Complement System Flashcards

1
Q

The complement system is part of what part of immunity?

A

innate immunity

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2
Q

Why is complement immunity part of the innate immunity?

A

NON-SPECIFIC
- more general: respinds to any PAMP (just like TLR reacting to PAMPS)
- while adaptive immunity attacks specific antigens via specific antibodies.

QUICK REACTION
- aaptive immunity takes time to react (long response)

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3
Q

The compliment system is a quick or slow reaction? To what?

A

quick reaction to an antigen

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4
Q

What is special about the complement system?

A

it has different activation parts (evolutionary process adapted to newer systems):
- activated very quickly: PAMP recognition
- activated slowly: after the antibodies are produced and bound to the antigens

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5
Q

What does the complement system consist of?

A

different proteins that interact with each other
- does not include cells.

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6
Q

What proteins is the complement system composed of?

A

acute phase proteins:
- proteins overproduced in the liver

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7
Q

What happens to the complement system in a healthy individual?

A

it is inactive

generally circulate the blood stream in an inactive form

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8
Q

What is the complement system activated by?

A

PAMPs or antigen-bound
antibodies

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9
Q

What are the 3 activation pathways?

A
  • classical
  • lectin
  • alternative
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10
Q

What acute protein connects all 3 pathways?

A

C3

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11
Q

What two pathways use C4 and C2?

A
  • classical pathway
  • lectin pathway
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12
Q

What is special about C3?

A
  • extremely similar actions to antibodies
  • reacts with PAMP like antipodies
  • opsonise the pathogen
  • recognised by phagocytotic cells
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13
Q

What is the terminal complement complex?

A

MAC

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14
Q

What is the first immunity pathway that was developed?

A

alternative pathway (ancient!)

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15
Q

What is the alernative pathway?

A

an evolutionary ancient pathway

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16
Q

What happens in the alternative pathway of healthy animals?

A

C3 protein breaks down spontaneously into C3a and C3b, resulting in
protein H binding on C3b, marking it for
destruction by protease called protein I.

17
Q

What happens when C3b binds to the wall of a bacteria?

A
  • protein H is unable to bind to C3b
  • factor B binds to C3b, forming C3bB
    complex, which stays bound to the surface of the bacteria and generated more C3b
18
Q

What does the lectin pathway involve?

A

lectins in the bloodstream that react to microbial carbohydrates (PAMPs)

19
Q

Explain the lectin pathway.

A
  • Mannose-binding lectin (MBL) binds to bacteria, which in turn activate MASP-2 protease (MBL- associated serine protease).
  • MASP-2 acts on complement component C4, splitting it into C4a and C4b, which binds to the microbial surface
  • C2b then binds to C4b, forming C4b2b, which is a protease that generates C3b
20
Q

What is the classical pathway activated by?

A

antigen-bound antibodies

21
Q

Explain the classical pathway.

A
  • Fc regions of antibodies activate C1, which in turn splits C4 into C4a and C4b.
  • C2b then binds to C4b, forming C4b2b, which in turn generates C3b.
22
Q

Explain the generation of MAC.

A
  • generated C3b binds to C5, resulting in C5 being cleaved by C3bBb into C5a and C5b
  • C5b then binds C6 and C7, forming C5b67 complex, which can penetrate microbial cell membrane
  • C5b67 binds C8 and 12-18 C9
    molecules, which results in membrane
    attacking complex (MAC) formation
23
Q

What is MAC?

A

membrane attacking complex

24
Q

What is the role of MAC?

A

MAC= membrane attacking complex

MACs insert themselves into microbial wall and punch holes in it, eliminating the microorganism via osmotic lysis

25
What happens when C3b and C4b components bind to the surface of bacterial cells?
They mark them as invaders and act as effective opsonins.
26
What happens once C3b and C4b mark bacterial cells as invaders?
Phagocytotic cells recognize C3b and C4b and engulf microorganisms that are bound to them.
27
How do healthy cells prevent C3b and C4b binding?
via CD46 and CD59 surface proteins
28
What happens to CD46 and CD59 in apoptotic cells?
- CD46 and CD59 are lost causing the cell to be oponised - apoptotic cells are engulfed similarly to opsonized bateria by phagocytotic cells
29
What are 'anaphylatoxins'?
C3a and C5a
30
What do C3a and C5a do?
Anaphylatoxins (C3a and C5a): enhance production of: - TNF-α, - IL-1 - IL-6 C3a: - attracts eosinophils C5a: - attracts neutrophils, eosinophils and macrophages C5b67: - attracts eosinophils and neutrophils
31
What does C3b bind to?
- binds to any PAMP - not specific
32
What are the functions of C3bB?
- signal phagocytotic cells to phagocytize bacteria - produce more C3b (creates a positive feeback loop)
33
What do lectins bind to?
- microbial carbohudrates - PAMP - protein on the cell wall of the bacteria
34
What does MBL do?
- it activates itself - changes chape into: MASP-2 - splits C4 into C4a and C4b
35
Why is the classical pathway most advanced?
- it is activated by antigen-bound antibodies - meaning anb antibody must be present on the surface of the bacteria - the FC region (FAB antibody cite interacts with the antigen aka bacteria)
36
What do anaphylatoxins act as?
- chemokines - cytokines