Lecture 7: Complement Flashcards

1
Q

what is complement

A

a collection of soluble proteins present in blood and other body fluids that serves to ‘complement’ antibody activities

*many complement proteins are proteases

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2
Q

when is complement activated

A

in response to pathogens or antibodies bound to pathogens

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3
Q

what is required in order for complement proteins to become active

A

proteolytic cleavage of C3—> C3a and C3b

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4
Q

what results in the rapid inactivation of C3b ?

A

if it becomes unbound to pathogen

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5
Q

what triggers the activation of the Lectin Pathway?

A
  • by pattern recognition receptors MBL (Mannose Binding Lectin) and ficolins
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6
Q

what are the key molecules in the LECTIN pathway

A
  • MBL/Ficolin
  • MASP2
  • C4
  • C2
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7
Q

what are the key molecules in the CLASSICAL pathway

A
  • C1q
  • C1r
  • C1s
  • C4
  • C2
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8
Q

what are the key molecules in the ALTERNATIVE pathway

A
  • Factor D
  • Factor B
  • properdin
  • C3
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9
Q

explain the steps in the lectin pathway

A
  • activated MASP2 associated w/ MBL or Ficolin cleaves C4 into C4a + C4b
  • C4b binds to microbial surface
  • C4b binds to C2
  • C2 cleaved by MASP2 —> C2b and C2a
  • C4bC2a complex forms
  • C4bC2a = C3 convertase
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10
Q

what initiates the classical pathway

A

IgG binding to an antigen on pathogen surface

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11
Q

what are the 2 ways in which the alternative pathway can be activated

A
  • C3b deposited by classical or lectin pathway C3 convertase
  • spontaneous hydrolysis of C3
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12
Q

What is different about the alternative pathway’s C3 convertase

A

it is C3b bound to Bb

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13
Q

what are the C3 convertases from the classical, lectin and alternative pathways

A

classical & lectin: C4bC2a
alternative: C3bBb

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14
Q

role of C3b

A

binds to pathogen, opsonizes it, signals for its destruction

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15
Q

how is C5 convertase formed in each pathway

A

Classical and lectin: C3b binds C4bC2a –> C4bC2aC3b
alternative pathway: C3b binds C3Bb –> C3bC3bBb

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16
Q

what are the 3 main functions of the complement system

A
  • destroy invading pathogens via phagocytosis
  • initiate localized inflammatory response
  • Membrane Attack Complex
17
Q

effects of C3a, C4a and C5a

A
  • they bind to receptors on endothelial and mast cells to produce inflammation
  • C5a acts on neutrophils to increase adherence
18
Q

What are the regulatory mechanisms of the complement system

A
  • C1 inhibitor
  • Factor I
  • Factor H
  • DAF, C4BP, CR1
  • CD59
19
Q

how does C1 inhibitor work

A

dissociates C1r and C1s from the active C1 complex

20
Q

role of Factor I in regulation of complement

A

inactivates C3b by cleaving it to iC3b

21
Q

role of Factor I in regulation of complement

A

inactivatesC3b by cleaving it to iC3b

22
Q

role of DAF, C4BP, CR1 in regulation of complement

A

displace C2a from C4bC2a complex

23
Q

role of CD59 in regulation of complement

A

prevents the final assembly of MAC at C8-9 stage

24
Q

waht is Atypical hemolytic uremic syndrome

A

mutations of Factor I, Factor H or MCP
* unable to effectively regulate complement
* leads to damage of platelets and RBCs

25
Q

what is Accelerated macular degeneration

A

leading cause of blindness in elderly
* base change in factor H genes
* complement is activated on host photoreceptors