2. INTRODUCTION
• The complement system is a group of serum
proteins, which participate in innate as well as
adaptive immune response.
• The complement system is characteristically
activated by the antigen-antibody interaction.
• It helps antibacterial cells and molecules of the
immune system.
3. PATHWAYS
The complement system can be activated by three
ways :
1. CLASSICAL PATHWAY
2. ALTERNATIVE PATHWAY
3. LECTIN PATHWAY
6. BIOLOGICAL CONSEQUENCES
Complement system serves as an important mediator of
the humoral response , It plays a major role in host
defense through destruction of invading
micro0organisms.
The Membrane-Attack Complex (MAC) mediates cell
lysis.
The split products or the active forms of the
components of the complement participate in
Inflammatory response , Opsonization of antigen ,
viral neutralization and clearance of the immune
complexes.
7. 1. CELL LYSIS
The membrane-attack complex (MAC) formed by
complement activation can lyse gram-negative bacteria ,
parasites , viruses , erythrocytes , and nucleated cells.
Gram-positive bacteria are generally resistant to the
complement mediated lysis because of thick peptidoglycan
layer in their cell wall which prevents the insertion MAC
into their inner membrane.
The complement system lyses these target cells through
the alternative pathway and lectin (MBL) pathway in
absence of antibodies and through the classical pathway in
the presence of antibodies.
8. MAC formed forms a pore in the cells and disturbs the
osmotic balance of the cell and ultimately destroys it.
Lysis of nucleated cells require multiple MACs ,
whereas lysis of RBC requires single MAC.
If MAC is removed in time ,the cells are capable of
repairing the damage and restoring its osmotic
stability.
9.
10.
11. 2. INFLAMMATION
Inflammation is the most important
consequence of the complement activation.
C3a , C4a and C5a act as anaphylatoxins , i.e.
, they cause smooth muscles to contract.
C5a and C3a act as chemoattractants , i.e. ,
they effect the motility of the cells.
12. 3.OPSONIZATION
It’s a process in which bacteria and other cells
are altered in such a manner that they are
more readily engulfed by the phagocytes.
C3b is a major opsonin and the receptors for
C3b are CR1 , CR3 and CR4.
13.
14. 4. VIRAL NEUTRALIZATION
Viral neutralization means neutralization of viral
infectivity.
There are various ways by which viruses can be neutralized
:
A. Formation of larger viral aggregates
Reduces the net number of infectious viral particles.
B. Coating of a antibody and/or complement (Cb3) to
the surface of the viral particle
Blocking attachment to host cells
Binding of binding particle to cells possessing CR1
receptor or Fc.
Lysing most enveloped viruses.
15.
16. 5. CLEARANCE OF IMMUNE COMPLEXES
Erythrocytes plays an important role in clearance of the
immune complexes.
The coating of the soluble immune complexes with C3b
facilitates their binding to the CR1.
This interaction between CR1 and C3b results in adherence
of immune complexes to the erythrocytes.
Erythrocytes carry these immune complexes to the spleen
and liver ; wherein these immune complexes are removed
from erythrocytes and phagocytosed.
The importance of clearing immune complexes can be
seen in patients with autoimmune disease Systemic
Lupus Erythematosus.