L4 - A Kelly - Complement Flashcards

1
Q

complement consists of…

A

Comprises 30 different soluble and membrane bound protiens – made in the liver and distributed as inactive zymogens

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2
Q

complemetns naming conventions?

A

Naming…. C1, C2 ect.
C1 cleaves to C1a and C1b (b subunit tends to be larger)

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3
Q

4 functions of complement

A
  1. Opsonisation
  2. Lysis
  3. Inflammation
    And it clears immune comoplexes and apoptotic cells.
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4
Q

whats the main player in complement

A

C3

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5
Q

why is C3 so importnat - why is it special?

A

Cleaved to C3a and C3b. exposing C3b’s internal thioester bond – links hydroxyl or amino groups on pathogens

C3a = anaphylotoxin – stimulates inflammation

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6
Q

which complement receptors are important for dealing with C3b tagged bacteria?

A

CR1 and CR3

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7
Q

CR1 and CR3 picture

A
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8
Q

describe features of CR1

A

CR1 binds directly to C3b – macrophage also needs C5a to phagocytose
CR1 also highly expressed on erythrocytes – removed complexes from the blood – clearance in liver

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9
Q

3 major pathways for complemetn activation

A

alterantive pathway

lectin pathway

classical pathway

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10
Q

complement activation pathways image

A
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11
Q

do all complement activation pathways converge on C3 cleavage?

A

yep

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12
Q

describe the alternative pathway

A
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13
Q

which complement pathway is the first to act?

A

alternative pathway

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14
Q

the first step in the alternative pathway is

A

spontaneous conformational changes in C3 that expose the internal thioester group

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15
Q

in the alternative pathway, the exposed thioester group does what?

A

In an aqueous environment this will most likely react with water to generate C3H2O

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16
Q

alternative pathway- C3H2O associated wihtwhat?

A

factor B

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17
Q

C3H2O + factor B is cleaved by what in the alternative pathway?

A

factor D (a serine protease).

its only factor B thats cleaved at this stage

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18
Q

in the alternative pathway- what happens after factor D has cleaved factor B?

A

The large fragment Bb remains associated with C3(H2O) to generate C3(H2O)Bb, a protease that can cleave C3 into C3a and C3b. This is called the aqueous or fluid phase C3 convertase

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19
Q

in the alternative pathway - whats the role of the fluid phase C3 convertase?

A

the aqueous or fluid phase C3 convertase. It’s role is to produce enough C3b so that some will attach to the “activating” surface of a pathogen. Microbial surfaces by default are “activating” as they generally lack regulatory mechanisms to deactivate complement.

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20
Q

in the alternative pathway - what happens which C3b is attached to the microbial surface?

A

Once attached to a surface C3b can bind factor B and generate surface bound C3bBb, the alternative pathway C3 convertase. This is able to generate more membrane bound C3b and soluble C3a. The surface bound C3b acts as an opsonin and also provides a positive feedback loop to form more C3bBb, rapidly amplifying the system.

21
Q

Describe how the membarne attack complex is generated

A

C3b + C3bBb = C3b2Bb = alternative C5 convertase

C5 lacks thioester group

C5b + C6 and C7 = C7 inserting into lipid membrane.

Binding of C8 to C5b67 allows insertion into the membrane and subsequent polymerisation of C9 subunits to form a membrane pore. This is effective against many gram negative bacteria and enveloped viruses.

22
Q

describe the lectin pathway (image)

A
23
Q

which is the second pathway to be activated?

A

lectin pathway

24
Q

what can activate the lectin pathway?

A

Mannose binding lectin (MBL) and M-, H- or L-ficolin.

25
Q

describe MBL

A
  • Mannose binding lectin (MBL) – collectin – c ollagen and lectin domains – soluble PRR
    o Binds close knit arrays of mannose, fructose found on microbial surfaces but not the host
26
Q
A
  • MBL (and the ficolins) circulate in plasma in association with two serine proteases: MBL-associated serine protease (MASP) 1 and 2.
  • Cleave C4 then C2
  • C4 has internal thioester bond – attaches to surface of pathogen
  • C4bC2a, the Classical C3 Convertase.
27
Q

whats special about the C2 cleavage?

A

C2a is the larger fragment

(usually the b fragment is the larger cleaved fragment)

28
Q

Classic pathway picture

A
29
Q

desxribe the classic pathway

A
  • activated if the surface of the pathogen can be recognised by antibody or C-reactive protein (which recognises bacteria, fungi, yeast and parasites)
    • Binding of antibody to a surface exposes a binding site for C1q present in the Fc region of some antibody isotypes.
    • When a molecule of C1q binds to several antibody Fc regions the induced conformational change activates the C1r and C1s subunits.
    • C1s is able to cleave C4 to expose a reactive thioester group which can covalently attach C4b to the pathogen surface.
    • Activated C1 then associates with and cleaves C2 depositing the C2a fragment on C4b forming C4bC2a, the Classical C3 Convertase.
    • It cleaves C3 and deposits C3b on the microbial surface.
  • Membrane associated C3b generated by the classical or the lectin pathway can utilise the alternative pathway amplification loop by binding to factor B to generate C3bBb.
30
Q

how is complement negatively regulated?

A

short have lives of proteins - unstabel

many other proteins control the cascade

31
Q

describe Properdin (Factor P),

A

only known positive regulator of the alternative pathway stabilises C3bBb and increases activity 5-10 fold. It also stabilises the C5 convertase complex assisting MAC complex formation

32
Q

describe factor I

A
  • constitutively active serine protease that degrades C3b and C4b
  • It requires cofactors to work (MCP and Factor H)
33
Q

whats the only known positive regulator of complement

A

Properdin - factor P - for alternative pathway

34
Q

describe Membrane cofactor protein (MCP)

A
  • Expressed on host cell membranes
  • induces dissociation of C4bC2a and MCP C3bBb (shown) and cleavage of C3b/C4b by factor I.
  • Complement Receptor 1 (CR1) functions in a similar way.
  • It has both decay accelerating capacity and factor I cofactor activity.
35
Q

describe factor H

A
  • Regulated complememnt activation in solution
  • Soluble cofactor for factor I
  • Binds host sialic acid
  • causes dissociation of C3bBb complex and makes C3b susceptible to cleavage by factor I.
36
Q

describe decay accelerating factor

A

present on the surface of host cells, dissociates the classical and alternative (shown) C3 convertases (C3bBb/C4bC2a).

37
Q

describe protectin

A

Protectin is a host cell surface protein that binds the MAC intermediate C5b678 and prevents its insertion into membranes. It also interacts with C9 and prevents its recruitment to the MAC complex.

38
Q

effect of C1, C2, C3 deficiency?

A

immune complex disease, inffection

39
Q

effect of C3 complement deficiency

A

infection with encapsulated bacteria (pyogenic bacteria

40
Q

what are pyogenic bacteria

A

The bacteria resist the immune response by releasing toxins called leukocidins. As the neutrophils die off from toxins and old age, they are destroyed by macrophages, forming the viscous pus. Bacteria that cause pus are called pyogenic.

41
Q

C5-C9 complement deficiency

A

Susceptibility to Neisseria infections (N. meningitides)

42
Q

Factor D, Properdin deficiency

A

Susceptibility to pyogenic bacteria especially Neisseria infections (N. meningitides)

43
Q

Factor I Factor H deficiency

A

uncontrolled alternative pathway activation resulting in C3 depletion, Susceptibility to infection with pyogenic bacteria

44
Q

DAF, Protectin deficiency

A

Autoimmune-like conditions

45
Q

Individuals with defects in C1-C4 fail to clear immune complexes from the blood and suffer from ….

A

immune complex disease

46
Q

effect for individuals with reduced GPI syntheiss

A

Because DAF and protectin are GPI-anchored proteins individuals with reduced GPI synthesis have reduced expression of DAF and protectin on erythrocytes. This causes paroxysmal nocturnal hemoglobinuria due to complement mediated lysis of red blood cells.

47
Q

gove 4 complement evasion strategies

A
  • Interference of antibody-complement interactions
  • Binding and inactivation of complement components
  • Destruction of complement components by proteases
  • Mimicry of inhibitory regulators or recruitment of host inhibitors
48
Q

example picture

A
49
Q

fat

A

mamba