synthesis by interferons. Biochem. J., 242, 809–815

    PubMed  CAS  Google Scholar 

  77. Lappin, D., Birnie, G. and Whaley, K. (1990). Modulation by interferons of the expression of monocyte complement genes. Biochem. J., 268, 387–392

    PubMed  CAS  Google Scholar 

  78. Lappin, D. F, Guc, D., Hill, A., McShane, T. and Whaley, K. (1992). Effect of interferon-γ on complement gene expression in different cell types. Biochem. J., 281, 437–442

    PubMed  CAS  Google Scholar 

  79. Falus, A., Feheer, K. G., Walcz, E., Brozik, M., Fürst, G., Hidvegi, T., Feher, T. and Meretey, K. (1990). Hormonal regulation of complement biosynthesis in human cell lines. I. Androgens and gamma-interferon stimulate the biosynthesis and gene expression of C1 inhibitor in human cell lines U937 and HepG2. Mol. Immunol, 27, 191–195

    Article  PubMed  CAS  Google Scholar 

  80. Heda, G. D., Mardente, S., Weiner, L. and Schmaier, A. H. (1990). Interferon gamma increases in vitro and in vivo expression of C1 inhibitor. Blood, 75, 2401–2407

    PubMed  CAS  Google Scholar 

  81. Lappin, D., Birnie, G. and Whaley, K. (1990). Increased mRNA stability accounts for much of the interferon-gamma mediated stimulation of monocyte Cl-Inh and factor B synthesis. Compl. Inflamm., 7, 160

    Google Scholar 

  82. Lappin, D., Birnie, G. and Whaley, K. (1991). Interferon mediated transcriptional and post-transcriptional modulation of complement gene expression in human monocytes. Eur. J. Biochem., 194, 177–184

    Article  Google Scholar 

  83. Falus, A., Rokita, H., Walcz, E., Brozik, M., Hidvégi, T. and Merétey, K. (1990). Hormonal regulation of complement biosynthesis in human cell lines. II. Upregulation of the biosynthesis of complement components C3, factor B and CI inhibitor by interleukin-6 and interleukin-1 in human hepatoma cell line. Mol. Immunol., 27, 197–201

    Article  PubMed  CAS  Google Scholar 

  84. Gelfand, J. A., Sherins, R. J., Ailing, D. W. and Frank, M. M. (1976). Treatment of hereditary angio-oedema with danazol: reversal of clinical and biological abnormalities. N. Engl. J. Med., 295, 1444–1448

    Article  PubMed  CAS  Google Scholar 

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Tosi, M. (1993). Molecular genetics of C1-inhibitor and hereditary angiooedema. In: Whaley, K., Loos, M., Weiler, J.M. (eds) Complement in Health and Disease. Immunology and Medicine, vol 20. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2214-6_9

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