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C3d Immunoglobulin Fragment (Serum or Plasma)

Published: August 9, 2026Updated: August 16, 2026

This test measures the presence of a fragment of the third component of complement (C3d), a protein involved in the immune system's response to infection or inflammation.

Quick summary

["C3d helps assess immune activation and complement pathway function."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
49470-8
Short code
CD35-IS
Synonyms
CD35 Ag Tiss Ql ImStn
Category
chemistry
Sample
serum
Container
Sterile, labeled container with 10% neutral buffered formalin (for FFPE tissue) or appropriate transport medium (e.g., Michel's medium, RPMI) for fresh/frozen tissue. Tissue must be adequately fixed and processed per histology protocols.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
immune-stain
CPT
88342
SNOMED
40733004
Specimen volume
Tissue specimen size should be sufficient for histologic evaluation; minimum 0.2-0.5 cm³ of tissue recommended; needle core biopsies accepted
Stability
Formalin-fixed tissue: Indefinite at room temperature once adequately fixed and paraffin-embedded. Fresh tissue: 24-48 hours refrigerated (2-8°C) in transport medium. Frozen sections: Stable at -70°C or lower for long-term storage.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
48–96 hours
Order
routine

This test measures specific substances in your body, such as cells, chemicals, proteins, or hormones found in a blood, urine, or other sample. Your health care provider uses these measurements to learn how well certain organs are working, to check for signs of infection or disease, and to monitor conditions you may already have. The results provide a snapshot of what is happening inside your body at the time the sample was collected.

C3d is a breakdown product of the C3 protein in the complement system, which plays a key role in defending the body against pathogens. When your immune system is active—such as during infection, autoimmune conditions, or inflammation—C3 can be activated and split into fragments, including C3d. This test specifically looks for C3d in your blood to evaluate how your complement system is functioning.

Your doctor may order this test for several reasons, including to help diagnose a medical condition when you have symptoms, to screen for disease before symptoms appear, to see how well a treatment is working, or to monitor an ongoing condition such as diabetes or high blood pressure. The test may also be part of a routine checkup or done before surgery to make sure it is safe to proceed.

Your doctor may request a C3d test to investigate conditions where the immune system is overactive, such as certain infections, autoimmune diseases (like lupus or rheumatoid arthritis), or to monitor complement system disorders. It can also help diagnose or follow up on conditions affecting the complement pathway.

Depending on the type of test, a sample of your blood, urine, saliva, or other body fluid or tissue will be collected. For a blood test, a trained technician will clean your skin, wrap a band around your upper arm, and draw a small amount of blood from a vein, which usually takes only a few minutes. You may feel a quick sting or pinch, and a small bandage will be placed on the site afterward. Most samples are then sent to a laboratory for analysis.

A blood sample is drawn from a vein in your arm. The blood is then processed to separate the serum or plasma, where the C3d fragment is measured using an immunoassay method. This test is typically done in a laboratory and results are usually available within a few days.

Abnormal results can occur for many reasons, including infection, inflammation, dehydration, chronic diseases such as kidney or liver disease, hormonal imbalances, or certain medications. Results can also be affected by recent food or drink intake, vigorous exercise, stress, pregnancy, or improper sample handling. An abnormal result does not always mean you have a serious condition, so your doctor may repeat the test or order additional testing to determine the cause.

Elevated levels of C3d may suggest an active immune response, such as infection, inflammation, or autoimmune activity. Lower levels might indicate a deficiency in the complement system or certain genetic disorders. However, interpretation depends on clinical context and other test results.

Reference range

Reported as Presence or Absence (Positive/Negative) of CD35 antigen expression. Staining intensity (1+, 2+, 3+) and percentage of positive cells are reported when present. CD35 (Complement Receptor 1/CR1) is typically positive in follicular dendritic cells, B-lymphocytes, erythrocytes, and certain renal glomerular cells. Result interpretation is pathologist-dependent.N/A

Specimen: serum

No patient preparation required. Specimen collection requires a tissue biopsy or excision appropriate for the clinical indication (e.g., lymph node, spleen, renal biopsy, or other relevant tissue).

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

C3d is not typically used alone for diagnosis but can provide additional insight when combined with other tests. High C3d levels may indicate ongoing immune activity, while low levels could point to complement system dysfunction. Your doctor will use these results alongside your medical history and other tests to guide treatment decisions.

Short name

C3d Level

Frequently asked questions

What Does a High or Low C3d Level Mean?
A high C3d level may signal an active immune response, such as infection, chronic inflammation, or autoimmune disease. This doesn’t always mean you’re sick, but it can prompt further investigation.
A low C3d level might suggest a complement system disorder or genetic deficiency, but it can also occur in certain infections or immune suppression conditions. Your doctor will consider other factors.
How often you need this test depends on your age, overall health, medical history, and the reason it is being done. Some people need it once a year during a routine checkup, while others may need it more often to monitor a condition or treatment. Your doctor will recommend the schedule that is right for you.
The frequency of this test depends on your health condition and why it was ordered. If you have an ongoing medical issue, your doctor may recommend periodic monitoring to track changes in your immune response.
No special preparation is needed for this blood test. However, inform your doctor about any medications or conditions that might affect results, such as certain immune-suppressing drugs or chronic illnesses.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy