2. COMPLEMENT
โข Group of large thermolabile enzymatic proteins found in the serum and
body fluids
โข It completes the antigen-antibody reaction, lysis and phagocytosis
โข Represented as C
โข Complement means helps
โข Complement system formed about 30 different types of proteins(ฮฒ โ
globulins).Of these about 16 are biologically important.
3. FUNCTION
They act in the following ways:
๏ท Complements kill opsonized pathogens.
๏ท They include inflammatory responses.
๏ท They enhance antibody response.
๏ท They attack some pathogens directly.
4. BIOSYNTHESIS OF COMPLEMENTS
โข Complement components are synthesized in various sites in the
body.
โข Major site โ Liver
โข Minor site โ Blood Monocytes, Tissue Macrophages, Epithelial Cell Of
GIT, Genito-urinary Tract
โข C1 is synthesized in the intestinal epithelium.
โข C2 and C4 are synthesized from macrophages.
โข C3, C6 and C9 are synthesized in the liver.
โข The site of synthesis of C7 is not known.
5. COMPLEMENT ACTIVATION
โข Complement proteins inactive form blood plasma.
โข Complement components activated by activating substances or
activating agents.
โข antigen-antibody complexes, gram negative bacteria, animal
viruses, aggregated antibodies like IgG or IgA endotoxin, yeast , etc.
โข One component is activated ,other components triggered in
sequence, in cascade pattern to bring biological activity lysis,
phagocytosis, etc.
6. When a component is activated,it acquires the following
unique properties:
โข The activated complement binds on to the biological membrane such
as the membrane of a bacterium.
โข It generates enzyme activity.
โข It activates the next complement protein in order to participate in a
chain reaction.
7. COMPLEMENT PATHWAY
CLASSICAL PATHWAY
โข Ab dependent
โข Triggered by Ag-Ab
complex
ALTERNATE PATHWAY
โข Ab independent
โข Triggered by Ag
directly
LECTIN PATHWAY
โข Resembles classical
pathway ; Ab
independent
โข Triggered by Ag
directly
passes through three distinct
๏ท When the compliment system is activated,it
pathways.They are
๏ง Classical Pathway
๏ง Alternative pathway
๏ง Lectin pathway
8. 4 STAGES IN ACTIVATION OF COMPLEMENT
PATHWAYS
Initiation of pathway
Formation of C3 convertase
Formation of C5 convertase
Formation of MAC
9. CLASSICAL PATHWAY
โข Simple stepwise immunological reaction of complements activated by
antigen-antibody complex.
โข The 11 components react in the following sequence : C1q, C1r, C1s,
C4, C2, C3, C5, C6, C7, C8, C9
โข Activated by antigen-antibody complex,produced in humoral immune
response.
โข The antibody produced in response to a pathogen , binds to the
pathogen to form antigen-antibody complex.
10. โข Antigen-antibody complex is recognized by C1 and it binds to the
complex.
โข C1 activates C4 and C2 to form C3 convertase.
โข C3 convertase activities C3 and other complements in a sequence to
form MACs (Membrane attack complex).
โข The MACs are deposited on the pathogen and they make holes on the
pathogen.
โข The holes make the lysis of the pathogen.
11. ALTERNATIVE PATHWAY
โข Stepwise immunological reaction of complements activated by
properdin.
โข Properdin (a normal serum protein) reacts with zymosan (a
polysaccharide from yeast cell wall) to form PZ complex.
โข 6 complement components involved are C3,C5,C6,C7,C8 and C9.
โข PZ complex cleaves the C3 into C3a and C3b.
โข C3b is coated on the surface of microbe.
12. โข The factor B binds with C3b to form C3bB complex and it is stabilized
and activated by the factors P and D to form C3 convertase.
โข C3 convertase activates more C3 and other complements in a
sequence to form MACs (Membrane attack complex).
โข The MACs are deposited on the pathogen and they make holes on the
pathogen.
โข The holes make the lysis of the pathogen.
13. LECTIN PATHWAY
โข Immunological reaction of complements activated by lectin
โข 8 components involved C2,C4,C3,C5,C6,C7,C8,C9
โข Lectin binds with mannose of pathogen
โข This binding activates MASP-1 which activates MASP-2
โข MASP-2 activates C4 and C2 to form C3 convertase
โข C3 convertase activates C3 and other complements in a sequence to
form MAC
โข MACs deposited on pathogen ; make holes lysis of pathogen
14. MAC
MEMBRANE ATTACK COMPLEX
โข Complex of proteins; formed by the activation of complement system
โข Deposited on the surface of pathogen to make holes
โข holes lysis of pathogen
โข End product of complement activation
โข Effector protein of immune system
โข Makes transmembrane channel on the plasma membrane of
pathogens
โข Channels disrupt phospholipid bilayer of pathogen lysis
15. STRUCTURE
โข Complex of 5 complement proteins
C5b, C6, C7, C8, C9
โข C5b, C6, C7, C8 Bind outer surface of the plasma membrane
โข C9 copies hook up together to form ring in the membrane
โข Ring structure pores in the membrane
โข Pores allows diffusion causing lysis
FUNCTION
โข Cytolysin makes pores on pathogen
โข Lysis of pathogen
16. FUNCTION
๏Opsonization โข C3b & C1q; enhance phagocytosis
๏Chemotaxis โข C5a and C5,6,7 complex ; attract neutrophils โข C5a โ
enhance adhesiveness of neutrophils to the endothelium
๏Anaphylatoxin (C3a, C4a, C5a) โข Cause degranulation of mast cells โข
Bind directly to smooth muscles of bronchioles ; bronchospasm
๏Opsonins are molecules that bind both to bacteria and phagocytes
Opsonization increases phagocytosis by 1,000 fold.
๏Disrupt the membrane & the entry of water and electrolytes into the
cell
๏Enhancement of antibody production โข Binding of C3b to its
receptors on the surface of activated B cells ; enhanced antibody
production