L-ficolin circulates in complex with MASP-2 and can activate the lectin complement pathway. L-ficolin serum levels are reported with varying concentrations. Polymorphisms in the promoter of the FCN2 gene from which L-ficolin is derived are associated with variation in L-ficolin serum levels. These polymorphisms may influence the affinity of L-ficolin to GlcNAc-structures.
L-ficolin deficiencies have not been reported, but low L-ficolin serum levels have been associated with recurrent respiratory infections in children. Interestingly, L-ficolin has been implicated in the unique immune challenge during pregnancy. In maternal plasma of normal pregnancies, a 4- to 5-fold increase in L-ficolin was detected compared to healthy non-pregnant persons. However, significantly lower L-ficolin maternal plasma concentrations were associated with pre-eclamptic pregnancies. Therefore, assessment of L-ficolin is warranted to study its regulatory role in the innate immune system. Normal human plasma contains a L-ficolin concentration ranging from 1 to 14 µg/ml.
Atkinson, A et al; L-Ficolin in children with recurrent respiratory infections. Clin Exp Immunol 2004, 138: 517

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