Complement C3 is a blood test that measures the activity of a certain protein that is part of the complement system. The complement system is a group of proteins that move freely through your bloodstream. The proteins work with your immune system and play a role in the development of inflammation.
There are nine major complement proteins. They are labeled C1 through C9. This test measures C3.
How the test is performed
Blood is drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.
Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm.
Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it bleed. The blood collects into a small glass tube called a pipette, or onto a slide or test strip. A bandage may be placed over the area if there is any bleeding.
How to prepare for the test
There is no special preparation needed.
How the test will feel
When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.
Why the test is performed
C3 and C4 are the most commonly measured complement components.
A complement test may be used to monitor patients with an
Complement activity varies throughout the body. For example, in patients with
Additional conditions under which the test may be performed:
- Fungal infections
- Gram negative
- Parasitic infections such as
malaria Paroxysmal nocturnal hemoglobinuria (PNH) Shock
The normal range is 75-135 mg/dl (milligrams per deciliter).
Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.
The examples above show the common measurements for results for these tests. Some laboratories use different measurements or may test different specimens.
What abnormal results mean
Increased complement activity may be seen in:
Decreased complement activity may be seen in:
- Bacterial infections (especially Neisseria)
Cirrhosis Glomerulonephritis Hepatitis Hereditary angioedema Kidney transplantrejection Lupus nephritis
- Systemic lupus erythematosus
What the risks are
Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.
Other risks associated with having blood drawn are slight but may include:
- Fainting or feeling light-headed
- Hematoma (blood accumulating under the skin)
- Infection (a slight risk any time the skin is broken)
The “complement cascade” is a series of reactions that take place in the blood. The cascade activates the complement proteins. The result is an attack unit that creates holes in the membrane of bacteria, killing them. C3 attaches to and kills bacteria directly.