Chapter 16.2: Complement Slides Flashcards

1
Q

What is the complement system?

A

A system of enzymes and proteins that function in both the innate and adaptive branches that is part of the humoral immune response.

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2
Q

What connects the complement system to the function of the adaptive immune response?

A

The use of antibodies.

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3
Q

What does complement activation result in?

A

Lysis of the foreign cell.

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4
Q

What does the complement system indirectly trigger?

A

Inflammation and fever.

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5
Q

What are the three ways complement can be activated?

A

The classical pathway
The alternative pathway
The Lectin pathway

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6
Q

Which two pathways are part of the innate immune system?

A

The Alternative pathway
The Mannan-binding lectin (MBL) pathway

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7
Q

Which pathway is part of the adaptive immune system and why?

A

The Classical pathway because it is initiated by antigen-antibody complexes.

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8
Q

Where do all three pathways converge?

A

The point of a C3 convertase.

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9
Q

What is the classical pathway initiated by?

A

The binding of antibody to antigen.

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10
Q

What does the binding of the antibody cause?

A

Binding of IgM or IgG causes a conformational change in the Fc region of the immunoglobulin molecule.

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11
Q

What does the change of the Fc region allow for?

A

It allows for C1q to bind to the antibody which then undergoes a conformational change.

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12
Q

What does the conformation change to C1q cause?

A

Causes sequential binding and activation of the serine proteases C1r and C1s, which creates the C1qrs or C1s.

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13
Q

What does C1s do?

A

It rapidly cleaves C4 and C2 leading to the formation of C4b2a, also known as the C3 convertase.

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14
Q

What does the C3 convertase do?

A

Cleaves C3 leading to the formation of C4b2a3b complex which is the C5 convertase.

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15
Q

What does the insertion of C5b do?

A

Leads to the addition of the components C6, C7, and C8 (recruited and not cleaved) which forms an anchor for C9.

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16
Q

What is C8 and what does it do?

A

It is a strong anchor for the complex and facilitates the addition of multiple C9 molecules.

17
Q

What does C9 do?

A

It forms a pore in the membrane.

18
Q

What are all these components called?

A

The membrane attack complex (MAC).

19
Q

What is the alternative pathway initiated by?

A

It is initiated by cell surface constituents that are recognized as foreign (LPS).

20
Q

What is the most abundant serum complement component?

A

C3, which can be cleaved even in health.

21
Q

What is the first step of the alternative pathway?

A

C3 binds to the microbial surface and becomes slightly more stable.

22
Q

How is the stable C3 convertase created in the alternative pathway?

A

Factor B is cleaved by Factor D, creating Bb.
Bb along with Factor P bind to C3b and fully stabilize the complex on the surface of the pathogen, creating the C3 convertase.

23
Q

What are lectins?

A

Proteins that bind to specific carbohydrates.

24
Q

What initiates the Mannan-Binding lectin pathway?

A

Initiated by the binding of mannan-binding lectin (MBL) to mannose containing residues of glycoproteins on certain microbes.

25
Q

What does the binding of MBL do?

A

It activates mannose-binding protein-associated serine protease.

26
Q

What does the mannose-binding protein-associated serine protease do?

A

Cleaves C4 and C2 to create C3 convertase.

27
Q

What does C3b function as?

A

An opsonin, which enhances phagocytosis.

28
Q

What do C3a, C4a, and C5a serve as?

A

Powerful anaphylatoxins, which stimulate mast cells to release histamine and TNF-alpha.
This increases vascuale permeability.

29
Q

What do C3a and C5a also act as?

A

Chemotactic factors that help recruit neutrophils and macrophages.