Lecture 5: Complement Flashcards

1
Q

What are the three complement pathways?

A

lectin, classical, alternative

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2
Q

What are the three main effector functions of the complement system?

A
  1. inflammation
  2. phagocytosis
  3. membrane attack complex
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3
Q

What activates the complement system?

A

pattern recognition trigger

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4
Q

What will pattern recognition trigger?

A

protein cascade amplification/C3 convertase

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5
Q

Lectin: what are the key proteins involved?

A

Mannose binding lectin, MASP-1,2,3

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6
Q

Lectin: What is the C3 convertase?

A

C4b2a

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7
Q

Detail lectin pathway

A

MBL binds pathogen -> activates MASP-1 -> MASP1 activates/cleaves MASP2 -> cleaves C2 and C4 to make C4b2a the C3 convertase

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8
Q

Classical: What are the key proteins involved?

A

C1 (subunits C1q,r,s)

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9
Q

Classical: What is the C3 convertase?

A

C4b2a

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10
Q

Detail classical pathway

A

C1q binds pathogen with at least 2/6 globular heads -> activate C1r-> activates C1s -> cleaves C4 and C2 to make C4b2a the C3 convertase

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11
Q

Alternative: What are the key proteins?

A

C3b, Factor B, Factor D

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12
Q

Alternative: How is C3b generated?

A

From classical/lectin pathway, product of itself, can be hyrdolyzed spontaneously

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13
Q

What are 3 C3 convertases?

A

C3bBb, C3(H2o)Bb, C4b2a

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14
Q

What stabilizes C3bBb and C3(H2O)Bb?

A

properdin (factor P)

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15
Q

What makes factor P?

A

neutrophils

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16
Q

Detail alternative pathway

A

C3b binds Factor B -> Factor B cleaves bound Factor B to Bb and Ba -> C3bBb is C3 convertase

17
Q

Which proteins mediate inflammation?

A

C3a and C5a activate vascular endothelium

18
Q

How does phagocytosis occur via complement system?

A

C3b is bound to pathogen and phagocytes with C3b receptors can engulf it. C5a can help to regulate this process

19
Q

What are the C5 convertases?

A

C4b2a3b and C3b2Bb

20
Q

How is C5 cleaved?

A

C5 binds to C3b and is cleaved by Bb or C2a

21
Q

How does membrane attack complex form?

A

A C5 convertase generates C5a and C5b. C5b binds C6 to form C5b6. C5b6 binds C7 to attach to lipid bilayer. C5b67 binds C8(beta) and C8alpha-gamma will insert itself into lipid bilayer. C9 binds and polymerizes to form pore in the membrane

22
Q

What are regulators of complement system?

A

C1INH
DAF (CD55)
C4BP
CR1(CD35)
Factor H
Factor I
CD59

23
Q

What is mechanism of regulation for C1INH?

A

C1 inhibition - binds to C1r:C1s so they dissociate from C1q and cannot cleave C2 or C4

24
Q

How does DAF act?

A

competes with Factor B (or displaces it) from C3b

25
Q

_____ cleaves C3b to form iC3b and C3f

26
Q

iC3b can bind to these receptors

A

CR2,3,4 and CRIg

27
Q

iC3b can be cleaved by ____ and ____ to form C3c and C3dg

A

Factor I and CR1

28
Q

DAF, C4BP, and CR1 work to regulate complement system by

A

displacing C2a from C4b2a, then C4b and C4BP will by cleaved by protease I to form C4d and C4c

29
Q

_____ will prevent assembly of MAC by binding C5b678

30
Q

___ and ___ will displace C3b from C5 convertase

A

CR1 and Factor H