Lecture 26 - Complement Activation 2 Flashcards
Describe the mechanism of Opsonisation and Phagocytosis in the C’ cascade
- C3b and C4b binds to the surface of microbes
- Macrophages bind C3b through CR1
- Macrophages bind Ab on microbe surface through FcγR
- Receptor mediated endocytosis
- Destruction of microbe in phagosome with hydrolytic enzymes
How are the recognition molecules (responsible for initiation of C’ cascade) like pattern recognition receptors?
They recognise PAMPs on the surfaces of pathogens:
MBL: sugars (mannose)
CRP: phosphocholine
C3b: amino acids and hydroxyl groups
What is an opsonin?
Material that coats pathogens to promote opsonisation
What are the various complement receptors?
Which cells are they expressed on?
CR1 • aka CD35 • Macrophages, neutrophils, RBCs, FDCs • Bind C3b, C4b, iC3b • Important role in C3 convertase regulation
CR3
• aka Mac-1
• Macrophages
CR2:
• B cells, FDCs
CR4:
• DCs
• similar function to CR3
Expression on:
Phagocytes:
• macrophages
• neutrophils
CR1 also on:
• FDCs
• RBCs
What is iC3b?
Which CRs will bind it?
A breakdown product of C3b
Forms on cell membranes
Binds C’ receptors, especially CR3
How do macrophages recognise opsonised microbes most efficiently?
Recognition through:
- CR1 : C3b
- FcγR : IgG
Describe RBC use of C’ receptors
RBC express CR1
- CR1 binds Ab-Ag complexes in blood
- RBCs circulate (with immune complexes bound) to the spleen
- Complexes stripped from the RBC in the spleen
- RBCs survive and recirculate
What is the function of CR2?
Forms complex with CD19 and CD81 (also present in membrane of B cell)
Provides ‘second’ signal for B cell activation
Describe the role of C’ in B cell activation
The following are expressed on the surface of B cells:
• BCR (e.g. IgM)
• CR2
• CD19, CD81
- Microbe bound by C3dg
- Ag on microbes bind CDRs on BCR
- C3dg on microbe binds CR2
- Triggering of transduction pathway, leading to B cell activation
Which C’ receptors do FDCs express?
CR1
CR2
Which C’ receptors do DCs express?
CR4
Describe the interaction between EBV and B cells
CR2 present on B cells
EBV uses this receptor to get into B cells
Remains latent in B cells
What is C3dg?
What is its receptor?
C3dg is another breakdown product of C3b
C3dg is a ligand for CR2
What is an anaphylatoxin?
Give some examples
Molecules that can cause systemic inflammation, and possibly lead to anaphylactic shock
Leads to a massive drop in BP (through systemic vasodilation)
Examples:
• C3a
• C5a
Describe triggering of inflammation through the C’ cascade
Mediated by C3a and C5a
- Cleavage of C3 and C5 through the C’ cascade to deliver:
• C3a
• C5a - C3a and C5a bind to their receptors expressed on:
• Mast cells
• Endothelial cells
• Phagocytes - Release of TNF and histamine from these cells
- TNF and Histamine, as C3a, C4a and C5a:
→ Increase in vascular permeability - Migration of leukocytes into tissues → tissue inflammation
- C5a acts as a chemoattractant for Neutoprhils and monocytes