CIS Complement System Flashcards

1
Q

Functions of the complement system

A
complement and regulatory proteins 
kill microbes
induce inflammation
recruit phagocytosis
opsonize and facilitate phagocytosis
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2
Q

Main function of C3a and C5a

A

inflammation

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3
Q

C3b is the main

A

opsonizer

it is rate limiting Not factor D

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4
Q

steps of the complement pathway

A

microbe is recognized by complement pathway

C3 convertase cleaves C3 to C3a and C3b

C3 convertase binds C3b and forms protease complex C5 convertase

C5 convertase cleaves C5 inot C5a and C5b

C5a is a chemoattractant and makes BV more permeable

C5b initiates MAC

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5
Q

complement activation involves proteolytic cascades where a

A

zymogen is altered to become an active protease to cleave the next complement protein

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6
Q

the complement enzyme cascades ____ the amount of proteolytic products that are generated

A

amplifies!

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7
Q

the complement system works in conjunction with

A

the blood coagulation pathway and the kinin-kallikrein ststem

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8
Q

The alternative pathway

A

“autoactivated” due to tickover of C3

occurs spontaneously, 1% pf total C3 per hour, making C3a and C3b

C3b bidns to Factor B which is cleaved to Ba and Bb by Factor D

Bb binds to C3b and C3 convertase forms

C3 convertase cleaves ,pre C3 making more C3b

these steps are enhanced by properidin which stabilizes C3bBb interactinos

AP can also be initiated as an amplification loop when C3b is generated by the complement pathway or lectin pathway

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9
Q

MAC formation

A

C5b binds with C6 and 7

C5b67 bind to membrane via C7 and then C8 adds on and the many C9s

form a little pore into the cell membrane

same for all three pathways

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10
Q

The classical pathway is

A

antibody mediated

plasma protein C1q reconizes and binds to the Ag-Ab complex first

C1q binds to the Fc portion of the antibody and two serine proteases called C1r and C1s become active

C1r activates C1s so that it can activate C2 and C4

Complex C4bC2a is the classical C3 convertase

Complex C4bC2aC3b is the classical C5 convertase

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11
Q

The lectin pathway is initiated by

A

the binding of mannose binding lectin to bacterial surfaces and the activtion of MASP1 and MASP2

MBL has a hexametric structrue and after binding MASP1 and 2 are activated

analogous to C1r and C1s and initate a downstream proteolytic cascade (identical to classical cascade)

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12
Q

FI mediated inactivation of C3b and C4b

A

the cleavage of C3b and C4b by Factor I prevents them from forming active convertases and requires cofactro activity

the cofactros include the membrane bound membrane cofactor protein and complement receptr Cr1, factor H, and C4b binding protein

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13
Q

inactivation of C3 and C5 convertases

A

protein decay acclerating factor DAF, CRw, and C4BP inhibit assembly of new C3 convertases and shorten the half life of the preformed convertases, limting their ability to participate in complement activation

classical-DAF, CRI, and C4BP
Alternative pathway-DAF, Factor H, and CR1

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14
Q

INactivation of MAC

A

the MAC is the lytic complex of complement and its assembly can be inhibted by the membrane-bound MAC-inhibitory protein (CD59) and the fluid phase vitronectin and S protein

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15
Q

Complement is not activated on the surface of mammalian cells because those cells express

A

regulatory proteins that inhibit, disassemble or cleave the convertases

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16
Q

C1NH binds to

A

C1r and C1s and inactivates the ensymatic activities

17
Q

Cd59, vitronectin and clusterin inhibit

A

C9 assoviation with C5b-8 and preveents MAC (C5b-9) formation

18
Q

C3a, C4a, and C5a trigger mast cells and basophils to spill

A

vasoactive substances

19
Q

C3a, C4a, and C5a trigger neutrophils to spill

A

chemokinesis
prostaglandins
ROS
RNS

20
Q

C3a, C4a, and C5a trigger monocyte and macrophages to spill

A
IL 1, 6
prostaglandins 
ROS 
RNS 
and adhesion molecules
21
Q

inflammatory effects of C3a

A

smooth muscle contractions

increased permeability of blood vessels

degranulation of basophils

No chemotaxis, release of O2 radicals and lysosomal enzymes

22
Q

inflammatory effects of C5a

A

TONS of smooth muscle contraction

TONS of increased permeability of blood vessles

degranualtion of basophils

TONS of chemotaxis, rrelease of O2 radicals and lysosomal enzymes