S 1313 A FUNCTIONAL DEFICIENCY OF Clq IN 3 FAMILY MEMBERS. A.J. Hannema, H.C. K/h-Nelemans, C.E. Hack’, C. Mallbe, H.P.T. van He/den, A.J.M. Eerenberg-Belmer; Central Laboratory of the Netherlands Red Cross Blood Transfusion Service, Amsterdam and St. Antonius Hospital, Utrecht, The Netherlands. Two sisters and a brother from one family are described with a funtionally deficient Clq. All 3 had suffered from glomerulonephritis during childhood. The 2 sisters had recently a SLE-like disease (butterfly erythema, oral ulceration, arthralgia, alopecia, grand mal seizure in one, and leukopenia in the other.) The brother is apparently healthy although a microscopic hematuria is present. By radial immunodiffusion (RID) with anti-Clq a faint but measurable precipitation ring was found only after staining the plate. By double immunodiffusion a partial identity of this Clq with normal Clq was found. The abnormal Clq gave a line of complete identity with reduced and alkylated Clq. This abnormal Clq was found in all 3 patients. The sera from the sisters had no hemolytic activity, however the brother had a CH50 titer of 24% of normal serum. The hemolytic defect was restored by the addition of purified Clq to the serum. Less than O.l%, of Clq was present-in the sera from the sisters, the brother had O.l%, as measured by hemolytic assay. Clr, Cls and Cl-inhibitor were normal or increased as measured by RID. Aggregated IgG (AHG) did not activate Cl in any of the sera, as was demonstrated by the Cl-inhibitor complex assay. Also, no C4 or C3 were fixed to AHG, though the abnormal Clq showed some affinity for AHG. Both defects were restored by the addition of Clq to the sera. The abnormal Clq sedimented in the 4.6 S position. This pattern was not changed in the presence of Ca-ions. The abnormal Clq probably represents the 3 chains A, B and C of Clq. A CT-INHIBITOR-COMPLEX ASSAY (INCA): A METHOD TO DETECT Cl ACTIVATION IN VITRO AND IN VIVO C.E. Hack*, A.J. Hannema, A.J.M. Eerenberg-Belmer, TA. Out and R.C. Aalberse. Central Laboratory of the Netherlands Red Cross Blood Transfusion Service, Amsterdam, The Netherlands. We developed a radioimmunoassay (the i 6 hrs: 10.76; 12 hrs: 17.97; 18 hrs: 19.81 nglml). Release of PgE and TxB2 was almost abolished if the C3b preparation was passed over an anti-C3 immunosorbent column or if 0.5 fig/ml indomethacin was added to cultures simultaneously with C3b. Addition of the Fab fragment of anti-C3 IgG did not diminish the stimulatroy action of C3b nor did Fab of unrelated IgG. In conclusion, C3b is a stimulator of the snythesis and release of arachidonic acid oxygenation products in peritoneal macrophages. Our findings lend further support to the view that C3b is a factor capable of modulating macrophage functions and thereby affecting activities of cooperating and bystander cells.