Complement Flashcards

1
Q

under which circumstances is classical pathway activated

A

when antibody is bound to antigen

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2
Q

how is the classical pathway activated

A
  1. antigen binding to antibody causes a conformational change in the Fc receptor of the antibody allowing it to bind C1q.
  2. C1q undergoes conformational change which acitivates C1s
  3. C1s cleaves C4 which creates active C4a and C4b.
  4. C4b binds microbe and is accompanied by C2b.
  5. C2b is a C3 convertase which activates C3b
  6. C3b binds the microbe allowing opsonic recognistion by macrophages
  7. C2b also has c5 convertase activity. C5b, C6, C7, C8 and C9 form the membrane attack complex
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3
Q

which complement pathway is innate

A

lectin pathway

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4
Q

how is the lectin pathway activated

A

manose binding lectins, ficolins or CRP which recognise non-self carbohydrates

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5
Q

how does the immune system avoid lectin pathway activation as a result of the odd manose molecule

A

MBL, ficolins and CRP all have multiple binding sites so will only be activated upon binding of multiple manose molecules. multiple manose are only present on microbial cell wall

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6
Q

how does the lectin pathway mechanism of action differ to classical

A

MASP1 and MASP2 are analogous to C!q and activate the C2b converts. other than that opsonisation and membrane attack complex occurs in the same way

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7
Q

what sort of molecules activate the alternative pathway

A

can bind almost anything including water

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8
Q

describe the mechanism of the alternative pathway

A

C3b has a thirster bond which is able to bind and be activated by OH groups. this forms C3b* which is highly reactive. C3b* binds to B complex which forms a C5 convertase. This results in the formation of C3 in a positive feedback loop mechanism

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9
Q

how is the alternative pathway regulated

A

host cells have complement inhibitory proteins which prevent positive feedback loop occurring

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10
Q

for which sort of pathogen does complement mostly defend against

A

gram-negative as gram-positive pathogens have large carbohydrate coating preventing recognition of the bacterial cell wall

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11
Q

what is one of the main advantages of activating complement

A

one antibody binding to antigen can activate an enzyme which activates multiple copies of C1s activating lost of C3b etc forming multiple membrane attack complexes. signal amplification.

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12
Q

what are the roles of C3a and C5a in the complement cascade

A

they act as chemoattractants for neutrophils, activate endothelial cells

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13
Q

what is the possible negative effect of C3a and c5a

A

they are anaphlatoxins so can cause anaphylactic shock

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14
Q

how does C3b act as an opsonin

A

it binds the C3b receptor on phagocytes resulting in either a Th1 or Th17 response

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15
Q

what is the role of C1q

A

it can bind to macrophages via the C1q receptor resulting in phagocytosis and antigen presentation leading to a Th2 response

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16
Q

how is C3b regulated

A

Factor I, with the help of cofactor H, cleaves C3b destroying its converts activity.

17
Q

how can deficiency in complement regulation lead to disease

A

constant activation can result in it “running out” and hence the host becomes immunocompromised suffering repeated infections with bacteria that resist phagocytosis

18
Q

how does anaphlatoxin inactivator regulate complement

A

it cleaves arginine from C5a and C3a. this completely inactivates C3a although leaves some residual activity in C5a

19
Q

how does Cr1 regulate complement

A

it binds to C3b, displacing the Bb protein and inhibits C3 convertase activity

20
Q

how does DAF (decay accelerating factor) regulate complement

A

it binds C3b displacing the Bb protein and inhibits C3 convertase activity

21
Q

in what way are pathogens such as staphylococcus, small pox and vaccinia able to evade complement

A

some mask their mannose residues, can release proteases to lyse antibodies, release molecules o bind Fc region or release inhibitory complexes preventing C3 convertase activity