The Complement System


Overview of the complement system

innate defense functions

trigger inflammation

attract phagocytes

opsonize antigens

cause cell lysis

activate naïve B-lymphocytes

remove immune complexes


Basic complement functions

the classical pathway

antibody-dependent

proteins of the classical pathway

C1

6 molecules of C1q

2 molecules of C1r

2 molecules of C1s


C1

C3

C5


C5

Ag-Ab complex activates C1

animation showing the assembly of C1 during the classical pathway

animation showing the assembly of C3 convertase

animation showing the cleavage of C3 and the formation of C5 convertase

opsonization and phagocytosis  [C3b]

CR1 receptors


Phagocytosis

inflammation  [C5a]

the MAC and lysis  [C5b6789n]

animation showing the formation of the MAC


The MAC

agglutination

Type III hypersensitivity reaction

rheumatoid arthritis
subacute bacterial endocarditis
immune complex glomerulonephritis
systemic lupus erythematosus
Arthus reaction
Farmer’s lung
polyarteritis nodosa

viral neutralization

chemotaxis  [C5a]

animation showing the benefits of C5a and C3b

basophil/mast cell activation  [C3a, C4a, C5a]


Biological effects of complement

the lectin pathway

mannan-binding lectin (MBL)–dependent

proteins of the lectin pathway

MASP1

MASP2

C4 & C2 cleaved

animation of the lectin pathway

the alternative pathway

animation of the alternative pathway and formation of C3 convertase

antibody-independent


Initiators of the alternative pathway

proteins of the alternative pathway

C3

C3b

C3i

B

D

H

I

P (properdin)


Proteins of the alternative pathway

animation of the formation of C5 convertase.

large polysaccharides react with factors B and D

C3bB

C3bBb

formation of activation product that activates C3

Bb

C3bBbP

regulation of complement activity

factor H

factor I

C1 inhibitor (C1INH)


Complement regulators

complement receptors

CR1


Immune complex removal

CR2

CR3

CR4


Complement binding receptors

disorders of the complement system

Overview of the complement system and its evasion

C3 deficiency

C2 deficiency

immune complex disorders

systemic lupus erythematosus (SLE)

C9 deficiency

C1INH deficiency

hereditary angioneurotic edema (HANE)

decay accelerating factor (DAF) deficiency

paroxysmal nocturnal hemoglobinura (PNH)



Overview of the complement system and its evasion
Microbial evasion of complement damage

Overview of the complement system and its inactivation

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