Complement System
Complement System
Dr Niveditha
Collection of soluble proteins and
membrane receptors
Host defense against microbes
C1 to C9
Functions in both innate and
adaptive immunity
Classical
Alternative
Lectin
Stages of complement
activation
Intiation of the pathway
Formation of C3 convertase
Formation of C5 convertase
Formation of MAC
Classical pathway
Independent of antibody
Part of innate immunity
Requires serum proteins - factor B,
factor D and properdin
C3 in serum hydrolyses
spontaneously – C3a,C3b
C3b attaches to the surface of
antigen
Alternate pathway
Ab Independent
Mediated through lectin proteins of
host that interact with mannose
residues on microbial surface
MBL is acute phase reactant protein ,
similar to C1q
MBL associated serine protease
(MASP) gets complexed with MBL
Lectin pathway
Functions of complement
system
Inflammation - C3a, C5a
Opsonisation and phagocytosis –
C3b, C4b
Cell lysis – MAC complex C5-9
Regulation of complement
pathways
Complement systems are antigen
non specific
Capable of attacking host cells
Several regulatory mechanisms are
evolved to regulate their activity
C1 INH
DAF (decay accelerating factor)
C1 INH / C1 esterase
inhibitor
Soluble glycoprotein
Inhibits the action of C1q
Classical pathway is inhibited
Hereditary angioneurotic edema
DAF
CD55 molecule
Present on cell membrane
Accelerates dissociation of C3
convertase
Inhibits all three pathways
Complement deficiencies