Reproductive endocrinology

Increased MAP-1 and lectin complement activation capacity in Klinefelter syndrome

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Men with KS demonstrate increased lectin complement pathway activation capacity, and increased MAP-1 and MASP1-201 expression.

Study context

Population
Men with Klinefelter syndrome and age-matched male controls
Participants
45 vs 45
Exposure
Men with klinefelter syndrome (KS) vs male controls
  • KSn = 45
  • Controlsn = 45reference
Outcome
Lectin pathway complement activation capacity
Methodological detailsage-matched controls
  • Age-matched controls

Main finding

As reported in the abstract

Lectin pathway activation capacity

P < 0.0001

Observational data: associations, not effects.

Further findings

Serum MAP-1

Serum MAP-1 levels elevated in KS

MASP1-201 expression (skeletal muscle mRNA)

MASP1-201 expression increased in KS

Serum C3dg

Serum C3dg not different between KS and controls

Associations of lectin pathway activation capacity

Not strongly linked to sex hormone levels; only weak association with body fat

Fibrinolysis

Lectin pathway contributed to fibrin clot lysis variability in KS
Fibrinogen-C3dg complex levels similar in KS and controls

Original publication

Increased MAP-1 and lectin complement activation capacity in Klinefelter syndrome. J Clin Endocrinol Metab. Published 24 March 2026. doi:10.1210/clinem/dgag129

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