COMPLEMENT SYSTEM & IMMUNOLOGICAL DISORDER Flashcards
A set of proteins that play a role in cytolytic destruction of cellular antigens by specific antibody ; reaction is non specific to the target cell
Complement system
Act as chemotaxin
C5a, C5b, C6, C7
Act as opsonins
C3b, C4b, C5b
Classical pathway is initiated by
IgG and IgM
Membrane attack complex
C5b6789
based on activation via classical pathway
C 1423 56789
Lysis starts when ___ attaches to host cell
C8
Activation unit of classical pathway
C4, C2, C3
Stabilizer of C3 and C5 convert are
Properdin pathway / alternative pathway
Stabilizer of C3 and C5 convert are
Properdin pathway / alternative pathway
Involved in alternative pathway
C3 56789
Activating substance in classical pathway
Immune complex
Activating substance in alternative pathway
LPS (bacterial capsule) , IgA
Activating substance in lectin pathway
Mannose group on microbial cell
Recognition unit in classical pathway
C1q, C1r, C1s
Recognition unit in alternative pathway
C3, Factor B , Factor D
Recognition unit in lectin pathway
MBP, MASP-1
C3 convertase of classical pathway
C4b2a
C3 convertase of alternative pathway
C3bBbP
C3 convertase of lectin pathway
C4b2a
C5 convertase of classical pathway
C4b2a3b
C5 convertase of alternative pathway
C3bBb3bP
C5 convertase of lectin pathway
C4b2a3b
Dissociates C1r and C1s from C1q
C1 inhibitor
Cleaves C3b and C4b
Factor I
Cofactor with I to inactive C3b ; prevents binding of B to C3b
Factor H
Acts as a cofactor with I to inactivate C4b
C4 binding protein
Prevents attachment of the C5b67 complex to cell membrane
S protein (vitronectin)
Accelerates dissociation of C3 convertase ; associated with Cromer blood group
Decay accelerating factor
Membrane attack complex inhibitor
Homologous restriction Facto (HRF)
CD59
Membrane inhibitor of reactive lysis
CD59
Associated with 035 blood group
CD59
B cell co receptor for antigen with CD19 ; most common
CR2 (CD21)
Receptor for adhesion and increased activity of phagocytic cell
CR3 (CD11b/CD18)
Complement deficient in lupus-like syndrome ; recurrent infection ; atherosclerosis
C2
Complement deficient in hereditary angioedema
C1-INH
Complement deficient in PNH
DAF and//or MIRL
Assay for complement components — amount of C’ serum that can cause hemolysis of the 5% of the standardized concentration antibody-sensitized sheep RBC
CH50 assay
Assay for complement components — magnesium chloride, ethylene glycol tetraacetic acid
AH50 assay
___% is used because this is when the change in lytic activity per unit change in complement is at maximum
50%
Reporting of complement fixation test
Highest dilution showing no hemolysis
Heightened state of immune response
Hypersensitivity