Lecture 6 - Complement System Flashcards
What is complement
A group of serum and cell surface proteins activated by
factors such as the combination of antigen and antibody
What does complement result in
generation of enzyme cascades that have a variety of biological consequences including cell lysis and
opsonization
What are the 3 pathways to activate complement
- classical
- alternative
- MB-lectin
When is the classical pathway initiated
when a complement fixing antibody (IgM, IgG) binds
antigen
What immunities are involved in the classical pathway
innate AND adaptive
Does the classical pathway occur in a primary response
YES
What happens in the classical pathway after the antibody is bound to antigen?
binding site for complement on Fc portion of the antibody opens up
What is the alternative pathway initiated by
C3b binding on the cell wall of pathogens
What is the most abundant complement protein in the blood
C3
What does C3 spontaneoulsy break down to in the alternative pathway
C3a and C3b
What happens when C3 b binds to mammalian cells
it is quickly innactivated
What immunity is the alternative pathway part of
INNATE
What immunity is not required for the alternative pathway to be innitiated
ADAPTIVE
What is the MB-lectin pathway initiated by
soluble pattern recognition molecules (PRR) that bind to carbohydrates on the microbe surfaces
What does MB-lectin pathway activate
enzymes that activate complement
What immunity is MB-lectin pathway part of
INNATE
What immunity is not required to activate the MB-lectin pathway
ADAPTIVE
Why is MBL pathway initiated on bacteria cells but not self-cells
mammalian cells do not have mannose on their surface
Where do the three complement pathways differ
initiation of the cascade
Where are the three complement pathways the same from
C3 through the terminal pathway and formation of the membrane attack complex (MAC)
What complement pathways are part of the innate defense
Alternative and MBL pathways
What pathways require adapte immune response to initiate
classical pathway
What does classical pathway require
IgM and IgG
What BINDING initiaites the classical pathway
Ag-Ab binding
What happens after the Ab binds the Ag in the classical pathway
conformational change in the Fc portion of Ab that allows C1, the first protein of the complement cascade to bind to the Ag-Ab complex
Why is one IgM or two IgG required for initiation
there must be 2 Fc binding sites for C1 to bind
What is more efficient at activating the classical pathway of complement
IgM
How many IgM bound to Ag can initiate the classical complement cascade
ONE pentameric IgM
How many IgG can activate C1 in the classical pathway
TWO IgG molecules in CLOSE PROXIMITY
What does activated C1 cleave in the classical pathway
C4 into C4a and C4b
What binding event occurs in the classical pathway after C1 cleaves C4?
C4b binds to a membrane and C2 binds to membrane bound C4b
What does C1 do in the classical pathway after C4b binds to the membrane
cleaves C2 when it is bound to C4b, leading to formation of C4bC2b
What is the C4b2b in the classical pathway
C3 convertase
What is the classical pathway C3 convertase
C4b2b
What does C3 convertase cleave in the classical pathway
3 into C3a and C3b
What molecule in the classical pathway is an opsonin
C3b
What are pathogens opsonized with in the classical pathway
C3b
What leads to initiation of the terminal pathway
C3b binds C5 and C4bC2b cleaves C5
ACTIVATION of the ALTERNATIVE pathway
1. C3 sponatneously breaks down into ___ and ____
2. C3b’s reactive carbonyl group will ______
3. ____ can bind to C3b
4. _____ can cleave Factor B bound to C3b
5. _____ is the alternative pathway C3 convertase
- C3a and C3b
- covalently bind to cell surfaces
- Factor B
- Factor D
- C3bBb
What is the alternative pathway C3 convertase
C3bBb
ACTIVATION of the MBL pathway
1. MBL is a _______
2. MBL binds to ______ on microbes
3. Bound MBL activates _______, which has similar activity to ____
4. MASP-2 cleaves ___ and the cascade is initiated
- soluble PRR
- mannose (a PAMP)
- MASP-2, C1
- C4
What part of the complement cascade is the same for all 3 pathways
terminal complement pathway
What initiates the terminal pathway
cleavage of C5
What are not involved after initiation of the terminal pathway
enzymes
What does initiation of the terminal pathway lead to formation of
membrane attack complex
What occurs with the MAC when C5 binds to C3b
it exposes a site on C5b that can bind C6 and C7
What occurs after the site on C5b that can bind C6 and C7 is exposed
C5b67 binds C8 and inserts into the membrane
What occurs after C5b67 binds C8 and inserts into the membrane
C5b678 damages the membrane and induces polymerization of C9
What is involved in polymerization of C9
12-18 molecules of C9 polymerize and form a transmembrane pore
What is the result of polymerization of C9
lysis and cell death
What is a regulator of classical activation
C1-INH
What is a regulator of C3
CD59
What is a regulator of the alternative pathway
Factor H
What effect does C1 have onC2
NONE
What effect does C1 have on C4b2
Cleaves into C4b2b and C2a
What effect does D have on B
none
What effect does D have on C3bB
cleaves into C3bBb and Ba
What effect does C4b2b have on C5
none
What effect does C4b2b have on C3b5
cleaves into C3b5b and C5a
What biological consquence of complement activation does C2a have
increased vascular permeability
What biological consquence of complement activation does C3a have
anaphylatoxin and microbial killing
What biological consquence of complement activation does C3b have
immune regulation and opsonization
What biological consquence of complement activation does C5a have
-neutrophil chemotaxis
-anaphylatoxin
-lysosomal enzyme secretion
-neutrophil activation
-increased vascular permeability
-smooth muscle contraction
Overall result of opsonization and phagocytosis
phagocytosis and killing of microbe
Overall result of complement-mediated cytolysis
osmotic lysis of microbe
Overall result of stimulation of inflammatory reactions
destruction of microbes by leukocytes
Complement proteins are found in _____
normal serum
Complement components may form a terminal complement complex and _______
punch holes in microbes