Definition
What Complement C4a measures
C4a is a split product of the complement cascade. In CIRS workups it is used as a marker of innate-immune activation after biotoxin exposure.
A complement split product that falsely rises if the tube sits
Illustrative sample band · Synthetic
1,200ng/mL
Definition
C4a is a split product of the complement cascade. In CIRS workups it is used as a marker of innate-immune activation after biotoxin exposure.
Why it matters
The lab requires chilled EDTA plus a Futhan preservative and an immediate freeze. Room-temperature shipping activates complement in the tube and fabricates a high result. This cannot run on Tasso+.
When it reads low
A lower C4a is the quieter published pattern. It does not by itself rule out CIRS when other markers are loud.
When it reads high
A higher C4a can mark complement activation — or a delayed, unfrozen, or non-Futhan specimen. Handling comes before interpretation.
Questions for a clinician
01
Was Futhan added and the plasma frozen immediately?
02
If this is very high, do we repeat before treating the number?
03
How does C4a sit with TGF-β1, MMP-9, and VIP?
Educational boundary
Educational information only. Displayed ranges are illustrative sample bands, not a diagnosis, treatment plan, or substitute for the contracted laboratory report and a qualified clinician.
See it as a sample result
The sample dashboard shows an illustrative reading, target band, and trend for Complement C4a.