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ML 124 Immunology/Serology Exam 1
Complement & Complement Fixation Tests (Notes from Tutor's Office)
39
Immunology
Undergraduate 2
02/24/2014

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Term
What is complement?
Definition
A group of proteins in the plasma, found in the inactive form, that are circulating and waiting to be activated by IgG or IgM.
Term
Complement must bind _____ in order to activate C' components.
Definition
simultaneously to two adjacent Ig Fc regions
Term
Only IgG and IgM will fix (bind) complement at Fc; _____ will do so more efficiently than _____.
Definition
IgM; IgG
Term
Antibody does not destroy antigen by itself, it needs _____.
Definition
complement
Term
When complement is bound, there is activation; portions of complement system contribute to:
virus inactivation
Definition
C4b
Term
When complement is bound, there is activation; portions of complement system contribute to:
opsonization (ability to phagocytize)
Definition
C3b and C5
Term
When complement is bound, there is activation; portions of complement system contribute to:
chemotaxis
Definition
C5a
Term
When complement is bound, there is activation; portions of complement system contribute to:
kinin activation
Definition
C4b2a and C5a
Term
When complement is bound, there is activation; portions of complement system contribute to:
anaphalaxis (anaplyatoxin)
Definition
C3a and C5a
Term
When complement is bound, there is activation; portions of complement system contribute to:
solubilization of immune complexes
Definition
C3b
Term
Complement is found in all _____ serum. Activity is destroyed by heating serum to _____ for 30 minutes. Comprised of _____ components.
Definition
mammal; 56C; 9
Term
The alternative of Properdin pathway is activated in the absence of:
Definition
IgG/IgM
polysaccharides
liposaccharides
bacterial endotoxins
IgA aggregates
Term
The alternative of Properdin pathway provides a mechanism for promoting phagocytosis and for activating the inflammatory response (chemotaxis) and lytic properties of:
Definition
the complement system
Term
anaphylaxis
Definition
C3a and C5a
mediate the release of histamine from leukocytes and mast cells which increases vascular permeability and causes smooth muscle contraction
Term
chemotaxis
Definition
C5a and other intermediates
involvement in the accumulation of various white blood cells at the site of infection; attracts leukocytes
Term
opsonization
Definition
C3b
facilitates phagocytosis and antibody response, receptors found on B-cells and phagocytes for C3b
Term
immune adherance
Definition
C3a
acts as glue to keep foreign substance adhered to any surface
Term
lysis
Definition
bacteriolysis (bacteria)
hemolysis (rbc's)
C9 punches holes in membrane speeding up the lysis (slower lysis at C8)
Term
regulation (in vivo)
Definition
inactivators: enzymes that destroy the primary amino acid structure of complement components

inhibitors: do not break amino acid chains, but combine with the components in a way that prevents further interaction with intermediates; these are also enzymes
Term
What are three complement abnormalities:
Definition
1) increased concentrations of C' (overproduction)
2) hypercatabolic decreases (increased breakdown of C')
3) hyposynthetic decreases (liver synthesis decreased)
Term
Many complement components are considered acute-phase proteins, meaning they _____ inflammatory response.
Definition
increase
Term
_____ is the center of activation for both the classical and alternative pathways.
Definition
C3
Term
_____ assays via serologic testing an be helpful in assessing disease or response to disease (antibody production).
Definition
Specific component
Term
CH50 Assay
Definition
assays classical lysis of s-RBCs (coated with antibody)
Term
CH100 Assay
Definition
assays the function of classical pathway components
Term
Complement Fixation Tests (CF) detect _____.
Definition
complement consumption by antibodies
Term
Describe the complement fixation test.
Definition
1) heat inactivate the serum
2) indicator cells (s-RBCs coated with hemolysin)
3) a preparation containing reagent complement
4) reaction conditions that allow the antibody to combine with its antigen
5) if C-activating antibody is present, it combines with antigen and causes C1 to enter immune complex and free C' decreases; if no antibody, no immune complex, no C' fixed, and C' remains unchanged
Term
CF controls
Definition
positive serum = (4+) no hemolysis
negative serum = hemolysis
Term
Ag and Ab complex binds to C' + s-RBCs -> no hemolysis
Definition
positive test for C' fixing antibody
Term
serum + Ag + C' + s-RBCs -> hemolysis
Definition
no Ab to consume C' = negative test
Term
serum + Ab + C' + s-RBCs -> hemolysis
Definition
no Ag to consume C' = negative test
Term
no lysis =
Definition
positive reaction
Term
lysis =
Definition
negative reaction
Term
If CF test is positive
Definition
no further testing needed
Term
If CF test is negative
Definition
Lytic Rice Test = positive serum
Non-Lytic Rice Test = negative serume
Term
Rice test determines if:
Definition
antibody was present
Term
toxins
Definition
antigenic poisons, bacterial enzymes
Term
exotoxin
Definition
heat labile; from G+ bacteria; highly antigenic and poisonous (ex: diphtheria)
Term
endotoxin
Definition
heat stable; from mostly G- bacteria; fever producing; resists temps of 60C for a short period of time
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