L12 The Complement System Flashcards

1
Q

What are the 3 ways to activate the complement system and how are they activated

A

Classical pathway:activated by antigen antibody complex and thus triggered after generation of specific antibody to a particular Ag(igG and igM)

Alternative pathway: can be activated by microbial cell surface substances
Bacterial poly and liposaccharides of cells envelop of gram negative bacteria both serve as potent initiating stimuli

Lectin binding or mannose binding pathway: activated when mannose binding lectin binds to carbohydrates on the pathogen

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2
Q

Which pathways are considered part of innate immunity

A

Alternative and lectin

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3
Q

What does activation of complement components involve

A

cleavage of complement proteins(c3)(c5)leading to generation of effector mol(C-3a+C-3b) that participate in eliminating microbes in diff ways

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4
Q

What happens to activated complement proteins

A

Become covalently attached to the microbial cell surfaces where activation of complement components occurs

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5
Q

What is formed from complement pathways and what does it do

A

Complex enzyme C3 convertase and its capable of binding and cleaving a key protein C3 common to all 3 pathways

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6
Q

How do all pathways proceed after C3 activation

A

Binding of late acting components to form a membrane attack complex which is C5b,6,7,8,9 which becomes inserted in the lipid bilayers of foreign membranes ultimately causing cell lysis

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7
Q

What are biologic functions of the complement system

A

1-cell lysis:insertion of MAC in to cell membrane leads to lysis of many types of cells
2-opsonization of pathogens: microbes such as bacteria and viruses are phagocytized much more efficiently in presence of C3b bound on their surfaces because of presence of C3b receptors of many phagocytes
3-inflammatory function:
Chemotaxis and anaphylatoxins
4-enhancement of antibody production: binding of C3b derivatives to its receptor on the surface of b lymphocytes enhances antibody production

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8
Q

What is chemotaxis

A

C5a attracts phagocytic cells mainly polymorphs to site of inflammation and inc their activity

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9
Q

What is anaphylatoxins

A

C3a and c4a and c5a can produce degranulation of mast cells with release of mediators which cause capillary dilatation

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10
Q

What is the major histocompatibility complex

A

Collection of highly polymorphic genes on the short arm of the chromosome 6 in the human
2 major classes of cell bound MHC gene products: 1 and 2
Can also be called human leukocytic antigens (HLA)

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11
Q

Describe class 1 of MHC antigens

A

Glycoproteins and include HLAA HLAB AND AND HLAC
Expressed on all nucleated cells in body
Co dominant expression
Enables cytotoxic cells(CD8) to recognize foreign antigen on surface of graft cells, tumor cells or virus infected cells and kill these cells

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12
Q

What is MHC restriction

A

Cytotoxic cells only work when they recognize both antigen and class 1 MHC molecules in close association on surface of cells

Helper t cells(CD4) will recognize foreign antigen on the surface of APC only if they are associated with class 2 MHC molecules

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13
Q

Describe class 2 MHC antigens

A

Also known as HLA D antigens
Glycoproteins
Include HLA DP HLA DQ HLA DR
Expressed on antigen presenting cells of body such as macrophages,dendritic cells and b lymphocytes

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14
Q

How can both classes be typed

A

Flow cytometry

Molecular techniques such as pcr

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15
Q

Importance of MHC

A

▪️Organ transplantation: depends on compatibility of MHC genes of donor and recipient
▪️MHC restricted antigen presentation: ability of t cells to recognize antigen is dependent on association of antigen with either class 1 or 2
Tc cells recognize 1 and th recognize 2
▪️Disease association:presence of certain HLA antigens is often associated with a particular disease
▪️Paternity testing and forensic investigations

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16
Q

Which hla with ankylosing spondylitis

A

HLA-B27

17
Q

Which disease is associated with presence of B8

A

Myasthenia gravis

18
Q

Which HLA with multiple sclerosis

A

DR2

19
Q

Which disease is associated with presence of DR4

A

Rheumatoid arthritis