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Complement System
Protective system common to all vertebrates.
Innate Immunity
Immediate response to pathogens without prior exposure.
Adaptive Immunity
Specific response involving antibodies against pathogens.
Serum Glycoproteins
20 proteins in plasma involved in complement.
Cascade Activation
Sequential activation of complement factors.
Coagulation Cascade
Similar activation sequence for blood clotting.
Activation Pathways
Three pathways leading to complement activation.
Classical Pathway
Requires antibodies (Ig) for activation.
Alternative Pathway
Triggered by microorganisms without antibodies.
Lectin Pathway
Does not require antibodies for activation.
C3 Activation
Key step in all complement pathways.
Anaphylatoxin
Substance that induces inflammation and immune response.
Opsonisation
Process of marking pathogens for destruction.
C3a
Anaphylatoxin generated from C3 activation.
C3b
Opsonin that enhances phagocytosis of pathogens.
Membrane Attack Complex (MAC)
Structure that lyses pathogen membranes.
Inactive C3b
Form of C3b when no pathogen is present.
Mannose Binding Lectin (MBL)
Initiates lectin pathway of complement activation.
C3 Convertase
Enzyme complex that cleaves C3 into C3a and C3b.
Complement Nomenclature
Components numbered C1-C9 based on discovery order.
C4b2a
Active protease complex in Classical Pathway.
Classical Pathway
Complement activation requiring antibody binding.
C1 Complex
Consists of 6C1q, 2C1r, 2C1s molecules.
Complement Fixation
Binding of antibody to antigen activates complement.
C1q
Globular molecule binding to Fc portion of Ig.
IgM
Antibody with five Fc fragments for activation.
IgG
Antibody class that can activate complement.
C3 Convertase
Enzyme complex formed by C4b2a.
C4b
Membrane-bound component that binds C2.
C4a
Soluble fragment triggering mast cell degranulation.
C2a
Fragment that remains attached to C4b.
C2b
Soluble fragment that diffuses away.
C3b
Opsonin that binds to antibody surface.
C3a
Anaphylatoxin causing mast cell degranulation.
C5 Convertase
Complex formed by C4b2a3b.
C5a
Diffusible fragment triggering vasodilation and chemotaxis.
C5b
Labile component that binds C6 for activation.
C5b678 Complex
Forms membrane attack complex in cell lysis.
C9
Final component added to membrane attack complex.
Mast Cell Degranulation
Release of histamine triggered by C3a and C5a.
Vasoactive Amines
Substances released affecting blood vessel permeability.
Anaphylatoxin
Substance causing mast cell degranulation and inflammation.
C9 Molecules
Assemble to form 100Å diameter pores.
Membrane Attack Complex (MAC)
C5b678(9)n complex forming pores in membranes.
Pore Function
Allows passage of ions, small molecules, water.
Osmotic Pressure
Increases, causing water influx and cell lysis.
Alternative Pathway
Ig-independent complement activation pathway.
C1, C4, C2
First three components absent in Alternative Pathway.
C3 and C5-C9
Components involved in the Alternative Pathway.
C3 Convertase
C3bBb complex, cleaves C3 for amplification.
Tickover
Continuous low-level breakdown of labile C3.
C3b Inactivation
Regulatory proteins inactivate C3b within seconds.
C3b Opsonin
Enhances phagocytosis by marking pathogens.
Factor B
Binds to C3b, cleaved by factor D.
C3bBb Stabilization
Stabilized by Properdin (P) for activity.
C5 Convertase
C3bPBb3b, equivalent to classical C5 convertase.
C5a and C5b Generation
End of pathway identical to Classical Pathway.
Lectin Pathway
Innate immune pathway, antibody independent.
Mannose Binding Protein (MBP)
Binds mannose on pathogen surfaces.
MASP Proteases
MBP-associated serine proteases cleaving C4 and C2.
C3 Importance
Pivotal in complement activation; deficiency leads to infections.
Complement Deficiencies
Rare in unselected populations, lead to diseases.
C3b Binding
Attaches to microbial surfaces, enhancing opsonization.
Functional Redundancies
Multiple immune system functions may overlap.
Autoimmune Diseases
Conditions where the immune system attacks self-tissues.
C3 Deficiency
Severe disease linked to infections and autoimmune phenomena.
Complement System
Mediates inflammation and immune responses.
Regulatory Mechanisms
Control activation to prevent tissue damage.
Short Half-Lives
Active components lose function quickly post-activation.
Regulatory Proteins
Limit damage to host tissues during activation.
Innate Autoreactivity
Immune response against body's own cells.
Thrombotic Microangiopathy
Characterized by anemia and endothelial damage.
Complement Inhibitors
Prevent excessive inflammation and tissue injury.
Secondary Complement Deficiency
Increased infection risk due to uncontrolled activation.
Kinin System
Involved in inflammation, interacts with complement.
Coagulation System
Blood clotting process that can be affected by complement.
Complement Dysregulation
Leads to diseases triggered by infections or stress.
Therapeutic Complement Inhibitors
Medications to control excessive complement activation.
Opsonisation
Enhances phagocytosis by marking pathogens.
Membrane Attack Complex (MAC)
Forms pores in pathogen membranes for destruction.
Classical Pathway
Activation requiring antibodies IgG or IgM.
Alternate Pathway
Initiated by C3b binding to pathogens.
Mannose Binding Lectin (MBL) Pathway
Binds mannose on pathogens to activate complement.
C3 Convertase
Enzyme that cleaves C3 in complement activation.
C5 Convertase
Enzyme that cleaves C5, leading to MAC formation.
Primary lymphoid organs
Sites for lymphocyte development and maturation.
Bone marrow
Location for hematopoiesis and lymphocyte origin.
Thymus
Site where T cells mature from bone marrow.
Secondary lymphoid organs
Sites for lymphocyte activation and immune response.
Lymph nodes
Filter lymph and facilitate immune cell interactions.
Spleen
Filters blood and activates immune responses.
Diffuse lymphoid tissue
Loose arrangement of lymphoid cells in mucosal areas.
Nodular lymphoid tissue
Organized lymphoid structures, includes solitary and aggregate nodules.
Solitary nodule
Single lymphoid nodule found in various tissues.
Aggregate nodule
Cluster of lymphoid nodules, e.g., Peyer's patches.
Hematopoietic stem cell
Stem cell in bone marrow producing immune cells.
Adaptive immune cells
Lymphocytes committed to specific antigens.
Immunocompetent
Fully developed lymphocytes capable of immune response.
Interstitital fluid removal
Function of lymphatic system to maintain fluid balance.
Fatty acid absorption
Transport of fats as chyle into circulation.