Complement
Introduction The complement system is one of the major effector mechanisms of humoral immunity Is an important effector mechanism of innate immunity. Jules Bordet 1919 The complement system consists of serum and cell surface proteins Activation of complement involves the sequential proteolysis zymogenszymogens
Complement nomenclature C 3 C3aC3a Convertase C3bC3b
The classical pathway of complement activation
The classical pathway
C1q molecule
The classical pathway of complement activation
The alternative pathway
TickoverTickover
The alternative-pathway C3 and C5 convertases are both stabilized by properdin (factor P)
Lectin Pathway
Lectin Pathway of Complement Activation Ficolin
MAC formation
late steps of complement activation and formation of the MAC
Regulator of complement activation
Inhibition of the formation of C3 convertases
Factor I-mediated cleavage of C3b Regulator of complement activation
Regulation of formation of the MAC
The Roles
The Good
Functions of complement
Receptors for Fragments of C3
Inflammatory effects of complement
The bad
C3 deficiency Sever recurrent infection with encapsulated bacteria Begain shortly after birth
MAC (C5-C9) deficiency Susceptible to N. meningitidis infection
Complement deficiency
The ugly
C1q, C2 and C4 deficiency Associated with the development of SLE.
C1INH Deficiency
PNH Deficiency in DAF or CD 59
fetal loss in antiphospholipid syndrome.
Examples of pathological conditions involving the complement system.
Clinical effects of complement deficiency
The End