Lecture 3 - Complement Flashcards

1
Q

What is complement

A

augmented opsonization working with the actions of antibodies

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2
Q

What 3 pathways make up the complement system?

A

1 - classical
2 - alternative
3 - lectin

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3
Q

What component of blood is the complement system found

A

plasma

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4
Q

T/F: the complement system is part of the adaptive defense system

A

False - innate

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5
Q

T/F: the complement system plays a regulatory role in the adaptive immune system

A

True

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6
Q

T/F: complements do not need to be activated as they are a natural part of the immune system

A

False - they must be activated via a cascade pathway

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7
Q

What are the biochemical principles of complement systems

A
  1. synthesized as inactive precursors
  2. activated via cleavage
  3. results in active complement protease
  4. amplification
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8
Q

what is added to an inactive complements name once it is cleaved

A

a lowercase suffix

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9
Q

What is a complex of complements called

A

a factor

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10
Q

what activates the complement system

A
  1. pathogen itself
  2. antibody bound to pathogen
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11
Q

T/F: all pathways create a common effector complement protein

A

True

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12
Q

what are the effector proteins created by complement pathways

A

C3a, C3b, C5b, MAC, C3 convertase

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13
Q

What is the final goal of the three complement pathways

A

removal of the pathogen

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14
Q

The classical pathway is activated by:

A

antibody bound to the pathogen

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15
Q

The MBL (mannose-binding lectin) pathway is activated by:

A

lectin binds to mannose on the pathogen cell wall

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16
Q

The alternative pathway is activated by:

A

binding of a complement directly to the pathogen surface

17
Q

Summarize the classical pathway in 5 steps

A

1 - C1 binds to antibody
2 - conformational changes cleave C4 and C2 proteins
3 - C4b and C2b combine (C3 convertase)
4 - C3 is cleaved
5 - C3b binds and activates C5 which stimulates MAC formation

18
Q

Summarize the alternative pathway in 5 steps

A

1 - spontaneous breakdown of C3
2 - if C3b binds to a healthy cell, factors H and I cause C3b degradation
3 - if C3b binds to a pathogen, factor H and I do not bind
4 - C3b will bind factor B
5 - B is cleaved by factor D which creates an alternate C3 convertase

19
Q

Summarize the MBL pathway in 5 steps

A

1 - lectin complex binds to lectin
2 - MASP cleaves C4 and C2
3 - C4b and C2b combine (C3 convertase)
4 - combined complex cleaves C3
5 - C3b binds and activates C5 which stimulates MAC formation

20
Q

Which pathway requires the adaptive immune system to initiate?

21
Q

Which pathway uses factors and letters instead of numbers?

A

alternative

22
Q

What does C3 convertase cause

A
  • recruitment of inflammatory cells
  • opsonization
  • lysis of cell membrane
23
Q

Which complement component is an anaphylatoxin

24
Q

Which complement component is an opsonin

25
Which complement component forms the pore of the MAC
C9
26
C1 inactivator
inhibits C1 components in the classical pathway
27
CD55
decay accelerating factor of complement factors on normal cells
28
Factor H
a similar function in CD55 in the alternative pathway
29
CD59
inhibits assembly of MAC
30
Complement receptors
ensure removal of antigen-antibody complexes
31
C3 deficiency in Brittany Spaniels can lead to ______ in old age. how?
renal disease - chronic inflammation of the glomerulus and reduced clearance of associated complexes
32
What does factor H deficiency allow
overactive complement on healthy cells (autoimmune)