Exam 1 Super Deck Flashcards
What is vaccination?
- Inoculation of healthy individuals with weakened or attenuated strains of disease causing agents to prevent disease
What is adaptive immunity?
- The production of antibodies in response pathogens as a result of adaptation to infections
- Requires response time
What is innate immunity?
- Nonspecific defense against infections
- Rapid response
ex. Macrophage (wbc) engulfs and digests microorganism
What is an antigen?
- A substance that stimulates antibody generation and is recognized by adaptive immunity
ex. proteins, glycoproteins, polysacs of pathogens, metals, organic chemicals, and drugs
What is the origin of most leukocytes? What is the exception?
- Most come from bone marrow where many develop and mature
- Certain tissue resident macrophages and lymphocytes (microglia of CNS) originate from yolk sac or fetal liver during embryo development
What is the lymphatic system?
- How immune cells travel through peripheral tissue
- Used to drain extracellular fluid and immune cells from tissue and transported as lymph
- lymph drains into the blood stream
What two progenitors can be produced from a multipotent hematopoietic stem cell?
- Common lymphoid progenitor
- B cells, T cells, NK cells
- Adaptive immunity, develops in lymphoidal organs
- Common myeloid progenitor
- All other leukocytes, dendrites, and platelets
- Innate immunity, develop in bone marrow
What are the four disease-causing microorganisms?
- Viruses
- Bacteria and archaea
- Fungi
- Parasites
What is a microbiome?
- Colonies of microbial communities that are found on skin, mucosa, gastrointestinal tract and have a symbyotic relationship with the host
- Parasites can often get through mucosa and harm cells
What is the order of the body’s defenses against pathogens?
- Anatomical barriers: Skin, mucosa, intestine, respiratory epithelium
- Compliment/antimicrobial proteins: Chemical and enzymatic response near epithelial tissue
- Innate immune cells: Macrophages, granulocytes, NK cells
- Adaptive immunity: B cells and T cells
Outline the steps involved in the immune system being activated
-
Inflammatory inducers indicate the presence of a pathogen or tissue damage
- Bact. lipopolysac, ATP, Urate crystals
-
Sensor cells detect signal via receptors and defend or propagate immune response
- Macrophages, Neutrophils, dendritic cells
-
Mediators act on target tissue
- Cytokines, cytotoxicity
- Target tissue produces antimicrobial proteins to kill infected cells
Why does adaptive immunity take longer to respond compared to innate immunity?
- Adaptive immunity takes longer because it involves making B cells and T cells with a specific antigen receptor to target the pathogen. Additionally memory cells ensure prolonged protection if the same pathogen invades
What is hematopoiesis?
- The development of blood cells, Both red and white, from hematopoietic stem cells
- In bone marrow
- T cells then mature in thymus
- Mast cells then mature in peripheral tissue
- Macrophages then mature in tissue
What is a macrophage? What are its functions?
- Leukocyte
- Found in tissue
- Circulates (immature) as monocyte
- Involved in Adaptive and innate
Functions:
- Phagocytosis (ingestion)
- Induce inflammation by releasing mediators o recruit immune cells
- Antigen presentation to activate T cells
- Scavenge, clear old/dead cells and debris
What is a neutrophil? What is its function?
- Leukocyte
- Also called PMNs
- Most common WBC
- First responder to infections + injuries
- Major player in innate
Functions:
- Phagocytosis (main), and granules are released to digest bacteria
- Cytokine signaling (can signal to other immune cells)
What is an Eosinophil? What is its function?
- Leukocyte
- Less abundant than neutrophils
- Granules contain enzymes and toxic proteins
Functions:
- Defend against parasitic infections
- When pathogen is too large to be engulfed it is instead broken down by granules
What are Basophils and Mast cells? What is their function?
Both:
- Leukocyte
- Less abundant than neutrophils
Functions:
- Allergic response
- Defend against parasites via granule secretion
Basophils:
- Circulate in blood
Mast cells:
- Found in peripheral tissue
- Skin, intestines, airway mucosa and they’re early sensors of infection or injury
What are Natural Killer Cells? What is their function?
- Leukocytes
- Share many functions with T cells
- Cytotoxic molecules (release lytic granules)
Functions:
- Recognize and destroy tumor and infected cells
- Determined by activating and inhibiting ligands for NK’s innate receptors
- Tumor cells: ligand expression decreases which NK cells recognize as non-self
What are innate lymphoid cells? What is their function?
- Leukocyte
- In peripheral tissue
Functions:
- Secrete cytokines that regulate immune cells
- Mirror T-cell functions
What are dendritic cells? What is their function?
- Leukocyte
- In tissue
- Bridge b/t innate and adaptive immunity
Functions:
- Activate T-cells
- Phagocytosis (innate immune receptors)
- Control response of innate immune cells
What are T-cells? What is their function?
- Leukocyte
- Mature in Thymus
- Naive T-cell (immature) has not been exposed to antigen
Functions:
- Effector cells
- Helper T-cells (CD4+)
- Activate immune cells
- Express CD4 co-receptor
- Cytotoxic T-cells (CD8+)
- Release cytotoxins to target cells to cause apoptosis and membrane proliferation
- Regulatory T-cells
- Control immune reaction + prevent autoimmunity
- Inhibit T-cells
- Memory cells
- Have memory of receptors which can be used upon reinfection
What is a B-cell? What is its function?
- Leukocyte
- Matures in bone marrow
- Humoral immunity
- Circulation via blood, mucus, tears etc.
- Native B-cells (immature) have not been exposed to antigen
Functions:
- Effector cells
- Plasma cells (produce antibodies)
- Memory B-cells
- Function as antigen presenter
What is an antigen? What is Immunogenicity? What is Antigenicity?
- Any molecule that can specifically to an antibody or generate peptide fragments that are recognized by a T-cell receptor
- Proteins, glycoproteins, polysac, lipids, drugs, metals, chemicals
- Epitope is a region by which an antigen can be recognized by antigen receptors or antibodies
- The ability to induce humoral/cell-mediated immune response
- The ability of an antigen to bind/interact w/ B or T cell receptors
What are the 6 types of antibody function?
- Agglutination - aggregation
- Neutralization
- Opsonization - recognition and phagocytosis of microbes
- Cytotoxicity
- Degranulation
- Compliment activation
What are cytokines?
- Proteins made by a cell to illicit response
- Cell signaling
- Often called interleukins (IL-n)
Identify the different leukocytes.
What are the different types of microbes?
- Bacteria - single celled, prokaryotes
- Viruses - genetic material surrounded by protein coat
- Fungi - single to multicellular, surrounded by protein coat
- Parasites - Protozoans (single cell euk) or helminths (worms)
What are three mechanisms pathogens use to damage tissue?
- Exotoxin production
- Proteins produced inside the pathogenic bacteria and secreted into surrounding
- Endotoxin
- Constitutive elements of bacteria membrane that are released when bacteria die
- Direct cytopathic effect
- Pathogen harms its host cell
What are the two types of bacteria?
- Gram positive (GP)
- One membrane and thick layer of peptidoglycan
- Gram negative (GN)
- Two membranes + thin peptidoglycan layer
- Lipopolysaccharides (LPS) outer membrane
What can bacteria do to spread?
- Release toxin from outside of cells
- Invade the tissue
- Mix of both
Where can extracellular infection come from? Where can intracellular infection come from?
- Respiratory system, Renal system, CNS
- Immune cells, Epithelial cells, Mesenchymal cells
What are the two types of viruses?
Naked:
- Protein coat (Capsid)
- Spike (membrane protein involved in entry to host)
Envelope:
- Additional membrane envelope
Both:
- RNA and DNA contents can be single or double stranded
What are the general steps of viral infection?
What are fungi?
- Eukaryotes
- Unicellular (yeast, budding) or multicellular (molds, asexual spores)
- Most fungi are opportunistic
- Dimorphic fungi are true pathogens
- Can invade extra or intracellularly
What are parasites?
- Protozoans
- Grouped by locomotion
- Intra or extra
- Helminths
- Worms66
- Round, flat, segmented
What are the three strategies against microbial threat?
Avoidance:
- Anatomical barriers
- Behaviors to avoid diseased animals (ex. hygiene)
Tolerance:
- Protecting tissues against toxins
- Repairing damages
Resistance:
- Activating innate and adaptive immunity
- Stimulating inflammation
What are the four phases of the immune response?
- Anatomical barriers
- Skin mucosa, epithelium, intestine
- Complement/ antimicrobial proteins
- C3, defensins, RegIIIγ
- Innate immune cells
- Macrophages, granulocytes, NK, epithelial cells
- Adaptive immunity
- B cells, antibodies, T cells
Compare the timing of the innate immune response and adaptive immune response .
Innate:
- First line of defense
- Try to prevent spread
- Fast response
Adaptive:
- Recognizes and eliminates pathogens quickly
- May take days and be too late if innate cannot reduce spread effectively
Outline the steps and purpose of the compliment system.
- Pathogen must overcome physical barriers
- Complements are a set of plasma proteins
- Can attach to pathogen so it can be more easily be identified by macrophage
- Can form pores in pathogen promoting inflammation
How is the immune system activated?
- Activation via inflammatory inducers which indicate presence of pathogens or damaged tissue
- Sensor cells detect inducers using innate recognition receptors
- Mediators then amplify immune response
What type of cells comprise most of the innate immune response?
- Myeloid lineage
What are sensor cells? What are pattern recognition receptors?
- Sensor cells initially screen for self and non self via recognition receptors
- Pattern recognition receptors (PRRs) are innate receptors that recognize pathogen-associated molecular patters (PAMPs)
- PAMPs are not present in all microorganisms, conserved in evolution, identified on cell wall
What are TLR and NOD receptors?
- They’re PRRs
- Toll-like receptors (TLR)
- Nucleotide-binding and oligomerization domain (NOD) - like receptors
Other types of receptors: Mannose, glycan, scavenger
How do sensor cells induce an inflammatory response? What is a chemokine?
- Via production of mediators such as chemokines and cytokines
- A specialized subgroup of secreted proteins that act as a chemoattractant. Neutrophils and monocytes are attracted by their chemokine receptors
- Accumulation of fluid and while blood cells causes redness, swelling, heat, and pain known as inflammation
Outline the steps involved in inflammation.
- Macrophage encounters microorganism = cytokine/chemokine release
- Response to chemokines is increase permeability and dilation of blood vessels (vasodilation) results in inflammation
- Chemokines from macrophages attract neutrophils + WBC to infection
- As epithelial adhesive properties alter, pain is caused
What is a lymphocyte? Why are they important in an immune response?
- A type of WBC usually B,T, or NK cell
- They’re important due to high variability in antigen receptors on surface
- Antigens can always be recognized due to unique antigen receptors
What happens when a Naïve B-cell encounters an antigen?
- BCR on the naïve B cell encounter an antigen, receptor binds
- B cell to proliferate and differentiate into a plasma cell as a response
- Effector form (plasma cell) will secrete antibodies (Ig)
- Antigen then becomes the target of the B cell’s progeny
What happens when a TCR on a T cell binds to an antigen?
- T cell encounters antigen, receptor binds
- T cell proliferates and differentiates into an effector T lymphocyte
- Helper T cells (CD4+)(coreceptor 4) Activates immune B cells
- Cytotoxic T-cells (CD8+)(coreceptor 8) releases cytotoxins to induce apoptosis and membrane proliferation to kill infected cells
- Regulatory T cells control immune reaction to avoid autoimmunity
What is an MHC? What is its purpose?
- Major histocompatibility complex
- Two classes
- Class I - antigen recognized by cytotoxic T cell (expressed in all nucleated cells)
- Class II - antigen recognized by T-helper cells (expressed in antigen presenting cells (dendritic, macro, B cells)
- The purpose of MHC is to bind the epitope peptide and present it to the T cell
How are lymphocytes able to have so many unique receptors?
- Antigen receptor genes are assembled by somatic gene rearrangements of incomplete gene segments
What is clonal expansion?
- When an antigen binds and activates a B cell, proliferation will create many identical progeny which develop into effector (plasma) cells which release identical antibodies
- Gene rearrangement is irreversible so progeny will have antibodies identical to surface receptors
What do helper T cells do to help B-cells?
- When a B-cell is activate, the antigen is bound to MHCII which presents the antigen to a helper T cell
- Helper T cell then activates releasing cytokines which help in the proliferation (replication)of the B-cells and differentiation (creating plasma cells)
- Helper T cells also aid in formation of B-memory cells
Outline the steps in Clonal Selection Theory.
- Each lymphocyte is unique with its own specificity
- Interaction of B-cell with antigen results in activation
- Differentiated effector cell will produce antibodies identical to parent B cell
- Lymphocytes that were self antigens are removed thus absent from mature lymphocyte inventory
What happens to self reactive lymphocytes?
- Normally eliminated or functionally inactivated
- Eventually self reactive antigens produced are eliminated before maturation (clonal deletion)
- Immature lymphocytes that receive too much or little signal removed by apoptosis
- Induction of anergy (inactivation of immature B-cells)
Where do lymphocytes mature? What are primary lymphoid organs? What are secondary lymphoid organs?
- Mature in bone marrow or thymus (T cells)
- Circulate in blood and lymph system
- Where lymphocytes develop from non functional precursors (bone marrow and thymus)
- Where mature naive lymphocytes are maintained and adaptive immune responses are carried out
- Lymph nodes, spleen, mucosal lymphoid tissue of gut, and other mucosa
Outline the steps involved in adaptive immune responses leading up to antigen presentation.
- PRR on dendritic cells bind to PAMPs on pathogen leading to engulfment
- Bacteria is engulfed by macrophage encased in vacuole
- Lysosomes fuse and digest bacteria
- Antigen from digested bacteria are presented by MHCII on the surface of the macrophage
How do dendritic cells activate naive T cells?
- Immature dendritic cell in peripheral tissue migrates via lymphatic vessels to lymph node where naive T cells are found and activated
- Surface proteins (co-stimulatory molecules) are expressed on dendritic cells and stimulate proliferation and differentiation
- Dendritic cell or other APC (antigen presenting cell) will display peptide fragment to naive T cell to activate
- Other APC can be macrophages and B cells but dendritic cells are main presenters
Why are dendritic cells important?
- They bridge innate and adaptive immunity
How can infections be detected by lymphocytes in peripheral tissue or other areas?
- Lymphocytes circulate and hen encountering a pathogen release chemokines to attract more WBC
- Free antigens circulating may also end up in lymph nodes and be picked up by APC (antigen presenting cells)
- Once lymphocyte differentiates into effector cell it will leave lymphoid organ and enter blood to reach infection
What are lymphoid organs?
- Aggregates of lymphocytes that trap antigens and APC from sites of infection to present antigens to lymphocytes which causes an adaptive response
- Spleen, lymph nodes, and mucosal-associated lymphoid tissue
What is the structure and function of a lymph node?
- Follicles made up of B-cells
- Paracortical area made of T cells (also where APC are)
- Medullary cords made of macrophages and plasma cells
- Activate B and T cells move close so T cells can carry out helper function
- B cells proliferate and differentiate creating germinal centers expanding the lymph node
What is the function of the spleen?
- Not connected to lymphatic system and relies on circulation
- Filters and detects antigens and pathogens in blood
- Filters old RBC and stores platelets
- Lymphoid tissue in white pulp, platelets in red pulp
Describe the structure of white pulp.
- Periarteriol lymphoid sheath made of T cells
- Follicles made of B cells (also form germinal center)
- Marginal zone made of Unique B cells, macrophages, dendritic cells
Describe the structure of Peyer’s patches in GALT.
- Follicle-B-cells
- T-cell dependent areas
- Subepithelial dome - T,B, dendritic cells
- Microfold (M) cells are specialized cells that collect and transport pathogens from lumen to the dome
- Tonsils, adenoids, appendix, Peyer’s patches in small intestine
What happens to lymphocytes after an infection is overcome?
- Effector cells die and antibody levels decline
- Long lived plasma cells can remain for years to lifetime
- A significant number of progeny B and T cells will remain as clonal cells which can be reactived
Compare the primary vs secondary response to a pathogen.
Primary:
- Naive B cell
- 4-7 days, peak at 7-10
- Lower antigen affinity
Secondary:
- Memory B cell
- 1-3 days, peak 3-5 days
- Higher antigen affinity
Why are vaccines so important?
- Vaccines mimic primary response for disease in which adaptive immune system may respond too late
- Most effective way to control infectious diseases
What is the significance of effector mechanisms in innate and adaptive immunity?
- For each of the four major lymphocytes there is a corresponding type of T cell with generally similar functional characteristics
What are the three effector mechanisms of immunity?
- Neutralization
- Antibodies bind to bacterial toxins/viruses and are then ingested by macrophages
- Opsonization
- Bacteria is coated with antibodies to facilitate phagocytosis
- Complement
- antibodies attach to bacteria which result in bacteria being lysed and digested
What is the function of MHC I?
- CD8 (cytotoxic) T-cells recognize MHC I
- Infected cells display antigen in the MHC I complex
- CD8 cells recognize the MHC I molecule and kill the infected cell
What is the function of MHC II?
- CD4 (helper) T-cells recognize MHC II
- Activates macrophage causing lysosomes to fuse to vesicle then kill bacteria
What do TH2 cells produce
Interleukin-4,5,13
- Recruit eosinophils activates Mast and Basophils
What does TH 17 do?
Produces Interleukin-17
- Recruit neutrophils
- Works against Bacteria and Fungi
What does TFH do?
Regulates antibody production
What is the order of the innate immune system’s defenses?
Anatomic barriers: Skin, mucosa
Complement/antimicrobial proteins: C3, defensins, RegIIIy
Innate immune cells: Macrophages, granulocytes, NK cells, epithelial cells
Adaptive immune response: B cells/antibodies, T cells
What are the three mechanisms by which bacteria can directly damage tissue?
- Exotoxin Production
- Proteins secreted by bacteria
- Endotoxin
- Proteins that are liberated when bacteria dies
- Direct cytopathic effect
What are the three mechanisms by which bacteria can indirectly damage tissue?
- Immune complexes
- Formation of complex can lead to complement activation and inflammation leading to tissue damage
- Anti-host antibodies
- Cell-mediated immunity
- When an immune response is triggered a Helper T cell (CD8+) may kill infected cells
How does infection by a pathogen usually occur?
- Pathogen usually enter the body via mucosa
- Can sometimes enter via epithelium after cut or damage
Outline the general steps of an immune response
- Pathogen must attach, infect, or cross epithelium
- Local immune response tries to eliminate pathogen or stop spread via inflammation (recruiting WBC and effectors)
- If innate immune system cannot eliminate, adaptive immune response will kick in
Describe the features of anatomical barriers and initial chemical defenses.
- Epithelial surfaces are the first barrier held by tight junctions allowing for (Mech, chem, micro)
Mechanical barriers: - Cilia move mucus trapping pathogens
- Airflow pushes mucus away
- Peristalsis also pushes microbes away
Chemical: - Mucus secretion
- Antimicrobial peptides or enzymes
Microbiological: - Normal flora excrete antimicrobial compounds and cause competition
Why is skin important? Explain the layers of epithelium.
- It is the first line of defense and is multilayered
- Stratum corneum: dead layer that sheds periodically
- Stratum spinosum and granulosum: secrete lamellar bodies to form watertight lipid layer which secrete antimicrobial molecules
How are pores, sweat glands, and hair follicles protected from infection?
Sebum (oil) - has antimicrobial compounds
Sweat glands - release antimicrobial compound (Dermcidin)
Commensal microbes
How is the epidermis in the lungs protected? (Bronchial epithelium)
- Goblet cells and mucous glands create mucous layer
- Cilia transport mucus out of lung
- Alveolar cells produce defensins
- Commensal microbes provide their own microbial protection
What is the difference in a normal airway vs the airway of someone with cystic fibrosis?
- Normal airway has watery mucus while a cystic fibrosis patient will have sticky mucus which traps germs
Describe the features of the gut epithelium.
- Mucus layer (colon has two layers)
- Paneth cells secrete antimicrobial molecules
- Commensals (microbiome makes antibiotic proteins)
- Peristalsis moves pathogens trapped in mucus
- Bile salts and digestive enzymes
- Acid and pepsin in stomach
What are two important enzymes that are produced by epithelial cells and phagocytes?
Lysosomes
- Degrade bacterial cell wall by cleaving peptidoglycan layer
Phospholipase A2
- Hydrolyze phospholipids in there cell membrane
What are the two types of antimicrobial peptides and how are they activated?
Membrane targeting peptides
- Amphipathic
- Disrupt plasma membrane by forming pores
Non-membrane targeting proteins
- Inhibit enzymes or other biomolecules
- Bind and sequester nutrients from pathogens
- Activated by proteolysis to release peptide
What are defensins? What are cathelicidins?
- Effective (broad spectrum) against bacteria, fungi, and enveloped viruses
- α-defensins - produced in neutrophils (primary granule) and Panth cells
- β-defensins - produced in epithelial cells
- Broad spectrum
- Produced by macrophages and neutrophils
- Propeptide is found in secondary granules of neutrophils
What are histatins? What is RegIIIα?
- Effective against yeast
- Promotes wound healing
- Produced in oral cavity
- C-type lectin (carb binding protein)
- Produced in intestines
- Effective against gram-positive bacteria
What are the nomenclature rules of complement proteins?
- Most designated with letter C
- When cleaved, a smaller fragment(a) and larger fragment(b) is formed C2 is exception
- ex C3a, C3b
- C1 is composed of proteins Q, R, S
- Other complement proteins include MBL, ficolins, B, Factor D, MASP
What are the outcomes of the complement system
- Inflammation
- Phagocytosis
- Membrane attack
What is the central and most important step in the complement system?
- All three pathways converge and make C3 convertase
- C3a is mediator of inflammation
- C3b is main effector molecule
- C3b can bind to C3 convertase to make C5 convertase which leads to MAC (membrane attack complex)formation to disrupt cell membrane
What happens to C3b if it does not attach to its target surface? Why?
- If it does not find its target surface it will be deactivated via hydrolysis
-It is deactivated because if it isn’t it may attack the wrong target and it is a highly reactive thioester bond
How is the lectin pathway triggered? What are mannose-binding lectins? What are ficolins?
- Pathway uses soluble receptors to recognize microbial surfaces. Begins with recognition of PAMPs by PRRs (MBL and ficolins)
MBL
- Made in the liver
- 3 monomers = 1 triomer, each MBL has 2-6 triomers
- Associated w/ MASP-1, -2, -3, MAp19, and MAp44
- Binds to mannose, fructose, Nacetylglucosamine (peptidoglycan) residues
Ficolins
- Produced by neutrophils, liver, lungs
- Similar structure to MBL
- Three types
- Ficolin-1, -2: bind to acetylated sugars (N-acetylglucosamine)
- Bind to D-fructose and D-galactose
- No binding to mannose
Outline the steps of the lectin pathway.
- PRR binds to pathogen surface enabling MASP-1 to cleave and activate MASP-2
- MASP-2 cleaves C2 and C4
a. C4b covalently binds to surface of pathogen
b. C2a + C4b = C3 convertase (C4b2a) - C3 convertase cleaves C3
a. C3a initiates inflammation
b. C3b binds to microbial surface as opsonin
c. C3b binds to C3 convertase to make C5 convertase and bind to C5 - MASP-3 is regulatory to control MASP-2 immune response
Outline the steps of the classical pathway.
- C1q binding activates C1r which cleaves C1s
- C1s cleaves C2 and C4
- C3 convertase (C4b2a) is assembled the same way as the lectin pathway
How is the classical pathway triggered? What is the main function?
- Begins when pathogen sensor,C1, binds to pathogen surface, C-reactive protein, or an antibody (main function)
Describe the structure of C1 complex.
- Composed of C1q, C1r, C1s
- Hexamer of trimers
- C1r, C1s are serine proteases (similar to MASP-2)
How does the complement system ensure it does not harm the wrong cell? (2 mechanisms)
- C4b and C3b are both inactivated by hydrolysis if covalent bond is not formed on pathogen surface
- C2 can only be cleaved if bound to C4
What is the purpose of the alternative pathway?
- It is an amplification loop for C3b formation that is accelerated by properdin when pathogens are present
- Can be activated by C3b produced by lectin or classical
- can be activated spontaneously
Outline the steps of the alternative pathway.
- C3b from previous pathway binds to factor B
- Factor D cleaves factor B into Ba and Bb
- Bb binds to C3b forming C3 convertase (C3bBb)
- C3b production is amplified
How does spontaneous activation of the alternative pathway occur?
- Hydrolysis of the thioester bond in C3 must occur to form C3(H2O)
- Factor B binds to C3(H2O) and factor D cleaves factor B = C3 convertase C3(H2O)Bb
What is Factor P? What is its purpose?
- Properdin - made of neutrophils and binds to pathogen surface
- Convertase of alternative pathway only last 90 seconds but properdin allows a x5-10 extension
What do complement regulator proteins do?
- Prevent convertase from forming or promote rapid dissociation
- DAF competes w/ factor B to bind to C3b
- Factor 1 cleaves C3b to iC3b(inactive)
- CR1 (compliment receptor 1) and factor H inhibit convertase formation
What happens when the compliment system is activated and C3b coats the pathogen?
- C5 convertase is generated
What are the two possible C5 convertases?
- C4b2a3b - Lectin and Classical
- C3b2Bb - Alternative
How do phagocytes recognize compliment proteins?
- Phagocytes recognize complement proteins by their compliment receptors
- C3b is main opsinin, CR1 main receptor
- C5a activates macrophage –> phagocytosis
- Minor opsinin is C4b and cleaved forms of C3b
What happens to the small fragments of compliment proteins when they’re cleaved?
- They initiate a local inflammatory response