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What form will substrates in the complement cascade be in?
classical, MB lectin, alternative
three pathways of the complement system
inflammation, opsonization promoting phagocytosis, membrane attack complex and lysis
three main outcomes of complement
antibodies bound to target cell membrane
What is the classical pathway dependent on to start?
IgG and IgM
first two antibody types made in an immune reaction, help activate the classical pathway
C1
a complement protein that recognizes the stem of the antibodies bound to the target; cleaves C2 and C4 in the classical pathway
bind and cleave C2 and C4 in classical pathway
What does C1 do?
C3 convertase
enzymatic complex made by multiple proteins in the complement pathway that splits molecule of C3 and splits it into a and b subunits
lectin and alternative
What complement pathways are antibody independent?
MBL/MASPs
bind and cleave C2 and C4 in the lectin pathway
bind and cleave C2 and C4 in lectin pathway
What do MBL/MASPs do?
alternative
fastest complement pathway
attach directly to surfaces of bacteria, viruses, or fungi
What does C3 do at the beginning of the alternative pathway?
properdin
protein that kicks off the alternative pathway through spontaneous hydrolysis
pathogen cell surface molecules like endotoxin
can trigger the alternative pathway to begin (not the protein)
spontaneous hydrolysis of C3 and Factor B joins C3b before cleavage by factor D
What happens to form the C3 convertase in the alternative pathway?
amplification loop
feature of the alternative pathway formed because on some level C3 continues splitting
split C3 into a and b subunits
What does C3 convertase do?
diffuses away and promotes inflammation
What happens to the C3a subunit?
becomes an opsonin and helps form C5 convertase
What does the C3b subunit do?
split C5 into a and b subunits
What does C5 convertase do?
recruit neutrophils, activate mast cells, serve as ligands for immune receptors
What do the C5a and C3a subunits do?
helps form membrane attack complex
What does the C5b subunit do?
lysis
What does the membrane attack complex do?
C1, C4, C2
form the C3 convertase
anaphalatoxins
induce systemic inflammatory reactions (examples: C3a, C4a, C5a)
mast cell degranulation, increased vascular permeability, smooth muscle contractions, recruit and activate innate immune cells
What do anaphylatoxins cause?
histamine and TNF alpha
What do anaphylatoxins cause mast cells to degranulate?
swelling and expression of adhesion molecules on endothelium
What does increased vascular permeability by anaphylatoxins involve?
increase motility, stimulate respiratory burst, production of reactive oxygen species
What do neutrophils do when anaphylatoxins induce acute inflammation?
complement proteins, order of antibody production, complement binding site on antibodies, C1 inhibitor, decay accelerating factor
five ways complement is regulated in the host
short half life, inducible, and inactive in pro enzymatic state
How do complement proteins help regulate complement in the host?
remains inaccessible until binds to antigen
How does the complement binding site on antibodies help regulate complement in the host?
bind C1 and acute phase lectin pathway initiators
What does C1 do to regulate complement?
decay accelerating factor
glycoprotein on human cells that binds to C3b and C4b and restricts C3b and C5 convertase formation
membrane attack complex on human cells
What does decay accelerating factor prevent?
glycoprotein
What type of molecule is decay accelerating factor?