Innate immunity: Complement Flashcards

1
Q

What does complement system refer to

A

Group of soluble proteins that cooperate with both innate and adaptive immune systems =
Eliminate pathogens, during cells and immune complexes from body

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2
Q

What is a protease

A

Most make up complement system
>30 in blood and other fluids
Enzyme that performs proteolysis = can break down proteins

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3
Q

Naming proteases

A

Called C followed by number
Some called factor followed by cap letter
Most numbered based on when discovered

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4
Q

What are complement proteins produced by

A

Mostly produced by liver

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5
Q

What do complement proteins do

A

Set off A chain reaction that helps clear pathogens = cascade/chain reaction of events

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6
Q

Describe 3 key mechanisms of action of complement system

A

Increasing vascular permeability and chemo taxis = promote inflammation, vasodilate= more cells to site of infection
Destroy pathogen cells membranes = Poke holes
Increasing reognxiiotn of pathogens and facilitating phagocytosis = opsonization

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7
Q

Define opsonizaton

A

Coating of surface of Pathogen by antibody and/or complement that makes it more easily ingested by phagocytes, make tasty, enhance phagocytosis

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8
Q

Define phagocytosis

A

Receptor of opsonins on Phagocytes
Internalization of a particular matter by cells by a process of engulfment, cell membrane surrounds material, eventually forming intracellular vesicle = phagosome = contains ingested material

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9
Q

How does complement get activated

A

Classical, alternative or lectin pathway
Initially pro proteases then act as cascade = proteolytic cleavage generating 2 fragments

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10
Q

Describe products of proteolytic cleavage of complement

A

One small = a, with specific function
One large = b, with proteolytic activities on new substrate

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11
Q

Name the 2 c3 convertases

A

C4b2a
C3bBb
Both cleave c3 into c3a and c3b

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12
Q

Describe functional categories of complement proteins - gen

A

Group of pro proteases = inactive, circulate in blood until activated= cleaved
Proteins are inactive untill cleaved by proteases
Need initiators first

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13
Q

Describe functional categories of complement proteins - whole cascade generally

A

Initiators = initiate respective complement reactions
Convertase activators and some enzymatic mediators = cleave and activate next member of a complement reaction sequence = cleave other complement proteins, immune cells have receptors for these complement proteins
= 3 outcomes = opsonins, anaphylatoxins and membrane attack complex
Regulators = inhibit formation of Mac on host cells —> always regulated

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14
Q

What’s essential to know about complement activation

A

3 pathways can activate compel T
All 3 generate c3 convertase = cleaves c3–> c3a + c3b
3 main outcomes = downstream effects

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15
Q

What is lectin pathway triggered by

A

Triggered by soluble proteins known as lectins
= prrs that circulate in blood, not membrane bound
Binds polysaccharide antigen

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16
Q

Name lectins

A

Mannose binding lectin
Ficolins

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17
Q

What increases during infection

A

Expression of lectins

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18
Q

Describe lectin pathway prrs

A

Bind surface of pathogens
Triggers signalling cascade on pathogen surface = c3 convertase generated (c4b2a) = cleaves c3

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19
Q

Describe lectin pathway - generally whole process

A

Once binds pamp = change conformation of MASPs (proteases)= starts cleaving complement proteins = triggers cascade = c4b2a

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20
Q

Describe how classical pathway activated

A

C1q binds pathogen surface
Can bind pathogen directly
Can bind antibodies that are bound to pathogen surface

21
Q

What does classical pathway do

A

Connect adaptive to innate
Antibodies produced by B cells - can bind antibodies
Innate immune component helps mediate humoral response

22
Q

What happens when c1q binds

A

Triggers signalling cascade on pathogen surface
Proteases = c1r2r2 switches on and cleaves and makes c4b2a

23
Q

What do all pathways converge on

A

C3
Classical and lectin = make c4b2a
Alternative = makes c3bBb

24
Q

What does c3 convertase do

A

Cleaves c3–> c3a and c3b

25
What c3a involved In
Enhancing inflammation
26
What c3 b involved in
Oposonization And is c5 convertase = c5 —> c5a and c5b
27
Name the 2 ways alternative pathway activated
C3b given from lectin or classical pathway When high conc c3
28
Describe process of alternative pathway - c3b gen
Once c3b produced by lectin or classical pathway = amplification loop for c3b formation (depositing more c3b molecules on the pathogen) = requires factor b and protease factor d C3bBb on surface of pathogen = c3 convertase
29
Describe process of alternative pathway - c3b specifics
C3b deposited by lectin or classical on surface pathogen C3b binds factor b then factor d comes in and cleaves factor b into bb or ba Bb =gives c3bBb Pos feedback loop =more c3b s and c3a s
30
Describe when high conc c3 - alt pathway
High conc c3= c3 can undergo spontaneous hydrolysis = also involves factors b and d Binds factor b —> can be cleaved by factor b and ultimately forms c3 convertase
31
Describe c3 convertase of alt pathway
C3bBb = v unstable On surface
32
What stabilizes c3bBb
Properdin = factor p, secreted by neutrophils Stabilize c3 convertases since it can bind to some microbial surfaces
33
Describe which type of proteins complement mainly acts on
Extracellular = on surface, phagocytosis not inside cell, Mac =outside on surface = ALL EXTRACELLULAR
34
What does cleavage of c3 do
CASUES MANY DOWNSTREAM EFFECTs
35
Name 3 downstream effects
Inflammation Increased phagocytosis Pathogen lysis
36
Describe inflammation
Additional signalling results in cleavage of other complement molecules
37
What causes inflammation
C3a and c5a recruit phagocytes and promote inflammation
38
What happens if too much c3a and c5a
Anaphylactic shock
39
What do complement receptors do - downstream effects inflammation
Complement receptors connect complement tagged pathogens to effector cells
40
describe receptors on granulocytes for downstream effect of ifnalmmtion
C3a R/C5a R = Stimulates release of pro inflammatory cytokines and granule components from basophils, eosinophils, neutrophils, mast cells Helps recuiremtn and leads to secreting pro inflammatory cytokines
41
Describe increased phagocytosis downstream effect
Phagocytes have receptors for c3b Opsonization of pathogen = more readily taken up by phagocytosis
42
Describe how opsonization can occur - downstream effects
Via complement deposition and/or antibodies (phagocytes Also ahev receptors for antibodies, many initiators lead to opsonization)
43
Describe downstream effect = pathogen lysis
Additional complement factors create membrane attack complex (mac)—> cell lysis
44
Describe downstream effect = pathogen lysis = WHAT COMPLEMENT proteins involved
C5 and c3 are involved = c5b directly forms Mac and c3b indirectly since converts c5–> c5a and c5b
45
Describe downstream effect = pathogen lysis = WHAT IS THE IMPORTANT PART
Cascade leading to formation of MAC = pore in surface of pathogen that lyses pathogen
46
DESCRIBE negative regulation of c activation
Do not want Mac on host cells or anaphylactic shock Complement regulatory proteins in plasma or cell surfaces prevent complement activation from proceeding under normal/basal conditions = downreg
47
What does neg reg of c activation do
Prevent appearance of c3 convertase Promote disappearance of c3 convertase
48
Does only the complement system have regulatory component
NAWWWW Each pathway/process in immune system has a regulatory component
49
Describe ex of negative regulation of c activation
CD59 = protectin = inhibits mac formation, prevents c9 binding and polymerization