Complement Flashcards

1
Q

List functions of complement

A
lysis
opsonization
mediated the inflammatory response
clear immune complexes and dead cells
augments stimulation of B cells
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2
Q

complement is best suited for these things

A

fighting infection and removing immune complexes

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3
Q

Name one immuncomplex disease, and the missing components

A

SLE, C1,2,4,3 - Classical or Lectin Pathway

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4
Q

This organism is only cleared by complement

A

Meningococcal infection

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5
Q

Bacteria are mostly killed by these pathways

A

Lectin and Alternative

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6
Q

Location of complement

A

plasma, interstitial and in secretions

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7
Q

Most common complement

A

C3

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8
Q

3 Activators of Complement

A

Classical - antigen antibody
Polysaccharides/mannose - Lectin
LPS, Foreign substance, Nucleophiles - Alternative

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9
Q

Proteolycic cleavages happen for these steps of complement

A

Thru C5

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10
Q

denoted by letter a, letter b, and exception

A

smaller, larger, C2

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11
Q

attachment of C4b and C3b is via these bonds

A

covalent thioester bonds

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12
Q

Binding of C1q to antibody causes this

A

Conformation change of C1q and cleavage of C4

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13
Q

bacteria that start MBL pathways

A

Salmonella, listeria, neiserria candida

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14
Q

Factor B and D are a part of this pathway

A

Alternative

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15
Q

Acid we have that makes complement less likely to bind

A

Sialic acid

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16
Q

Purpose of properdin

A

stabilize the alternative pathway C3 convertase(C3bB3)

17
Q

Why don’t we lyse our own cells

A

no ab to ourselves
enzymes short t 1//2
non-activator surfaces
inhibitors - fluid phase and membrane

18
Q

If you have no factor H get this

A

Hemolytic syndrome

19
Q

A deficiency of C1INH causes this disorder of the Classical pathway

A

Hereditary angioedema

20
Q

Hereditary angiodema cause overactive complement. What components are overly produced?

A

C2 and C4

21
Q

Anabolic steroids, replacement proteins and kinin inhibitors are used to treat this.

A

Hereditary angiodema.

22
Q

A deficiency of these decay accelerating factors results in increased membrane attack complex and complement mediated hemolysis. Treament options?

A

CD55 and CD59 (protectin)

C5 antibody - ECULIZUMAB

23
Q

Name the protein that prevents binding of C8,C9 preventing formation of MAC

A

Protein S (Vitronectin)

24
Q

Excessive levels of these 2 anaphlatoxins can cause anaphlaxis and other inflammatory disease

A

C3a and C5a

25
Q

Which 2 Complement Receptors (CR) are involved in immune complexes

A

CR1 and CR3