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Understanding the Complement System

May 31, 2025

Lecture Notes: The Complement System

Introduction

  • The complement system involves a series of proteins in the blood, crucial for immune responses.
  • These proteins are produced in the liver and released into the bloodstream.
  • Known as complement proteins, they are labeled from C1 to C9.

Pathways of the Complement System

  • Classical Pathway

    • Triggered by the binding of an antibody to an antigen on a pathogen.
    • Activation process involves:
      1. C1 Activation: Binds to the antigen-antibody complex.
      2. C2 and C4 Splitting: Splits into fragments.
      3. C3 Convertase Formation: Combines fragments of C2 and C4 to form C3 convertase.
      4. C3 Splitting: C3 convertase splits C3 into C3a and C3b.
      5. C3a Function: Acts as a chemical attractant for phagocytes.
      6. C3b Function: Tags the pathogen for destruction; facilitates C5 splitting.
      7. Membrane Attack Complex: Involves C5b, C6, C7, C8, and C9 forming a complex that creates a hole in the pathogen membrane.
  • Alternative Pathway

    • Does not require antigen-antibody complex; starts directly at C3.
    • Steps involved:
      1. C3 Activation: Binds to the pathogen itself.
      2. Interaction with Factors P, B, and D: Activates C3 splitting.
      3. Continuation: Follows same pathway as classical once C3 is split.

Importance of Pathways

  • Classical Pathway: Part of the specific immune response, requiring an antigen-antibody complex.
  • Alternative Pathway: Non-specific, directly binding to pathogens initiating the cascade.
  • Outcomes:
    • Recruitment of phagocytes.
    • Pathogen tagging and destruction.
    • Formation of membrane attack complex leading to pathogen lysis.

Conclusion

  • Complement system is a sophisticated defense mechanism.
  • Highlights the body's optimized processes for protecting against pathogens.
  • Next topic: Role of T-cells in adaptive immunity.