Complement Flashcards
MAC defends against what type of bacteria?
Gram negative
Activation of classic pathway
IgG or IgM
Activation of alternative pathway
Microbe surface molecules
Activation of lectin pathway
Mannose or other sugars on microbe surface
Function of C3b
Opsonization, clear immune complexes
Function of C3a
Anaphylaxis
Function of C5a
Anaphylaxis, neutrophil chemotaxis
Function of C5b-9
Cytolysis by MAC
Primary opsonins in bacterial defense
C3b and IgG
Inhibitors
Decay-accelerating factor (DAF) and C1 esterase inhibitor
C1 esterase inhibitor deficiency
Hereditary angioedema
What is contraindicated in C1 esterase inhibitor deficiency?
ACE-Inhibitors
C3 deficiency manifestations
Severe, recurrent pyogenic sinus and respiratory tract infections; increased susceptibility to type III hypersensitivity reactions
C5-C9 deficiencies
Recurrent Neisseria bacteremia
DAF (GPI anchored enzyme) deficiency
Complement-mediated lysis of RBCs and paroxysmal nocturnal hemoglobinuria (PNH)