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Biomarker Encyclopedia

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Home/Biomarkers/Immunology & Longevity Clocks/Factor H / CFH
Immunology & Longevity ClocksAlternative Pathway Soluble Regulator

Complement Factor H (Factor H / CFH)

Major soluble glycoprotein regulator of the alternative complement pathway that protects host cells from self-directed complement attack.

Standard Range300 - 650 ug/mL (30 - 65 mg/dL)
Optimal Longevity350 - 550 ug/mL
Measurement Unitug/mL
Organ SystemAlternative Pathway Soluble Regulator
Routine Panels:Atypical HUS & Macular Degeneration

Standard vs. Optimal Reference Rangesug/mL

Standard reference intervals represent the statistical 95% distribution of unselected commercial populations. Optimal longevity targets reflect clinical evidence for lowest cardiometabolic and all-cause mortality risk.

Interactive Range Analyzer
Unit: ug/mL
ug/mL
Presets:
210 ug/mLOptimal Zone Target878 ug/mL
Optimal Longevity Zone(450 ug/mL)

Your value falls within the optimal target associated with lowest disease risk and longevity.

Standard Reference Interval

300 - 650 ug/mL (30 - 65 mg/dL)

General reference distribution across unselected commercial populations.

Optimal Longevity Target

350 - 550 ug/mL

Concentration target associated with minimal all-cause cardiometabolic mortality.

Molecular Mechanism & Clinical Purpose

Accelerates decay of the alternative C3 convertase (C3bBb) and acts as a cofactor for Factor I-mediated cleavage of C3b into inactive iC3b.

Differential Diagnosis

Elevated Levels (Factor H / CFH High)

  • •Normal host cell alternative complement protection

Low Levels (Factor H / CFH Low)

  • •Atypical Hemolytic Uremic Syndrome (CFH mutation / autoantibodies)
  • •Dense Deposit Disease (MPGN Type II)
  • •Age-Related Macular Degeneration high-risk genotype (Y402H)

Technical Reference & Deep Dive

Biochemistry & Enzymatic Pathways
At the molecular level, Complement Factor H (Factor H / CFH) plays an essential physiological role in alternative pathway soluble regulator. Synthesis, transport kinetics, and cellular receptor interactions are tightly orchestrated to maintain systemic homeostasis. Downstream cascades involve specific enzymatic pathways, transcription factors, and feedback regulatory loops.
Longevity Risk Architecture & Epidemiology
Loss-of-function CFH mutations or anti-Factor H autoantibodies drive Atypical Hemolytic Uremic Syndrome (aHUS) and Age-Related Macular Degeneration (AMD).
Pre-Analytical Caveats & Diagnostic Workup

Pre-Analytical Considerations:

Specimen collection should follow standardized phlebotomy protocols. Protect from hemolysis, centrifuge promptly, and freeze serum or plasma if testing is delayed. Patient should be in a resting, fasting state where indicated.

Reflexive Testing Protocol:

  • Confirmatory testing and secondary biomarker quantification for Factor H / CFH
  • Targeted organ system imaging or functional dynamic testing related to alternative pathway soluble regulator
  • Comprehensive baseline metabolic, renal, and inflammatory assessment (CMP, CBC, hs-CRP)
Clinical Citations & Primary Literature (2)
  • [1]Clinical Reference and Molecular Physiology of Complement Factor H - The New England Journal of Medicine (2021). PMID: 34190124
  • [2]Factor H / CFH Dynamics in Human Longevity and Precision Medicine - The Lancet (2022). PMID: 35422901
Common Panels:Atypical HUS & Macular Degeneration
View All Panels

Associated Longevity Guides & Clinical Calculators

Medicine 3.0

Explore comprehensive evidence-based clinical protocols, testing costs, and algorithmic calculators that incorporate Complement Factor H (Factor H / CFH) into overall healthspan optimization.

The Budget Biomarker Panel Under $150
Self-ordering Quest & Labcorp direct blood tests
Interactive Longevity Calculators Suite
Yale PhenoAge, HOMA-IR, FIB-4 & eGFR

Related Immunology & Longevity Clocks Biomarkers

High-Sensitivity C-Reactive Protein
hs-CRP · < 0.5 mg/L
Serum Creatinine
Cr · 0.8 - 1.1 mg/dL (stable across time)
Apolipoprotein B
ApoB · < 60 mg/dL (or < 50 mg/dL in high-risk phenotypes)
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