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Review for Complement TBL
Review for Complement TBL
31
Immunology
Professional
10/25/2015

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Term
What pathway is activated by antigen-antibody complexes?
Definition
Classical.
Term
What pathway is activated by MBL?
Definition
Lectin pathway.
Term
What pathway involves the direct binding of C3b to microbial surfaces?
Definition
Alternative.
Term
Where are most circulating soluble complement proteins synthesized?
Definition
Liver.
Term
Where do the three complement pathways converge?
Definition
Cleavage of C3.
Term
Which complement subunits induce inflammation by recruiting inflammatory cells to the site of activation (chemotaxis)?
Definition
C3a and C5a.
Term
What does iC3 do?
Definition
It creates binding sites for Factor B.
Term
What does Factor B do?
Definition
It exposes binding sites for Factor D.
Term
What does Factor D do?
Definition
It cleaves Factor B into Ba and Bb subunits.
Term
How long after infection does the alternative pathway work?
Definition
0-4 hours after infection.
Term
List two acute-phase proteins that can activate C3.
Definition
CRP and MBL.
Term
What causes the release of acute phase proteins?
Definition
Inflammatory cytokines such as IL-6.
Term
When do CRP and MBL activation of C3 occur?
Definition
4-96 hours after infection.
Term
What is the function of MASP-1 and MASP-2?
Definition
Cleave C2 and C4 upon binding of MBL to microbial surfaces.
Term
What is the function of C2b and C4a?
Definition
They are soluble proteins that have inflammatory properties.
Term
What convertase is formed in the lectin pathway?
Definition
C4bC2a.
Term
What is another name for C4bC2a?
Definition
Classical C3 convertase.
Term
What does C1 do?
Definition
It binds to antigen-antibody complexes.
Term
Which component of C1 binds to the Fc region of antibodies?
Definition
C1q.
Term
Which components of C1 are proteases?
Definition
C1r and C1s.
Term
Which antibodies activate complement?
Definition
IgG and IgM (more strongly than IgG).
Term
What does the active form of C1s do?
Definition
It cleaves C4 and C2.
Term
How is a C5 convertase generated?
Definition
Binding of additional C3b molecules to a C3 convertase.
Term
What molecules initiates assembly of the MAC?
Definition
C5b.
Term
What does C1 inhibitor do?
Definition
It inhibits the protease activity of C1.
Term
What does Factor H do?
Definition
Removes Bb from the C3bBb complex and recruits Factor I.
Term
What does Factor I do?
Definition
Degrades iC3b.
Term
What does DAF do?
Definition
Binds do C3b and displaces Bb.
Term
What does MCP do?
Definition
Binds to C3b and recruits Factor I to cleave C3b.
Term
What does CD59 (protectin) do?
Definition
It inhibits the recruitment of C9.
Term
What does properdin do?
Definition
It enhances activation of the alternative pathway by attracting C3b and stabilizing C3bBb.
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