Complement system

Classical Complement pathway

Alternative Complement Pathway

Lectin Pathway

requires antigen for initial activation

Complement system is a series of proteins that act in a sequential cascade

many proteins are pro-enzymes that require proteolytic cleavage to activate enzyme

Act in three different pathways

Complements act non specifically

regulation using inhibitory components is crucial

antibody complex for activation is triggered by C1 complex

Dependent on specific carbohydrate moieties like mannan which is on the surface of microbes

Mannose-binding lectin ( MBL) or ficolins initiate activation of pathway

The binding of MBL to mannose residues on the pathogen activating the MBL-associated serine proteases MASP-1 and MASP-2.

Ficolins are homologous to MBL and function via MASP but react to other carbohydrates than mannose.

activation via C3 hydrolysis

continuously activated at a low level

allows for spontaneous C3 hydrolysis ensuring prompt response of alternative pathways

All three pathways result in formation of

homologous variants of protease C3 convertase

this cleaves C3 to form C3a and C3b

C3b is part of C5 convertase that cleaves C5

leads to formation of Membrane attack complex ( MAC)

Lead to formation of soluble terminal complement complex (sTCC)

Four main functions

lysis of infectious organisms

activation of inflammation

opsonization

enhancing phagocytosis of antigens

Antibody complex interaction with serum C1 complex or immune aggregates containing IgG or IgM triggers classical complement pathway

Once antibody is attached, it leads to a conformational change in C1 complex leading to C1s and C1r serine protease subunits

Activated C1 cleaves C4 resulting in reactive C4b

reactive C4b covalently binds to proteins or polysaccarides at surface in close proximity to C1

Bound C4b binds to C2, allowing C2 to be available for proteolysis by C1

The C4b2a complex is formed

it is a CP C3 convertase

C3 convertase is responsible for important cleavage into C3a and C3b

Regulated by binding of membrane bound DAF which increases decay of C3 convertase

Factor I and Factor H are regulatory

Native C3b is able to covalently bind to surfaces near the C3 convertase, resulting in CPC5 convertase ( C4b2a3b)

The formation of C5 convertase is the final step of the lytic complement pathways

it cleaves C5 to C5a and C5b

The C5b complex is the first component of the self assembly of MAC or sTCC which initiates cell destruction

Identical to classical pathways except for the initiation of complement cascade

Opsonization via MBL or Ficolins

MBL binds to mannose residues on microbes

activates MASP1 and MASP2

MBL/ Ficolins in complex with MASPs can cleave C4 to C4a and C4b

MBL/ Ficollins can cleave C2 into C2a and C2b

functionally C4b and C2b form the C3 convertase, later joining with C3bto make C5 convertase


The C5 convertase will then form an assembly portion of the MAC complex or sTCC which initiates cellular lysis.

Is not triggered by antibodies or specific structures on microbes

spontaneous hydrolysis of C3 which is abundant in the plasma of the blood

causes a conformational change allowing for serine protease Factor B to bind

This in trun is cleaved by Factor D to form Ba and Bb respectively

Ba is released into a solution

Bb forms a complex, C3(H2))Bb which is the initial C3 convertase

The C3Bb is a proteolytic complex that initiates amplification process by formation of more C3b molecules building MORE C3bBb convertases resulting in surface deposition of C3b molecules

Surface C3b is shortlived which restricts AP activation to be a localized event

The C3b complement has several binding sites for multiple complement components

The newly formed C3v can do two things

generate C3 convertase which can interact with Factor B, D and properin

C3b is inactivated through control mechanism involving several inhibitory components like MCP and Factor H

Binding another C3b- fragment to C3 convertase creates C5 convertase(C3b2BbP) analogous with the lectin and classical pathways

The formation of C5 convertase initiates the final lytic process

The AP can act as a powerful amplifier of both CP and LP

C3b formed bby Classical and lectin pathways fuel the formation of both C3 convertase and c5 convertase thus forming an amplification loop

Active C3b binds to cell wall components and lipopolysaccharides and the constant low level of spontaneous C3b formation ensures that C3b cn bind to invading ells and trigger the rest of the alternative pathways

This pathways is kept in check by Factor H anf I in order to inactivate C3b enzyme in solution

Alternative Pathway

Lectin Pathway image

The C5a is released and act as a potent anaphylatoxin

The C5b is the first step in self assembly of MAC or TCC

MAC is composed of

C5b

C6

C7

C8

several molecules of C9

Step one is C6 and 7 binding with C5b

this changes the structure of C7, allowing the whole complex to be inserted into the target cells membrane

this serves as the receptor for the C8, and then the whole complex binds to serveral molecules of C9 resulting in a transmembrane MAC lesion