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Complement System
Mon 8/24, L 05
42
Medical
Professional
08/25/2009

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Cards

Term
Name the major serine proteases.
Definition
C1r, C1s, C2a, Factor B (Bb), Factor D, MASP 1, MASP 2
Term
what are the substrate binding molecules?
Definition
C1q, C3, C4, MBL
Term
What molecules are part of the MAC complex. Which is most important for perforating membrane?
Definition
C5b, C6, C7, C8, C9. C9 most responsible for punching membrane holes.
Term
What are the bioactive fragments and what are their main roles?
Definition
C3a, C5a, C3b, iC3b, C4a

Involved in opsonization and inflammatory response
Term
What are some key regulators?
Definition
-properidin (only + regulator)
-C1 inhibitor (C1INH)
-Factor I (only protease inhibitor)
-Factor H
-C4BP
-MCP (membrane cofactor protein) or CD46
-DAF/CD55
-S protein
-CD59
Term
what are the complement receptors?
Definition
CR1
CR2
CR3
CR4,
C1qR
Term
What are the main anaphylatoxins?
Definition
C3a, C5a
Term
what molecules are responsible for opsonization?
Definition
C3b, iC3b
Term
what molecules are responsible for cell lysis?
Definition
C5b,C6, C7, C8, C9 (MAC)
Term
what are main inflammatory proteins?
Definition
C3a, C5a, and to lesser extent C4a
Term
How does complement alert the adaptive immunity to pathogen invasion?
Definition
C3d, C5a
Term
name the pathways in order of decreasing age.
Definition
-alternative (oldest)
-lectin (middle)
-classical (youngest, arose around time of adaptive immunity)
Term
what structural element do C3, C4, and C5 have in common?
Definition
thioester bonds
Term
what is a positive regulator in the complement system and what function does it play?
Definition
Properdin. Stabilizes the alternative pathway (C3b, Factor B) so it won't be inactivated.
Term
Name the molecules that initiate each pathway.
Definition
Classical: antibody bound to pathogen, joined by C1 complex

Lectin: lectin/MBP, pathogen, MASP1 & MASP2

Alternative: spontaneous C3b activation with pathogen, soon to be joined by Factor B

Each pathway converges on C3
Term
what mechanisms keep C3 from making covalent bonds all over the body?
Definition
-first off, when in plasma the C3b thioester bond is inactivated via hydrolysis
-regulatory proteins also prevent its binding willy nilly; lack of stabilization proteins impedes bonding, too
Term
What comprises the C3 convertase in the classical versus alternative pathway?
Definition
Classical: C2a,4b
Alternative: C3b, Bb
Term
In the classical pathway what type of Abs are needed?
Definition
IgG1, IgG3 (inflammatory Abs), or IgM (antigen-bound) are capable of activating complement when antigen is BOUND

The C1 complex needs at least 2 Abs bound before C1q activates C1r via cleaving
Term
where does the C1 complex bind on antibodies?
Definition
Fc region
Term
how does alternative pathway begin?
Definition
Tickover, or spontaneous cleavage of C3 thioester bond to yield C3(H20), which is able to bind Factor B. The conformational change enables Factor D to cleave it into Bb and Ba. Bb remains with C3(H20) and is the fluid C3 convertase. A little fluid C3 convertase goes a long way in cleaving C3-->C3a and C3b. One molecule of Factor B can cleave many C3 whose fragments go into circulation and bind. Alternative pathway shows amplification of response
Term
what molecules make up the classical pathway C3 and C5 convertases?
Definition
CLASSICAL
C3 convertase= C4b, C2a
C5 convertase= C4b, C2a, C3b

Active protease is C2a
Term
what molecules make up the alternative pathway C3 and C5 convertases?
Definition
ALTERNATIVE:
C3 convertase= C3bBb
C5 convertase= C3bBbC3b

Active protease is Bb
Term
What is precursor of complement activation pathways?
Definition
C3 & B were precursors for both active and classical pathways. C4 evolved from C3 and C2 evolved from B, as they specialized.

C3-->C4
B-->C2
Term
where are C4 and Factor 4 encoded in the genome?
Definition
in the MHC. significance yet to be determined, but still an interesting finding
Term
describe the lectin pathway.
Definition
Mannan-Binding Protein (MBP) binds mannose resides on microbe, and then forms complex with MASP1 and MASP2.

MASP-1 cleaves/activates MASP-2 AND directly cleaves C3 -->C3a and C3b.

Activated MASP-2 goes on to cleave C4 and C2, thus helping to create C4bC2a c3 convertase, as found in classical pathway. C5 convertase same as in classical pathway.
Term
what does C1-INH do?
Definition
inhibits C1 complex, specifically halts the C1r and C1s protease activity. CLASSICAL PATHWAY INHIBITOR
Term
what does Factor I do?
Definition
the only protease regulator; proteolytically cleaves C3b and C4b
Term
What does Factor H do?
Definition
causes dissoaciation of alternative pathway's C3 convertase (C3b,Bb)subunits

Co-Factor for Factor I mediated cleavage of C3b
Term
C4BP-role?
Definition
causes dissociation of classical pathway C3 convertase (C4b,C2a)subunits. Also a cofactor for Factor I mediated cleavage of C4b
Term
what does Membrane Cofactor protein (MCP) or CD46 do?
Definition
cofactor for factor I mediated cleavage of C3b and C4b
Term
what does DAF (decay accelerating factor)/CD55 do?
Definition
causes dissociation of C3 convertase subunits
Term
what does CD59 do?
Definition
Blocks C9 binding and prevents formation of MAC
Term
What does type I complement receptor (CR1/CD35) do?
Definition
-membrane protein
-causes dissociation of C3 convertase subunits
-cofactor for Factor I mediated cleavage of C4b and C3b
Term
what are proteins function as cofactors of Factor I?
Definition
-Factor H (alternative, stabilizes C3b cleavage)
-C4BP (classical, aids in C4b cleavage)
-MCP/CD46 (cofactor for FI cleavage)
-CR1 (dissociation of C3 convertase, coFactor for Factor I)
Term
what are the functions of inhibitors of complement cascade?
Definition
-block responses to self tissue
-prevent C' from being used up
-limit responses to keep inflammation to a minimum
Term
what is a key protein in C3 degradation?
Definition
Factor I: C3b-->iC3b + C3f-->C3dg + C3c
Term
what function does C3b lose once cleaved by Factor I?
Definition
iC3b maintains its opsonizing power, but is no longer able to recruit Factor B to form the C3 convertase
Term
what receptor is the most important for phagocytosis?
Definition
CR1...helps to stimulate eosinophils, macrophas=ges, PMNs, B, FDCs
Term
what does CR1 bind and what role does it play?
Definition
C4b/C3b/iC3b

phagocytosis; immune complex clearance
Term
CR3 binds what?
Definition
binds iC3b
functions: phagocytosis and opsonization
Term
what does CR2 bing and main functions does it play?
Definition
C3d receptor
involved in activation, proliferation of B cells;C3d helps to lower threshold for B cell activation by antigen
Term
what molecules are responsible for opsonization and phagocytosis?
Definition
-C3b
-C4b
-iC3b
-CR1 = C3b receptor on phagocyte
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