Lecture 6 - Innate Immunity (Complement) Flashcards
What is the complement system?
The complement system is a group of soluble (mostly) proteases that circulate in the blood or other fluids.
What is a protease?
A protease is an enzyme that performs proteolysis (breaking down proteins).
Where are complement proteins mostly produced?
Complement proteins are mostly produced in the liver.
What system sets off a chain reaction that helps to amplify inflammation and clear pathogens?
Complement System
What are the three key mechanisms of complement action?
- Increasing Vascular Permeability and Chemotaxis
- Destroying Pathogen Cell Membranes
- Increasing Recognition of Pathogens and Facilitating Phagocytosis (Opsonization)
What is opsonization?
Opsonization is the coating of the surface of a pathogen by antibody and/or complement that makes it more easily ingested by phagocytes.
What process is defined as the internalization of particular matter by cells by a process of engulfment, in which the cell membrane surrounds the material, eventually forming an intracellular vesicle containing the ingested material?
Phagocytosis
What are three complement pathways?
Classical, Alternative, and Lectin
What is common between all three complement pathways?
All pathways generate a C3 convertase, which cleaves C3, leaving C3b bound to the microbial surface and releasing C3a.
What triggers the lectin pathway?
The lectin pathway is triggered by PRRs (mannose-binding lectin and ficolins) that circulate in the blood recognizing and binding carbohydrates on pathogen surfaces.
What triggers the classical pathway?
The classical pathway is triggered by C1q directly interacting with the pathogen surface or with antibodies bound to the surface.
Which complement pathway can connect adaptive and innate immunity?
Classical Pathway
What triggers the alternative pathway? When can this occur?
The alternative pathway is triggered by C3 undergoing spontaneous hydrolysis. This can occur once C3b has been produced by one of the other complement pathways and can occur spontaneously in plasma by specific convertases.
How are alternative convertases stabilized?
Alternative convertases are stabilized by neutrophils (Properdin).
You are a physician treating a patient with a complement deficiency. Which one of the following types of pathogens would be most difficult for this patient’s immune system to clear?
- Extracellular Parasite
- Intracellular Virus
- Extracellular Bacteria
- Intracellular Parasite
Extracellular Bacteria
True or False?:
There are two different C3 convertases.
False
There are many different C3 convertases.
How does the complement system cause inflammation?
C3a and C5a act on blood vessels to increase vascular permeability and cell-adhesion molecules. This increased permeability allows increased fluid leakage from blood vessels and etravasation of immunoglobulin and complement molecules. As well, migration of macrophages and lymphocytes is increased.
What happens when C3a and C5a are present in large amounts?
Anaphylactic Shock
True or False?:
Complement receptors connect complement-tagged pathogens to effector cells.
True
What do C3aRs and C5aRs on granulocytes do?
They stimulate release of proinflammatory cytokines and granule components from basophils, eosinophils, neutrophils, and mast cells.
How do complement pathways lead to an increase in phagocytosis?
C3 cleavage leaves C3b on bacterium surfaces. Since phagocytes have C3bRs, the presence of C3b increases their ability to phagocytose.
What happens when only C3b binds to CR1 (a C3bR)? How is this rectified?
When only C3b binds to CR1, bacteria are not phagocytoses. C5a can activate macrophages to phagocytose.
What is created by complement factors to cause pathogen lysis?
Membrane-Attack Complex
What do complement-regulatory proteins do?
Complement-regulatory proteins prevent complement activation from proceeding under normal/basal conditions. They prevent the appearance of C3 convertase and promote the disappearance of C3 convertase.
