Complement System Flashcards

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1
Q

Define the Complement System

A
  • a defensive system consisting of over 30 serum & membrane-expressed proteins
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2
Q

Describe complement activation

A
  • its a cascade
  • works within minutes
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3
Q

What are the main components of the complement system ?

A
  • hepatocytes
  • epithelial cells of the gut
  • blood - monocytes
  • tissue macrophages/dendritic cells
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4
Q

What are the 3 complement pathways ?

A
  • classical pathway
  • Lectin pathway
  • alternative pathway
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5
Q

Are the pathways innate or acquired ?

A
  • classical pathway = acquired
  • lectin pathway = innate
  • alternative pathway = innate
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6
Q

What are the main activators of the alternative pathway ?

A

any foreign substance in the absence of specific Ab;
- lipopolysaccharides from the cell walls of gram-negative bacteria
- cell walls of some yeasts
- viruses
- aggregated Abs
- necrotic cells

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7
Q

What is the most abundant complement protein ?

A

C3

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8
Q

Describe the initiation of the alternative pathway

A
  • C3 contains unstable thioester bond
  • this unstable bond makes C3 subject to slow spontaneous hydrolysis to C3b & C3a
  • C3b is able to bind to foreign surface Ags
  • deposition of C3b on cell surface initiates the alternative pathway
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9
Q

What are the main activators of the Lectin Pathway ?

A
  • Gram-positive bacteria
  • gram-negative bacteria
  • fungi
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10
Q

Describe the Lectin Pathway Activation

A
  • MBL bind to residue (Ags) on the surface of a microbe
  • MBL-associated serine proteases (MASP 1 & 2) bind to MBL that already bound to microbe
  • MASP proteins complex function is similar to C1qrs and cleaves ;
    C2 –> C2a & C2b
    C4 –> C4a & C4b
  • C3 convertase and thereafter C5 convertase are formed
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11
Q

What are the main activators in the classical pathway ?

A
  • Ag/Ab complexes
  • some viruses = HIV
  • necrotic cells
  • aggregated Abs
  • C-reactive protein (CRP)
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12
Q

Describe the classical pathway activation

A
  • formation of an Ab/Ag complex
  • induces changes in Fc portion of the Ab molecule revealing binding site for complement
  • C1 binds to exposed C1q-binding sites in the CH2 domain of the IgG1-IgG3
  • C1 becomes activated when it binds to the ends of Abs
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13
Q

Describe MAC formation

A
  • acts as a channel in which cytoplasm can rush out & water rushes in
  • cell/bacterium’s inner integrity is compromised & it dies
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14
Q

What does MAC stand for ?

A

Membrane Attack Complex

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15
Q

How is the complement system activated ?

A
  • molecules present on the surface of the cells
    or
  • molecules in the serum that regulate the activity
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16
Q

Why is the complement system regulated ?

A
  • to protect the host cells
17
Q

What are the regulatory proteins present in the serum ?

A
  • C1 esterase inhibitor (C1INH)
  • Factor H
  • Factor I
  • C4b-binding protein (C4-BP)
  • S-protein
18
Q

What are the regulatory proteins present on cells ?

A
  • C3b/C4b receptor
  • Decay-acceleration factor
  • membrane co-factor protein
  • CD59
19
Q

How does C3b/C4b regulate the complement system ?

A
  • causes disassociation of C3 convertase
20
Q

How does Decay-acceleration factor regulate the complement system ?

A
  • cause dissociation of C3 convertase
21
Q

How does CD59 regulate the complement system ?

A
  • prevents MAC formation
22
Q

What can a deficiency of C3 cause ?

A
  • predisposes the person to frequent bouts of bacterial infections
23
Q

What can a deficiency of C2 cause ?

A
  • this deficiency is commonly found in patients with the autoimmune disorder System Lupus Erythematosus
24
Q

What can a deficiency of C91INH cause ?

A
  • produces hereditary angioneurmtic edema
  • at risk of occasional explosive triggering of the complement
  • massive release of anaphylatoxins may cause dangerous swelling of airways, skin & intestines
25
Q

What are the main function of the complement system ?

A
  1. activation of the inflammatory response –> trigger inflammation & anaphylatoxins
  2. chemotaxis –> chemotactically attract phagocytes to infection site
  3. opsonisation –> promote attachment of antigens to phagocytes
  4. Cell lysis
  5. Immune clearance
  6. activation of naive B-lymphocytes