“…23 The carrier frequency of a null mutation (R95X) in the C9 gene (C9-R95X) is estimated to be approximately 7%, which is higher than in other populations, among them Koreans (1.6%-2.0%), Chinese (0.4%-1.0%), Thais (3.7%), Germans (0%), and Italians (0%). [23][24][25] The lack of C9 is associated with an increased risk for meningococcal meningitis 26 or an inhibition of complement-mediated hemolysis in paroxysmal nocturnal hemoglobinuria, 27 indicating its important role in the inflammation mediated by the complement system. Furthermore, the parents of the C9-defective patients, presumed heterozygotes of C9 mutation, were found to have approximately half the TCC-mediated hemolytic activity found in subjects with normal C9, 26 suggesting that the haploinsufficiency in C9 significantly compromises the overall function of TCC in humans.…”