Complement System: by Muhammad Azam Khan GPGC Mandian, Abbottabad
Complement System: by Muhammad Azam Khan GPGC Mandian, Abbottabad
By
Muhammad Azam Khan
GPGC Mandian, Abbottabad.
Overview
ACTIVATION
– C1q portion of C1 attaches to the Fc portion of
an antibody
– Only IgG and IgM can activate complement
– Once activated C1s is eventually cleaved which
activates C4 and C2
– C4b & C2a come together to form the C4b2a
which is the C3 convertase
– C3 convertase activates C3 to C3a and C3b
“Classical Pathway”
ACTIVATION
– C3a binds to receptors on basophils and mast cells
triggering them to release there vasoactive compounds
(enhances vasodilation and vasopermeability)
– C3a is called an anaphylatoxin
– C3b serves as an opsonin which facilitates immune
complex clearance
– C3b binds to C4bC2a to form the C5 convertase
C4bC2aC3b
– C5 convertase cleaves C5 leading to the formation of the
Membrane attack Complex (C5-C6-C7-C8-C9)
– The MAC “punches holes” in cell walls resulting in lysis
C5a is a: C3a binds to receptors on
C3 basophils and mast cells
C2
C4 1. Potent anaphylatoxin triggering them to release
C1q there vasoactive compounds
2. Chemoattractant for
neutrophils (enhances vasodilation and
vasopermeability) -
ANAPHYLATOXIN
C3a
C3b C5
4a
2a
2b
4b
C5bC5a
C3-convertase
C5-Convertase
C7
C8
C9 C6
Classical
Pathway
Summary - Activation
Opsonization – C3b
Chemotaxis – C5a (attracts
neutrophils)
Increases vasodilation &
permeability of capillary beds via
mast cell and basophil activation – C3a
& C5a (Anaphylatoxins)
Cellular Lysis via the MAC
Video