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Abstract Complement is an important component of the innate immune system that is crucial for defense from microbial infections and for clearance of immune complexes and injured cells. The complement system consists of a number of small proteins found in the blood, generally synthesized by the liver, and normally circulating as inactive precursors . When stimulated by one of several triggers, proteases in the system cleave specific proteins to release cytokines and initiate an amplifying cascade of further cleavages. The end-result of this activation cascade is massive amplification of the response and activation of the cell-killing membrane attack complex. Normaly, complement is tightly controlled by a number of fluid-phase and cell surface proteins to avoid injury to autologous tissues. Eculizumab is a humanized anti-C5 monoclonal antibody that blocks the formation of C5a and the terminal MAC of complement activation . Complement induced blood diseases may be caused by deposition of circulating active complement fragments on surfaces of different blood cells, but complement locally produced and activated in the kidney as in atypical haemolytic uremic syndrome also may have a role. Many blood disorders have been linked to abnormal complement activation or dysregulation, including cold agglutinin disease, antiphosphlipid syndrome ,heridetary angioedema and paroxysmal nocturnal haemoglobinurea. |