C4A and nephritis: Interestingly, in our study, we further demonstrated a significant decreased level of urinary VTN and lower expression of serum C3 and C4 in inactive JSLE and also a positive association between VTN and C3/C4, which may derive from the metabolic dissociation of CIC-MAC in JSLE glomerulus, identifying that a novel mechanism may contribute to the JSLE nephritis.