7 - Complement Flashcards

(38 cards)

1
Q

What are complements and what is their function?

A

proteases that can form complexes | usually inactivated in the circulation

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2
Q

How are complement proteins activated?

A

when they are cleaved

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3
Q

Which immune system (innate or adaptive) are complements mainly part of?

A

innate

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4
Q

What are the 3 functions of complement?

A

lysis | opsonization | inflammation

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5
Q

What is opsonization? What is the purpose?

A

deposit itself on surface membrane = target it for phagocytosis | purpose = for phagocytic cells to recognize the opsonin

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6
Q

What 2 antibodies are the only ones that recognize complements?

A

IgM and IgG

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7
Q

What does the classical pathway recognize?

A

Ag/Ab complexes

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8
Q

What does the lectin pathway recognize?

A

polysaccharides on microbial or antigen surfaces

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9
Q

What does the alternative pathway recognize?

A

C3b (includes those from spontaneously cleaved C3)

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10
Q

What is the initiator of the classical pathway and what does it do?

A

C1 = cleaves C4 and C2 making it into C3 convertase

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11
Q

What is the initiator of the lectin pathway and does it do?

A

MASP = cleaves C4 and C2 making it into C3 convertase

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12
Q

What is the initiator of the alternative tickover pathway?

A

fluid-phase C3 convertase

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13
Q

What is complement deposition?

A

when complement protein deposits itself on membrane surface

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14
Q

What are the 2 functions of C3b?

A

opsonization | gets rid of Ag/Ab complexes = prevents it from accumulating

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15
Q

What is the autoimmune disease that Ag/Ab complexes have a role in when they accumulate and clot in the capillaries and joints?

A

systematic lupus erythematosus (SLE)

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16
Q

What are the 2 anaphylatoxins that causes inflammation?

17
Q

In the classical and lectin pathways, what is C3 convertase made from? (nomenclature name)

18
Q

In the classical and lectin pathways, what is C5 convertase made from? (nomenclature name)

19
Q

How stable are complement proteins and what does this indicate?

A

not stable = doesn’t last long = will degrade if not active

20
Q

How does lysis occur due to complement proteins?

A

forms MAC complex = forms pore/hole on membrane = lysis

21
Q

What are the complement proteins that form the MAC complex?

A

C5b, C6-9 (6, 7, 8, 9)

22
Q

What is C3 convertase made from/formed in the Tickover alternative pathway?

A

C3bBb (Bb is from Factor B which was cleaved by Factor D)

23
Q

What is properdin?

A

factor that stabilizes C3 convertase in the alternative pathway

24
Q

What is C5 convertase made from/formed in the Tickover alternative pathway?

25
What is MBL in the lectin pathway?
mannose-binding lectin = part of MASP complex
26
What is the role of thrombin in alternative pathway?
can activate the pathway | can cleave both C3 and C5 | activates blood clotting = activates complement
27
What are the 3 complement receptors?
CR1, CR2, C3aR/C5aR
28
What cells express CR1 receptors?
RBCs, phagocytes, B-cells
29
What does CR1 bind to?
C3b
30
What happens when CR1 binds to RBCs?
bring immune complexes to the liver for clearance via phagocytosis
31
What happens when CR1 binds to phagocytes?
helps bind to complement coated bacteria = ingestion and destruction
32
What happens when CR1 binds to B-cells?
induces processing of antigen and present it to T-cells
33
Which cells express CR2?
only B-cells
34
What does CR2 recognize/bind to?
C3b
35
What happens when CR2 binds to B-cells?
helps with B-cell intracellular signaling
36
What cells express the C3aR and C5aR receptors?
granulocytes
37
What do C3aR and C5aR recognize respectively?
C3a and C5a
38
What happens when either C3aR or C5aR binds to C3a or C5a?
release of pro-inflammatory cytokines and granules