The Complement System Flashcards

Quiz 2

1
Q

What is the complement system?

A

A series of proteins that are secreted mostly by the liver. When in inactive form, they circulate in the blood, interstitial fluid, and other fluids

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2
Q

What is Opsonization

A

Coating of pathogens with proteins (opsonin)

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3
Q

How do the Phagocytes recognize the opsonins during opsonization?

A

phagocytes have receptors and this increases phagocytosis

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4
Q

What are two examples of opsonins

A

antibodies and complement proteins

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5
Q

What are the three proteins that C1 is made of

A

C1q, C1r, and C1s

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6
Q

What is the function of C1q

A

Binds to the antigen: antibody complexes and pathogen surfaces

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7
Q

List the 8 complement proteins that are activating enzymes

A

C1r, C1s, C2a, Bb, D, MASP-1, MASP-2, MASP-3

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8
Q

Describe C1 from the Classical Pathway

A

-C1q recognizes microbial surface OR binds to antibodies
-C1r and C1s are inactive proteases bound to C1q

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9
Q

Describe the start of the complement system with the classical pathway

A

-First, the pathogen infects
-antibodies that are already present (from previous infection) will then bind to the pathogen
-when C1q binds to the antibody, it will activate C1r which will cleave C1s
-C1s is then activated and will cleave C4 and C2
-C4b binds C2
-C4b2a (classical C3 convertase) cleaves C3 and activates C3
-C3b opsonizes the pathogen surface

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10
Q

what is the function of C1r

A

cleaves C1s to active protease

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11
Q

What is the function of C1s

A

Cleaves C4 and C2

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12
Q

What is the function of C4b

A

covalently binds to pathogen and opsonizes it. Binds C2 for cleavage by C1s

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13
Q

What is the function of C4a

A

Peptide mediator of inflammation (weak activity)

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14
Q

What is the function of C2a

A

active enzyme of classical pathway C3/C5 convertase: cleaves C3 and C5

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15
Q

What is the function of C3b

A

Binds to the pathogen surface and acts as opsonin. Initiates amplification via the alternative pathway. Binds C5 for cleavage by C2a

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16
Q

What is the function of C3a

A

Peptide mediator of inflammation (intermediate activity)

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17
Q

What is the purpose of anaphylatoxins

A

-vasodilators: (increase vascular permeability) gets cells to site
-can act as chemokines (attract immune cells)
-induce mast cell degranulation (Histamine release)
-THE END GOAL: inflammation

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18
Q

What are the two complement proteins that are anaphylatoxins

A

C4a and C3a

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19
Q

what induces anaphylactic shock?

A

anaphylatoxins induce shock (the same as an allergic reaction)

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20
Q

How does C3b opsonization work?

A

-C3 contains 2 disulfides
-highly reactive thioester (ThioEster Domain TED)
-The TED domain is how C3b binds to the pathogen surface

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21
Q

What happens if the TED domain of C3b binds to water

A

It will become inactive as a way to protect the immune system

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22
Q

Give a classical pathway summary (very brief)

A

-Starts with C1
-Recognizes antibody or cell wall/lipids of bacteria
-lead to a protease cascade
-releases anaphylatoxins (induce inflammation)
Create C3 convertase (C4b2a)

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23
Q

What does the lectin pathway recognize to begin process

A

-senses unique carbs on the pathogen surface

24
Q

How does the Lectin pathway sense unique carbs on pathogens?

A

Bacteria and yeast have terminal mannose while vertebrates do not and this allows them to distinguish between the species

25
Q

What are the four different pattern recognition receptors from the Lectin Pathway?

A

-Major one: mannose-binding lectin (MBL)
-the other three are ficolins (L-, M-, H-ficolin)

26
Q

What do the Lectin Pathway pattern recognition receptors bind to?

A

carbohydrates

27
Q

What type of carbohydrates do MBL bind to

A

-mannose
-fucose
-N-acetylglucosamine (bacterial cell wall)

28
Q

What type of carbohydrates do Ficolins bind to

A

acetylated sugars (bacterial cell wall)

29
Q

What is Affinity

A

Strength of interaction between two molecules (usually represented by Kd)

30
Q

What is avidity

A

OVerall strength of multiple interactions between two molecules (represented by Keq)

31
Q

How does avidity work

A

-binding at one site brings the otehr two sites into closer contact
-this increases the chance that they will interact (kon)
-if one site dissociates, the other site(s) can stay bound
-for dissociation to occur, all sites must dissociate simultaneously

32
Q

How does avidity apply to the lectin pathway?

A

MBLs and ficolins have the ability to bind free sugars therefore with avidity, the sugars need to be a certain distance/ pattern for good binding and this is why we only see binding on the surfaces

33
Q

What does MASP stand for

A

MBL-associated serine proteases

34
Q

What are the role of MASP-1,-2, and -3

A

-They are a complex with MBL
-upon binding of MBL, MASP-1 cleaves and activates MASP-2
-MASP-2 cleaves C4 and C2 to form C4b2a C3 convertase (the same as classical pathway)

35
Q

What are the two MASP that ficolins use

A

MASP-1, and -2

36
Q

What are the two ways the alternative pathway form

A

-way 1: C3b deposition from lectin or classical pathway (C3 convertase is now C3bBb)
-way 2: spontaneous activation, C3 undergoes spontaneous hydrolysis to C3(H2O) therefore convertase is now C3(H2O)Bb

37
Q

What is dangerous about the alternative pathway?

A

spontaneous activation could lead to attacking host cells

38
Q

How can the alternative pathway be prevented from attacking the host cell

A

-with the use of regulatory proteins
-Properdin (factor P) is released by neutrophils and binds pathogen surfaces to stabilize the C3bBb convertase and requires neutrophil activation AND a pathogen surface

39
Q

What are the four components of the alternative pathway

A

C3, Factor B, Factor D, and Properdin (P)

40
Q

What is the function of Bb in the alternative pathway

A

Bb is the active enzyme of the C3 convertase C3bBb and the C5 convertase C3b2Bb

41
Q

What is the function of Factor D

A

plasma serine protease, cleaves B when it is bound to C3b to Ba and Bb

42
Q

What is the function of Properdin

A

Plasma protein that binds to bacterial surfaces and stabilizes the C3bBb convertase

43
Q

What do all three pathways generate

A

a C3 convertase

44
Q

What is the C3 convertase for the lectin pathway

45
Q

What is the C3 convertase for the classical pathway

46
Q

What is the C3 convertase for the alternative pathway

47
Q

What happens when C3b binds to C3 convertase

A

generates C5 convertase

48
Q

What is the C5 convertase for lectin pathway

49
Q

What is the C5 convertase for the classical pathway

50
Q

What is the C5 convertase for the alternative pathway

51
Q

What are the three outcomes of complement activation

A

-small cleavage products induce inflammation
-receptors recognize C3b for phagocytosis
-Membrane attack complex (MAC) formation

52
Q

Explain the process of small cleavage products inducing inflammation

A

-small complement-cleavage products act on blood vessels to increase vascular permeability and cell-adhesion molecules
-increase permeability allows increased fluid leakage from blood vessels and extravasation of immunoglobulin and complement molecules

53
Q

Describe the Membrane attack complex (MAC) formation

A

-C5b binds C6 and C7
-C5b67 complexes bind to membrane via C7
-C8 binds to the complex and inserts into the cell membrane
-C9 molecules bind to the complex and polymerize
-10-16 molecules of C9 bind to form a pore in the membrane

54
Q

What other things are bound by the complementary system

A

-apoptotic cells
-virus-infected cells
-Cancerous cells

55
Q

What is Factor H binding protein an example of?

A

One way pathogens have evolved around the complement system

56
Q

What is the factor H binding protein?

A

-hHBP is an integral membrane protein of N. meningitidis
-binds serum factor H
-factor H’s role is to protect host from complement
-now it protects the pathogen (basically makes the pathogen look ‘host-like’)