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what is the complement system
system of soluble plasma proteins (aka complement proteins ) that act to opsonize and lyse pathogens
what is opsonization
coating of a pathogen with antibodies and/or complement proteins so that it can be more readily taken and destroyed by phagocytic cells
where are complement proteins produced
in the liver
true or false: the complement system is apart of the innate immune system AND the adaptive immune system
FALSE: only part of the innate immune system
are complement proteins always active?
NO - circulate in inactive forms. activated in the presence of pathogens or antibodies bound to pathogens
what would happen if the complement sytsem was active all the time
would attack our healthy cells
what are the three different proteolytic pathways (cascade) that lead to complement activation
contact with pathogen → alternative pathway → lectin pathway → classical pathway
how does complement activation occur
via a cascade of enzymatic reactions in which one component activates the next
stages of complement action
pattern-recognition trigger → protease cascade amplification/C3 convertase → inflammation, phagocytosis, membrane attack
where do all 3 pathways converge
inflammation, phagocytosis, membrane attack
what are many of the complement proteins and what do they do
many are proteases - they successively cleave and activate each other
what are these proteases synthesized as
inactive pro-enzymes; or zymogens
what causes zymogens to become enzymatically active
only after proteolytic cleavage, usually by another complement protein
what are complement pathways triggered by
proteins that act as PRRs to detect the presence of pathogens
what does the detection of pathogens activate
an initial zymogen, triggering a cascade of proteolysis - other zymogens are activated sequentially - amplifying the signal as the cascade progresses
how does the complement system differentiate host cells from pathogens
labels foreign molecules and pathogens as non-self to allow detection by the immune system
complement fixation
activation of the complement proteins promotes the attachment of specific proteins to the pathogen surface that then serves as an opsonin for recognition by phagocytic cells
true or false: some components of the complement system are capable or directly damaging and destroying pathogens
TRUE
membrane attack complex:
insertion of complement components into the pathogen memrbane and formation of pores that in the membrane disrupt the osmotic balance across the membrane and promote pathogen death
what are complement proteins designated by
the letter C followed by a number
how do you label inactive complement proteins (aka zymogens)
with a simple number designation e.g. C1 and C2
named in what order
order of discovery: C1, C4, C2, C3, C5, C6, C7, C8 and C9
how are products of cleavage named
by adding a lowercase letter as a suffix
e.g. C3 cleaves to produce C3a (smaller fragment) and C3b (larger fragment)
what are the exceptions to the products of cleavage
C3 cleaves to produce C3a (larger fragment)
C1q, C1r, and C1s are not cleavage products of C1, but distinct proteins that together compose C1
how are proteins of the alternative pathway named
factor B and factor D
what does factor B cleave into
factor Ba (smaller) and factor Bb (larger)
C1 function, and what pathway is it present in
protease involved in cleaving C2 and C4; classical
C2 function and what pathway is it involved in
cleave dby either C1 or MASP-2 to form C2b fragment of classical C3 convertase; lectin and classical
C4 function and what pathway is it involved in
cleaved by either C1 OR MASP-2 to form C4b fragment of classical C3 convertase; lectin. and classical
what initiates the lectin pathway
initiated by soluble carbohydrate-binding proteins - mannose-binding lectin (MBL) and ficolins
what do mannose-binding lectins and ficolins bind to
particular carbohydrate structures on the microbial surfaces
what triggers the cleavage of complement proteins and activation of the lectin pathway
MASPs (MBL-associated serine proteases)
what do MASPs do
trigger the cleavage of complement proteins and activation of the lectin pathway
when is the classical pathway initiated
when C1 (complement component 1; comprised of C1q, C1r and C1s) either recognizes a microbial surface directly or bind to antibodies already bound to a pathogen
what initiates the alternative pathway
initiated by spontaneous hydrolysis and activation of C3, which can bind directly to microbial surface - C3 Tickover
what is the first pathway that gets activated
the alternative pathway
what do all pathways generate
a C3 convertase, which cleaves C3, leaving C3b bound to the microbial surface and releasing C3a
what happens to C3a
gets lost in fluids
when do all 3 pathways converge
at the central and most important step in complement activation - C3
what does C3b start to do
starts coating pathogen
what does cleavage of C3 lead to
directly or indirectly leads to all the effector activities of the complement system
what happens after all pathways converge at C3
C3a and C5a recruit phagocytic cells to the site of infection and promote inflammation
phagocytes with receptors engulf and destroy the pathogen
all pathogens generate a C5 convertase that leads to formation of a membrane-attack complex (MAC), which disrupts cell membranes
what is the most important factor of the complement system
complement component C3
what does C3 cleave into
C3a and C3b
what is C3a
and anaphylatoxin
what is C3b
an opsonin
what is an anaphylatoxin
molecules capable of activating an inflammatory response by triggering degranulation of cells capable of inducing inflammation
what is an opsonin
covalently attaches to the pathogen surface. Marks the pathogen for destruction (acts as an opsonin) - renders pathogen more susceptible to phagocytosis
what enzyme causes the breakdown of C3
C3 convertase
how does C3 convertase activate C3 for covalent bonding to microbial surfaces
by cleaving it into C3a and C3b and exposing a highly reactive thioester bondin C3b
C3 convertase of the lectin and classical pathway
C4b2a
what is the C3 convertase of alternative pathway
C3bBb
what is the C5 convertase of the lectin and classical pathway
C4b2a3b
what is the C5 convertase of the alternative pathway
C3b2Bb
consists of two C3b subunits and on Bb subunit
duties of C3a
recruitment of phagocytes
granulocyte activation
duties of C3b
pathogen opsonization
pathogen lysis
what kickstarts the lectin pathway
mannose-binding lectin and ficolins form complexes with serine proteases and recognize particular carbohydrates on microbial surfaces
how do MBLs primarily exist
as trimers and tetramers, with each MBL molecule consisting of two to six trimers
MBL binds with high _____ to repetitive carbohydrate structures on microbes due to its carbohydrate-recognition domains targeting mannose, fucose, and GlcNAc, but it avoids binding to sialic acid residues found on host cells
avidity
MBL in plasma binds to five proteins: what are they?
three MBL-associated serine proteases, MASP-1, MASP-2, MASP-3 and two nonenzymatic proteins, MAp19, MAp44
what do ficolins bind to
oligosaccharides containing acetylated sugars
what do MBL bind to with high avidity
mannose and fucose residues
the actions of the _______ result in the binding of large numbers of ______ molecules to the pathogen surface
C3 convertase; C3b
what is the first protein in the classical pathway of complement activation
C1, a complex of C1q, C1r, and C1s
C1q function
binds directly to pathogen surfaces or indirectly to antibody bound to pathogens, thus allowing autoactivation of C1r
C4 gets cleaved into C4a and C4b, C4a gets lost
C2 gets cleaved into C2a and C2b, C2b gets lost
C2a amd C4b form C4bC2a - the classical C3 convertase
this cleaves C3 into C3a and C3b - C3a gets lost
how is the alternative pathway activated
water joins C3 producing iC3[C3(H2O)], the production of this is accelerated in the presence of a pathogen
factor B binds to iC3[C3(H2O)]
factor D proteolytically cleaves factor B activating it
iC3Bb is formed (fluid phase C3 convertase)
C3 is then cleaved into C3a and C3b
Factor B then joins C3b
Factor D then cleaves factor B into Bb and Ba
Ba leaves and C3bBb is formed (alternative phase C3 convertase)
C3 is then cleaved into C3b and C3a
The alternative pathway is an amplification loop for C3b formation that is accelerated by ______ in the presence of pathogens
properdin
what is properdin
plasma protein that enhances the activity of the alternative C3 convertase to aid in the complement activation and fixation (aka factor P) - made by neutrophils
how can the alternative pathway benefit the classical or lectin pathway
the alternative pathway of complement activation can amplify the classical or the lectin pathway by forming an alternative C3 convertase and depositing more C3b molecules on the pathogen
what do human cells express to ensure that C3b fixation on host surfaces does not result in targeting these cells for destruction
membrane proteins that inhibit complement
examples of membrane proteins on human cells that prevent complement fixation
DAF (decay accelerating factor) - breakdown the alternative C3 convertase
MCP (membrane cofactor protein) - binds to C3b and enhances its cleavage to inactive iC3b by factor I
Factor H
plasma protein that enhances the cleavage of C3b into iC3b by Factor I
how do plasma proteins bind to cell membranes
by interacting with sialic acid, a common carbohydrate on the surface of eukaryotic cells
what is the defense mechanism that some bacteria have evolved
incorporating sialic acid on their surfaces, thus inhibiting complement activation
cell-surface receptors bind to ________ fixed on the surface of a pathogen, allowing for ______ and ______
complement proteins; recognition; phagocytosis
iC3b is a ligand for
CR3 and CR4
C3dg is a ligand for
CR2
what does Factor I do
serine protease that inactivates C3b through its cleavage into a smaller fragment known as iC3b, which cannot function as a component of C3 convertase
what is Membrane-Attack Complex (MAC)
a complex of 5 complement proteins C5, C6, C7, C8, and C9 that work in concert to form holes in bacterial and eukaryotic membranes
what functions as an initiating factor in the formation of the MAC
C5b
what plasma proteins are involved in regulating MAC
S protein, clusterin, and factor J
what Human-cell surface proteins are involved in regulating MAC
CD59, HRF
functions of anaphylatoxins C3a and C5a
act on blood vessels to increase vascular permeability and cell-adhesion molecules
what does increased vascular permeability allow for
increased fluid leakage from blood vessels and extravasation of immunoglobulin and complement molecules
what happens to migration of macrophages, neutrophils, and lymphocytes due to increased vascular permeability
it is increased, so is microbicidal activity of macrophages and neutrophils
what happens when the complement system malfunctions
abnormal clearance of bacteria and fungi
hypersensitivity responses and autoimmune disorders (lupus)- due to improper clearance of soluble immune complexes
increased infection rate due to malfunction of MAC