Prolactin Serum Test
Short Name: Properdin Factor B / C3PA
Also known as: C3 Proactivator Test, Factor B Test, Properdin Factor B Test, Complement Factor B Test, C3PA Test
Prolactin Serum Test test available at DNA Labs India for ₹7,886. Uses Nephelometry on Serum samples. Results in Sample must be received by the 7th of the month. Reports are typically available 2–3 weeks after sample receipt at the reference laboratory.. Free home collection in 300+ cities across India.
🩺 Medically Reviewed By
Dr SHAILAJA RAGHUNATH MURDESHWAR
Consultant Physician · Reg: 8052
Last reviewed: September 7, 2026
Overview
The primary purpose of the Properdin Factor B C3 Proactivator Test is to evaluate the integrity and function of the alternative complement pathway. This test helps clinicians diagnose complement component deficiencies, assess the severity of complement activation in immune-mediated diseases, monitor patients with known complement disorders, and guide treatment decisions in conditions such as membranoproliferative glomerulonephritis, recurrent pyogenic infections, and systemic autoimmune disorders. It is also useful in evaluating patients with unexplained low levels of C3 and C4, as alternative pathway dysfunction can result in consumption of downstream complement components.
- Test Code
- 1392
- ICD Code
- D84.1
- Price
- ₹7,886
- Sample Type
- Serum
- Result Time
- Sample must be received by the 7th of the month. Reports are typically available 2–3 weeks after sample receipt at the reference laboratory.
- Fasting Required
- No
- Method
- Nephelometry
Sample Collection
Ensure the Duly Filled Test Send Out Consent Form (Form 35) is completed prior to sample collection. Inform the phlebotomist about any current medications, recent transfusions, or active infections. No specific fasting is required unless advised by your treating physician.
Method: Venipuncture
Laboratory Analysis
A standard venipuncture will be performed to collect approximately 2 mL of blood into a Serum Separator Tube (SST). The procedure is similar to a routine blood draw and typically takes less than 5 minutes.
Report Delivery
Serum must be separated from the clot within 2 hours of collection. The separated serum should be shipped refrigerated (2–8°C) or frozen (−20°C or below) to the reference laboratory. Mild bruising or soreness at the puncture site is normal and typically resolves within 1–2 days.
Timeline: Sample must be received by the 7th of the month. Reports are typically available 2–3 weeks after sample receipt at the reference laboratory.
Patient Instructions
About This Test
Who Should Get This Test
The primary purpose of the Properdin Factor B C3 Proactivator Test is to evaluate the integrity and function of the alternative complement pathway. This test helps clinicians diagnose complement component deficiencies, assess the severity of complement activation in immune-mediated diseases, monitor patients with known complement disorders, and guide treatment decisions in conditions such as membranoproliferative glomerulonephritis, recurrent pyogenic infections, and systemic autoimmune disorders. It is also useful in evaluating patients with unexplained low levels of C3 and C4, as alternative pathway dysfunction can result in consumption of downstream complement components.
How to Prepare
- Complete the Test Send Out Consent Form (Form 35) before sample collection
- No fasting is required unless specifically directed by your physician
- Avoid strenuous physical activity for 30 minutes before the blood draw
- Inform the phlebotomist about any medications, supplements, or recent blood transfusions
- Wear short-sloved clothing to allow easy access to the arm
- Stay hydrated before the test to facilitate blood collection
Doctor's Notes
Reviewed by Dr SHAILAJA RAGHUNATH MURDESHWAR — MBBS, MD (General Medicine) · Reg. No. 8052
"Low concentrations of C3 proactivator (Factor B) are frequently observed in patients with membranoproliferative glomerulonephritis and endotoxin-induced complement activation. When a patient presents with recurrent urinary abnormalities, unexplained proteinuria, or a history of recurrent infections alongside renal dysfunction, evaluating the alternative complement pathway through this test can provide critical diagnostic insight. Early identification of complement pathway deficiency helps guide targeted treatment strategies and may prevent progression to chronic kidney disease. I recommend this test as part of a comprehensive complement workup for patients with suspected immune-mediated renal pathology."
Last medically reviewed: September 7, 2026
Test Parameters & Specifications
Sample Stability
- Haemolysed, lipaemic, or severely icteric samples
- Samples not separated within 2 hours of collection
- Unlabelled or mislabelled specimens
- Samples received without the mandatory Test Send Out Consent Form (Form 35)
- Specimens collected in inappropriate tubes (non-SST containers)
Understanding Your Results
Suggests adequate function of the alternative complement pathway. Deficiency of these specific components is unlikely. Correlate with clinical presentation and other complement studies.
May indicate Properdin deficiency, which is an X-linked complement disorder associated with increased susceptibility to Neisseria meningitidis infections. Genetic confirmation may be recommended.
Suggests alternative pathway activation and consumption of Factor B, commonly seen in membranoproliferative glomerulonephritis (MPGN), post-infectious glomerulonephritis, or endotoxin-induced complement activation. May also indicate reduced hepatic synthesis.
Indicates significant alternative pathway dysfunction. Further workup including genetic testing, renal biopsy (if indicated), and assessment for immune complex diseases is recommended.
May be seen as an acute-phase response or in conditions with compensatory complement activation. Correlate with inflammatory markers and clinical context.
Consult your healthcare provider if you experience recurrent infections (especially bacterial infections of the respiratory tract), unexplained fever, persistent fatigue, swelling of the extremities or face, blood or protein in urine, joint pain, or skin rashes. If you have a family history of complement deficiencies or autoimmune diseases, discuss the need for complement testing with your physician. If your test results show abnormal Properdin or Factor B levels, timely follow-up with a nephrologist or immunologist is recommended.
Limitations
- ⚠This test evaluates only specific alternative pathway components and does not assess the entire complement cascade
- ⚠Results should be interpreted alongside other complement assays (C3, C4, CH50, AH50)
- ⚠Single-point measurements may not reflect dynamic complement activation; serial testing may be required
- ⚠Reference ranges may vary between laboratories; always interpret using the laboratory's own reference values
- ⚠Genetic deficiencies may require confirmatory molecular testing
Risks & Considerations
- ●Minor bruising or haematoma at the venipuncture site
- ●Mild pain or discomfort during needle insertion
- ●Rare risk of infection at the puncture site
- ●Fainting or dizziness in sensitive individuals
Interfering Factors
- ●Haemolysed or lipaemic samples may affect accuracy
- ●Recent blood transfusion may alter complement protein levels
- ●Acute-phase inflammatory conditions can cause transient elevation of complement proteins
- ●Immunosuppressive medications may suppress complement synthesis
- ●Delayed sample processing (serum not separated within 2 hours) may affect results
Compare With Similar Tests
| Test | Prolactin Serum Test | Complement C3 Test | Complement C4 Test | CH50 (Total Complement Activity) Test | AH50 (Alternative Pathway Activity) Test |
|---|---|---|---|---|---|
| Comparison | Prolactin Serum Test | Measures C3 levels to evaluate both classical and alternative pathways. The Properdin Factor B test specifically evaluates alternative pathway components. | Measures C4, primarily reflecting classical pathway activity. C4 is usually normal in isolated alternative pathway deficiencies. | Assesses the functional integrity of the entire classical complement cascade. The Properdin Factor B test focuses on the alternative pathway. | Functionally evaluates the alternative pathway. The Properdin Factor B test quantifies specific protein levels rather than functional activity. |
Frequently Asked Questions
What is the Properdin Factor B C3 Proactivator Test?
Why is the Properdin Factor B C3 Proactivator Test recommended?
What sample is required for this test?
Is fasting required for the Properdin Factor B C3 Proactivator Test?
What is the cost of the Properdin Factor B C3 Proactivator Test at DNA Labs India?
How long does it take to get the results?
What do abnormal results mean?
Is home sample collection available for this test?
What is the complement system and why is it important?
What is the difference between this test and the Complement C3 or C4 test?
Is this test covered under government health schemes?
How should I prepare for the Properdin Factor B C3 Proactivator Test?
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