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78 Cards in this Set

  • Front
  • Back
What does C1q do?
C1q binds to the Fc region of Ab (1 molecule of IgM or 2 molecules of IgG) bound to pathogens, thus allowing autoactivation of C1r.
What does C1r do?
Upon autoactivation induced by C1q binding, C1r cleaves C1s to active protease.
What does C1s do?
C1s is a serine protease that cleaves C4 and C2.
What does C4b do (2)?
1. C4b binds C2 for cleavage by C1s.
2. C4b covalently binds to pathogens and opsonizes them.
What does C4a do?
C4a is a peptide mediator of inflammation with weak activity (C4a is a weak anaphylatoxin).
What does C2a do?
C2a is the active enzyme of the classical pathway C3/C5 convertase, it cleaves C3 and C5.
What does C2b do?
C2b is the precursor of vasoactive C2 kinin.
What does C3b do? (3)
1. C3b binds C5 for cleavage by C2a.
2. C3b initiates amplification via the alternative pathway
3. Many molecules of C3b bind to pathogen surfaces and act as opsonins
What does C3a do?
C3a is a peptide mediator of inflammation with intermediate activity (C3a is an intermediate anaphylatoxin).
What is the function of C5a?
C5a is a peptide mediator of inflammation with high activity (C5a is strong anaphylatoxin).
What is the function of C5b?
C5b initiates assembly of the membrane attack system/complex (MAC).
What is the function of C6?
C6 binds C5b, forming the acceptor for C7.
What is the function of C7?
C7 binds C5b6; the amphiphilic complex inserts in the lipid bilayer.
What is the function of C8?
C8 binds C5b67, initiating C9 polymerization.
What is the function of C9?
Many C9 molecules polymerize to C5b678 to form a membrane-spanning channel, lysing the cell.
What are some general characteristics of the complement proteins?
Complement proteins are:
1. heat-labile
2. plasma proteins
3. augment opsonization of bacteria by Ab
4. many are serine proteases
5. act in a specific order
What does complement interact with?
Complement interacts with pathogens to mark them for destruction by phagocytes through opsonization or kills pathogens through formation of the membrane attack complex (MAC).
The classical pathway is initiated by...
The classical pathway is initiated by activation of the C1 complex (by binding to Ag-Ab complexes; 2 molecules of IgG, or 1 molecule of IgM).
Where is complement activation largely confined to?
Complement activation is largely confined to the surface on which it is initiated.
What do the terminal complement proteins do?
The terminal complement proteins polymerize to form pores in membranes that can kill certain pathogens.
How is the host protected from the destructive effects of complement?
Complement control proteins regulate all three pathways of the complement activation and protect the host from its destructive effects.
What determines the extent of complement activation under different circumstances?
Membrane and plasma proteins that regulate the formation and stability of C3 convertases determine the extent of complement activation under different circumstances.
What is the C1 complex comprised of?
The C1 complex is comprised of a single C1 q molecule bound to two molecules each of the two zymogens C1r and C1s.
What is the nature of the C1q molecule?
C1q itself is a hexamer, each subunit of which is in turn a trimer, forming a globular domain with a triple-helical collagen-like tail.
What links the C1q hexamer together?
In the C1q hexamer the six globular heads are linked together by their collagen-like tails, which surround the (C1r:C1s)2 complex.
What activates the autocatalytic enzymatic activity in C1r?
Binding of more than one of the C1q heads to a pathogen surface or to the constant/Fc region of Abs in an Ag-Ab complex causes a conformation change in the (C1r:C1s)2 complex, leading to the activation of autocatalytic enzymatic activity in C1r.
What is the function of activated C1r?
The active form of C1r cleaves its associated C1s to generate an active serine protease.
Once activated, what is the function of C1s?
Activated C1s cleaves C4 and then C2, to generate two large fragments, C4b and C2a, that together form the C3 convertase of the classical pathway.
C1s cleaves C2 to produce the large fragment...
C1s cleaves C2 to produce the large fragment C2a, WHICH IS ITSELF A SERINE PROTEASE.
What functions as the C3 convertase in the classical pathway?
C4b2a, the complex of C4b with the active serine protease C2a, remains covalently linked to the surface of the pathogen as the C3 convertase of the classical pathway.
What is the most important function of the C3 convertase?
The most important job of the C3 convertase is to cleave large numbers of C3 molecules to produce C3b molecules that coat the pathogen surface.
What are the 5 main cytokines secreted by macrophages and dendritic cells?
IL-1, IL-6, IL-8 (CXCL8), IL-12, TNF-alpha
IL-1 is mainly produced by what two types of cells?
Macrophages and Keratinocytes
IL-6 is mainly produced by what two types of cells?
Macrophages and Dendritic cells
IL-8 (CXCL-8) is mainly produced by what two types of cells?
Macrophages and Dendritic cells
IL-12 is mainly produced by what two types of cells?
Macrophages and Dendritic cells
TNF-alpha is mainly produced by what two types of cells?
Macrophages and Dendritic cells
What does IL-1 act upon?
Lymphocytes and the Liver
What does IL-6 act upon?
Lymphocytes and the Liver
What does IL-8/CXCL8 act upon?
Phagocytes
What does IL-12 act upon?
Naive T cells
What effect does IL-1 have on lymphocytes?
IL-1 enhances the response of lymphocytes.
What effect does IL-1 have on the liver?
IL-1 induces acute-phase protein secretion by the liver.
What effect does IL-6 have on lymphocytes?
IL-6 enhances responses of lymphocytes.
What effect does IL-6 have on the liver?
IL-6 induces acute-phase protein secretion by the liver.
What effect does IL-8 (CXCL8) have on phagocytes?
IL-8 acts as a chemoattractant for neutrophils.
What effect does IL-12 have on naive T cells?
IL-12 diverts immune response to TH1, pro-inflammatory, cytokine secretion.
What effect does TNF-alpha have on vascular endothelium?
TNF-alpha:
1. Induces changes in vascular endothelium (expression of cell-adhesion molecules (E- and P-selectin)
2. Changes in cell-cell junctions with increased fluid loss
3. Local blood clotting.
Cytokines produced by macrophages cause dilation of...
Cytokines produced by macrophages cause dilation of LOCAL SMALL BLOOD VESSELS.
Leukocytes move to periphery of blood vessel as a result of...
Leukocytes move to periphery of blood vessel as a result of INCREASED EXPRESSION OF ADHESION MOLECULES.
After leukocytes move to the periphery of blood vessels as a result of increased expression of adhesion molecules they...
extravasate at site of infection.
Class of mechanism (COM):
Acidification-Specific product?
pH=~3.5-4.0, bacteriostatic or bactericidal
Class of mechanism (COM):
Toxic oxygen-derived products-Specific product? (5)
1. Superoxide O2-
2. Hydrogen peroxide (H2O2)
3. Singlet oxygen (1O2*)
4. Hydroxyl radical (*OH)
5. Hypohalite (OCl-)
Class of mechanism (COM):
Toxic nitrogen oxides-Specific products?
Nitric oxide NO
Class of mechanism (COM):
Antimicrobial peptides-Specific products?
Defensins and cationic proteins
Class of mechanism (COM):
Enzymes-Specific products?
Lysozyme-dissolves cell walls of some Gram-positive bacteria. Acid hydrolases-further digest bacteria.
COM: Competitors
Specific products?
Lactoferrin (binds Fe) and vitamin B12-binding protein.
Activated macrophages secrete a range of cytokines including...
IL-1, IL-6, IL-8 (CXCL8), IL-12, and TNF-alpha
What are the local effects of the cytokine IL-1?
Local effects of IL-1 include:
1-Activates vascular endothelium
2-Activates lymphocytes
3-Local tissue destruction
4-Increases access of effector cells
What are the systemic effects of the cytokine IL-1?
Systemic effects of IL-1 include:
1. Fever
2. IL-6 production
What are the local effects of the cytokine IL-6?
Local effects of the cytokine IL-6 include:
1-Lymphocyte activation
2-Increased Ab production
Which complement proteins make up the C3 convertase of the classical pathway?
C1q, C1r, C1s, C4b, C2a.
What is an anaphylatoxin?
Anaphylatoxins are peptide mediators of inflammation.
Which complement proteins increase vascular permeability and are chemotactic for phagocytes and lymphocytes?
C5a, C3a, and C4a.
How do C3b and C4b attach to the cell surface?
C3b and C4b attach to the cell surface through a reactive thioester group (w/ R-OH).
What is the most active anaphylatoxin?
C5a is the most active anaphylatoxin.
Which cells are the first responders, appearing rapidly on the scene?
Neutrophils.
Small complement-cleavage products act on blood vessels to...
Small complement-cleavage products act on blood vessels to INCREASE VASCULAR PERMEABILITY AND CELL-ADHESION MOLECULES.
Increased permeability allows increased fluid leakage from blood vessels and...
Increased permeability allows increased fluid leakage from blood vessels and EXTRAVASATION OF IMMUNOGLOBULIN AND COMPLEMENT MOLECULES.
Cytokines are typically released in response to...
Cytokines are typically released in response to STIMULUS SUCH AS INFECTION.
Characteristics of cytokines (3)
Cytokines are:
1. small protein molecules (~25kDa) produced by cells
2. usually released in response to stimulus such as infection
3. can act in an autocrine or paracrine manner.
What are chemokines?
Chemokines are a class of cytokines that have chemoattractant properties.
CRP? Made by?
C-reactive proteins; made by the liver
Selectins
Selectins are adhesion molecules found on activated endothelial cells-they bind carbohydrates and initiate leukocyte-endothelial cell interactions.
Integrins
Integrins are adhesion molecules found on a variety of leukocytes, they bind to cell adhesion molecules and extracellular matrix (strong adhesion).
Immunoglobulin superfamily
The immunoglobulin superfamily is a group of adhesion molecules found on endothelial cells-they play various roles in cell adhesion and are the ligand for integrins.
The release of TNF-alpha by macrophages induces...
The release of TNF-alpha by macrophages induces LOCAL PROTECTIVE EFFECTS , BUT NOT WHEN RELEASED SYSTEMICALLY(fever, mobilization of metabolites and shock).
Why doesn't complement destroy self cells (collateral damage)?
'Cause we've got CR1, DAF, & MCP suckas!