Complement Flashcards
C3 convertase
cleaves C3 into C3a and C3b
C3a is an
anaphylatoxin (activates mast cells)
C3b remains bound to improve
opsionization (stimulates phagocytosis)
C5 convertase
cleaves C5 into C5a and C5b
C5a is an _______ and promotes ______
anaphylatoxin; chemotaxis
C5a activates mast cells to
release histamine
C5a attracts _____ to the site of activation
neutrophils
C5b
remains bound
C5b combines with _______ to form the MAC
C6-C9
MAC
membrane attack complex
forms holes in activating membrane causing cell death
C6-C9 are known as
terminal complement proteins
terminal complement protein deficiency leads to susceptibility to
Neisseria
activates classical pathway
IgM; IgG
C1 is activated by
IgG or IgM
C1 is regulated by
C1 esterase inhibitor
defective C1 esterase inhibitor causes
hereditary angioedema
what class of medications is contraindicated in C1 esterase inhibitor deficiency?
ACE inhibitors
activated C1
cleaves C4 and C2
C4 and C2 combine to form
C3 convertase
goal of classical pathway
kill cells with bound antibody
goal of alternative pathway
kill foreign cells
complement pathway begins with
spontaneous cleavage of C3 (inherently unstable)
C3b is stabilized by
microbial surfaces
Factors H and I
inhibit C3b preventing complement activation on normal cells
C3b cleaves
Factor D and Factor B
Factor B + C3b =
C3 convertase
goal of lectin pathway
kill microbes expressing mannose
MBL binds _____ on pathogen surface
mannose
______ is expressed on many microbial surfaces
mannose
MBL forms a complex that cleaves
C4 and C2 using MASPs
Cleaved C2 + C4 combine to form
C3 convertase
causes of C3 consumption
C1 esterase inhibitor and Factor 1 deficiencies
cause of C4 depletion
C1 esterase inhibitor deficiency