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COMPLEMENT THE LINK BETWEEN NON-SPECIFIC AND SPECIFIC IMMUNITY
Complement: History Discovered in 1894 by Bordet  It represents lytic activity of fresh serum Its lytic activity is destroyed when heated at 56°C for 30 min The Nobel Prize in Physiology or Medicine 1919
resistant active immunization blood sample Bordet's Classical Experiment serum  (antisera) Fresh serum Serum (Heat inactivated at 56º C)
Hans Joaquim Muller-Eberhard (May 5, 1927- March 3, 1998).
The first part of the immune system that meets invaders such as bacteria is a group of proteins called the  complement system . These proteins flow freely in the blood and can quickly reach the site of an invasion where they can react directly with  antigens -  molecules that the body recognizes as foreign substances. When activated, the complement proteins can  trigger inflammation  attract eater cells such as macrophages to the area  coat intruders so that eater cells are more likely to  devour them  kill intruders
Complement Functions Host benefit: opsonization to enhance phagocytosis phagocyte attraction and activation lysis of bacteria and infected cells regulation of antibody responses clearance of immune complexes clearance of apoptotic cells Host detriment: Inflammation, anaphylaxis
Complement Components Classical C1(qrs), C2, C3, C4, C5, C6, C7, C8, C9 Alternative Factors B, D, H and I,  properdin (P) Lectin Pathway Mannose binding protein  (MBP), MASP-1 MASP-2
Pathways of Complement Activation CLASSICAL PATHWAY LECTIN PATHWAY ALTERNATIVE PATHWAY Activation of C5 MEMBRANE ATTACK COMPLEX (MAC) antibody dependent (Ac-Ag) antibody Independent (No Ac-Ag) Activation of C3 and generation of C5 convertase
Classical Pathway. C1 C1r C1s 1 2 3 4 5 6 Collagen- like tails C1q
Classical Pathway. Intact C1
Classical Pathway. Intact C1
Classical Pathway. Interaction with Ac Ac Ac Cell membrane Ag
 
Classical Pathway Ab C1qrs C4 b C4a
Ab C1qrs C4 b C2 b a
C4b2b (C3 convertase) Ab C1qrs C2 b C4 b
The Third Component of the Complement (C3) It is the most important component of the complement It is synthezised by the liver and the macrophages It exists in high concentration in serum C4b2b  (C3 convertase) can activate as many as 200 C3 molecules C3 b
C2 b C4 b C3 C3 C3 C3
b C4b2b3b (C5 convertase) C2 b C4 b C3 C3 C3 C3 a
Generation of C5 convertase  leads to the activation of the lytic pathway Lytic pathway
b C2 b C4 b C3 C3 b C5 b a C5 b a
b C8 C9 Lysis and cell death C5b C6 C7
Membrane Attack Complex
Membrane Attack Complex
 
Membrane Attack Complex
Membrane Attack Complex
 
Alternative  Pathway C3 is spontaneously formed in serum C3 b C3 b C3 b C3 b C3 b C3 b
LPS LPS Bacterial surface Lipopolysaccharide C3 b C3 b
LPS Bacterial surface C3bBb (C3 convertase) b C8 C9 C3 b B a D C3 b P C5b C6 C7
 
Mannose-Binding Protein Pathway Macrophages
Mannose-Binding Protein Pathway Bacterial Surface (rich in carbohydrates) MBP MASP-1 MASP-2 C4 b C4a
Mannose-Binding Protein Pathway Bacterial Surface (rich in carbohydrates) MBP MASP-1 MASP-2 b C4 b C2 b a
 
 
Opsonization and Phagocytosis
Biological Effects of C5a
 
 
Biological Properties of  C-activation Products Product Biological Effects Regulation C2b (prokinin) edema C1-INH C3a (anaphylatoxin) mast cell degranulation; enhanced vascular permeability;  anaphylaxis carboxy-peptidase- B (C3-INA)
Biological Properties of  C-activation Products Product Biological Effects Regulation as C3, but less potent (C3-INA) C4a (anaphylatoxin) opsonization; phagocytosis C4b (opsonin) C4-BP, factor I C3b (opsonin) opsonization; phagocyte activation factors H & I
Biological Properties of  C-activation Products Product Biological Effects Regulation anaphylactic as C3, but much more potent; attracts & activates PMN causes neutrophil aggregation, stimulation of oxidative metabolism and leukotriene release C5a ( chemotactic factor ) carboxy-peptidase-C (C3-INA) C5b67 protein-S chemotaxis, attaches to other membranes
 
C1-inhibitor deficiency: angioedema
 
 

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Complement