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Complement C3 and C4 play key roles in the main physiological activities of complement system, and their deficiencies or over-expression are associated with many clinical infectious or immunity diseases. A two-stage genome-wide association study (GWAS) was performed for serum levels of C3 and C4. The first stage was conducted in 1,999 healthy Chinese men, and the second stage was performed in an additional 1,496 subjects. We identified two SNPs, rs3753394 in  CFH  gene and rs3745567 in  C3  gene, that are significantly associated with serum C3 levels at a genome-wide significance level ( P =  7.33×10 −11  and  P =  1.83×10 −9 , respectively). For C4, one large genomic region on chromosome 6p21.3 is significantly associated with serum C4 levels. Two SNPs (rs1052693 and rs11575839) were located in the MHC class I area that include  HLA-A ,  HLA-C , and  HLA-B  genes. Two SNPs (rs2075799 and rs2857009) were located 5′ and 3′ of  C4  gene. The other four SNPs, rs2071278, rs3763317, rs9276606, and rs241428, were located in the MHC class II region that includes  HLA-DRA ,  HLA-DRB , and  HLA-DQB  genes. The combined  P -values for those eight SNPs ranged from 3.19×10 −22  to 5.62×10 −97 . HBsAg-positive subjects have significantly lower C3 and C4 protein concentrations compared with HBsAg-negative subjects ( P <0.05). Our study is the first GWAS report which shows genetic components influence the levels of complement C3 and C4. Our significant findings provide novel insights of their related autoimmune, infectious diseases, and molecular mechanisms.

Genome-Wide Association Study for Serum Complement C3 and C4 Levels in Healthy Chinese Subjects