Soluble mediatros of the immune system Flashcards

1
Q

Complement system

A
  • part of innate immune system
  • composed of ~18 different heat- labile proteins; most are enzymes/ proteinases
  • major component of beta 1 and beta 2 globulins on SPEP
  • most components made in liver
  • C1 from epithelium of GI and urogenital tracts
  • acitivation of C’ via 3 different pathways
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2
Q

Activities of the CS

A
Host defense vs. infection
- opsonization
- chemotaxis and leukocyte activation 
- lysis of bacteria and mammalian cells
Interface between innate and adaptive immunity
- Augments Ab response
- Enhaces immune memory
Disposal of wastes
- Clears immune complexes
- Clears cell fragments
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3
Q

Complement Activation

A

C’ components circulate in inactive for
Control proteins: C1 Inh, Factor I, Factor H, C4-biding protein also present to inhibit uncontrolled activaiton
Classical pathway- Ab activated
Alternative pathway - amino or hydroxyl grps on bacterical and mammalian cells surfaces
Lectin pathway- Mannose binding Lectin (MLB) - on surface microbes and serine proteasess (MASP1 and MASP2)
3 stges for all pathways: recognition, activation and membrane attack
All pathways converge at the point of cleavage of C3 to C3b

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4
Q

Proteins of Classical Pathway

A
  • system consists of 9 components (C1-C9)
  • for several steps in activation the product is an enzyme that catalyzes the next step generating 2 fragments:
    • the larger fragmen “b” becomes associated with the other C’ proteins/Ab and in some cases is a proteolytic enzyme.
    • the smaller fragment “a” is released into surrounding environment.
    • so… a cascade that amplifies the activation of large amount of C’ by a relatively small initial signal
    • there are several sites for regulation
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5
Q

Classical Pathway- activation of C1

A

C1 is a complex of 3 proteins (C1q, C1r, C1s) held together by Ca2+ ions

  • C1q has 6 identical subunits—activation requires biding of C1q subnites to C1q - specific receptors on the Fc regions of at least 2 adj IgG molecules
  • Or … 2 Fc regions of one IgM
  • C1q receptors become available following conformational changes on at least 2 Abs each binding 2 epitopes on a multivalent Ag
  • Activated C1q activates C1r which then activates C1s
  • Activated C1s has proteolytic properties and acts on the next component … C4
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6
Q

Classical Pathway - activation of C4

A

C4 is a glycoprotein made by macrophages

  • activated C1s cleaves a fragment C4a from C4 thereby activating it to C4b
  • function of C4b to bind to cell membrane adj to the Ab-Ag complex that initiated the process; interacts with C1s to induce cleave of C2
  • If C4b doesn’t bind to membrane, it decays and is active.
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7
Q

Classical Pathway - activation of C2

A

C2- a glycoprotein — cleaved by action of C1s and C4b, C2a remains associated with C4b — the complex is new enzyme - C4b2a = C3 convertase (unstable half-life of 5 minutes as C2b is released and decays
- Constraints on activity of C1s on C4 and C2 and on the stable formation of C4b2a: protease inhibitor C1 esterase - binds to C1s and C1r inhibits in the fluid phase, i.e., stop excessive rx. —- C3b inactivator: destroy acceptor site for C2 by disintegrating C4b on membranes so … no C4b2a convertase

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8
Q

Classical Pathway - activation of C3

A
  • C3 is a beta globulin from macrophages
  • activated by C3 convertase: split into smaller C3a and larger C3b, a single C4b2a can activate hundreds of C3 molecules= amplification
  • C3b: – attaches to cell membrane in immediate vicinity of site of activation (many C3b’s attach to target cell membrane) —one C3b combines with C4b2a giving C4b2a3b = C5 convertase
  • C3a remains in fluid phase - anaphylatoxin
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9
Q

MAC -activation of C5, C6, and C7

A
  • C5, C6 and C7 are globular proteins
  • C5 convertase splits C5 into 2 fragments
  • C5b binds with C6 and C7 to form C5b67 on the cell membrane — this complex focuses the activity of C8 and c9 onto the target membrane
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10
Q

MAC - activation of C8 and C9

A
  • C8 and C9, directed by C5b67 insert themselves in the membrane and produce transmembrane channels: ions pass through, disturbs osmotic equilibrium … cell lyses.
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11
Q

Alternative pathway

A
  • Doesn’t require Ag-Ab complex for initiation
  • 3 proteins unique to the AP: Factor B, D and P (proper in)
  • C3- most abundant C’ protein – spontaneous cleavage occurs continuously
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12
Q

Alternative pathway - recognition and activation

A
  • Reactive C3b exists in trace amounts in normal serum – C3b binds to pathogen surface – protein B binds to stabilized C3b –> C3bB – protein D clips part of protein B, resulting in C3bBb
  • C3bBb = convertase that cleaves C3 to become C3a and C3b (which combines with more protein B…amplification) – Amplification is balanced by rapid C3bB dissociation – Regulation is by factor P = properdin which stabilizes C3bBb complex
  • C3b also activates C3, resulting in C3bBbC3b = C5 convertase, which activates the remaining components of the cascade
  • C5 convertase then activate other components to form the MAC, resulting in cell lysis.
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13
Q

MBL pathway

A

Ca2+ dependent

  • MBL - homologous in structure to C1q
  • MASP1 and MASP2 are homologous to C1r and C1s
  • Result is C3 convertase from bound C2a and C4b
  • MLB binds to mannose grp on – yeast, viruses, bacteria, parasites.
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14
Q

MAC

A
  • generation of C5 convertase by classical/MBL and alternative pathways: Classical and MBL pathways - C4b2a3b – Alternative pathway: C3bBb
  • C5 converted to C5b and C5a, but only when bound by C3b
  • C5b binds C6, then C7, which all binds to cell membrane
  • C8 then binds to complex and inserts into lipid bilayer
  • 10 -15 molecules of C9 then bind to complex and polymerize to form cell mb pore
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15
Q

Protection of HOST cells vs. C’ attack

A
  • CD55: decay accelerating factor (DAF)
  • CD59: protectin
  • Factor I: results in inactive C3b (iC3b)
  • Factor H -competes with Factor B
  • properdin: binds to pathogen surface and stabilizes the convertase
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16
Q

Biologic effect of Proteolytic C fragment

A
  • C4a , C3a and C5a: anaphylatoxins, bind to receptors on mast cells resulitng in histamine release
  • C3b - removal of immune complexes
  • C3B, iC3B, C3b -opsonization
  • C3a an C5a - chemattractants
17
Q

Alterations in C levels

A
  • persistent infections
  • autoimmune disorders
  • intravascular throbosis
  • certain disease states
  • genetic disorders
  • elevated C’ levels: inflammatory conditions
  • decreased C ‘ levels: –excessive activation (consumption) – genetic defeat (decreased production)
  • C deficiency often leads to increase susceptibility to pyogenic infections
  • Classical pathway componens : pyogenic infection
  • MAC components: Neisserial infections
  • MBL components: recurrent infections in infants and young children
18
Q

Deficiencies of C components

A

Paroxysmal noctrunal hemaglobinuria (PNH)

  • deficiency of DAF on cell surface
  • results in RBCs subject to bystander lysis when C is activated
  • Ultimately resulting in C medicated intra and extracellular hemolysis