Immunology - 16 Flashcards

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1
Q

In complement, which are the anaphylotoxins the produce inflammation?

A

c3a, c4a, c5a

These a’s don’t float away, they have a function, others float away.

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2
Q

What is the function of the anaphylotoxins?

A
  • Promote inflammation
  • interact with receptors expressed on different cell types: vascular endothelial cells (activate and increase vascular permeability), neutrophils (activate, they leave circulation and go into tissue, follow the anaphylatoxin breadcrumbs which act as chemo attractants)
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3
Q

Which immunoglobulin isotypes activate the classical pathway?

A

IgM

IgG

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4
Q

Adaptive or innate immunity?

A

Adaptive

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5
Q

How many Fc regions that are bound to antigen are bound to C1 during the complement cascade?

A

2 Fc regions (2 antibodies)

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6
Q

Describe the classical pathway?

A

C1 -> C4 -> C2 -> C3 -> C5-C9

  • c1 binds 2 Fc’s of antigen-antibody complex to activate c1
  • c1 cleaves c4 (c4b binds to pathogen, 1st instance of zymogen)
  • c1 cleaves c2 (c2a binds c4b on the pathogen, exception of b usually binding)
  • c4b2a cleaves c3 (also called c3 convertase)
  • c4b2a3b cleaves c5 (also called c5 convertase)
  • c5b binds to the pathogen’s surface (1st step in MAC formation)
  • c6, c7, c8 and multiple c9s join c5b to form the MAC (c5b6789n)
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7
Q

All complement pathways converge on which step?

A

c5b binds c6, initiating the formation of the membrane of the complex

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8
Q

Is the alternative pathway a part of the innate or active immunity?

A

Innate. So it is always on, not activated by antibodies. Activated by spontaneous cleavage of c3 (c3 binds to pathogen - cell wall components, LPS, cobra venom, viruses)

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9
Q

Which are the anaphylatoxins and which is the opsonin?

A
  • anaphylatoxins (inflammation) - c3a, c4a c5a

* opsonins (opsonization) - c3b, c4b

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10
Q

How is complement inhibited (regulation)?

A
  • Inhibit activation of the classical pathway (c1 inhibitor = C1INH controls cleavage of c4)
  • inhibit c3 (degradation of c3b if it does not bind cell surfaces)
  • inhibit MAC (protectin binds c5b678 and prevents recruitment of c9)
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