3. A defensive system consisting of over 30 proteins produced by the liver
and found in circulating blood serum.
Complement kills microbes in three different ways
1. opsonization
2. inflammation
3. Cytolysis
Complement
5. Most of the complement proteins and glycoproteins are produced
in the liver in an inactive form (zymogen).
Activation is induced by proteolytic cleavage.
The complement works as a cascade system.
Cascade is when one reaction triggers another reaction
which trigger others and so on. These types of systems
can grow exponentially very fast.
6. Complement proteins are often
designated by an uppercase letter C
and are inactive until they are split
into products.
Example: C1
When the products are split they
become active. The active products
are usually designated with a lower
case a or b.
Example: C1a and C1b
Designated by numbers, by letter symbols, or by trivial
names
Complexes with enzymatic activity are designated by a
bar over the number or symbol
7. The larger fragments binds to the target near the site of
the activation and the smaller fragments diffuse from the
site and can initiate localized inflammatory response by
binding to specific receptors.
The complement fragments interact one another to form
functional complexes.
Those complexes having enzymatic activity are written by a
bar over the symbol or number (eg- C4b2a3b)
8. The complement components isolated in teleost are
C1q,C1r,C1s,MBL,MASP,Bf,C2,C3,C4,C5,C6,C7,C8,C9
and Factor D
In fish more than 4 C3 isoforms and 2 C4 isoforms
have been identified.
In cyclostomes , cytolytic activity of the complent is
absent in serum and has only the alternative pathway of C3
activation.
The complement system of shark or cartilaginous fish
contain the classical and alternate pathway.
Like mammals fish also has CCP and ACP.
13. Phases in complement Cascade
Recognition
Activation /Amplification
Membrane Attack
14. ACTIVATION OF THE COMPLEMENT SYSTEM
COMPLEMENT SYSTEM
CLASSICAL PATHWAY MB-LECTIN PATHWAY ALTERNATIVE PATHWAY
COMPLEMENT ACTIVATION
RECRUITMENT OF
INFLAMMATORY CELLS
OPSONIZATION OF
PATHOGENS
DIRECT KILLING OF
PATHOGENS
FACILITATING
PHAGOCYTOSIS
17. it relies on antibodies to initiate it.
C1 becomes activated when it binds
to the ends of antibodies
It can also be activated by acute
phase proteins such as Ligand bound
C-Reactive proteins or directly by
certain viruses
The initial stage of
activation involves
C1,C2,C3 and C4 which
are present in the plasma
functionally in inactive
forms
18. Components of the Classical Pathway
Native component Active component(s) Function(s)
C1(q,r,s)
C1q
Binds to antibody that has bound antigen,
activates C1r.
C1r Cleaves C1s to activate protease function.
C1s Cleaves C2 and C4.
C2
C2a Unknown.
C2b
Active enzyme of classical pathway; cleaves C3
and C5.
C3
C3a Mediates inflammation; anaphylatoxin.
C3b
Binds C5 for cleavage by C2b.
Binds cell surfaces for opsonization and
activation of alternate pathway.
C4
C4a Mediates inflammation.
C4b
Binds C2 for cleavage by C1s. Binds cell
surfaces for opsonization.
19. Complement activation is initiated when immunoglobulin is
bound to the antigen present on cell surface.
This forms the a complex inducing conformational changes
in Fc region of the immunoglobulin molecule.
This change exposes a binding site for the C1 component of
the complement.
C1- a first component of the complement.
20. Gobular heads
Collagen legs
It is a Ca dependent protein complex consisting of 2
molecules each of C1r and C1s bound to one
molecule of C1q
This protein complex results in activation of C1s, serine
protease units of C1 complex
21. Once C1 is activated, it activates
2 other complement proteins, C2
and C4 by cutting them in half
C2 is cleaved into C2a and C2b
C4 is cleaved into C4a and C4b
Both C2a and C4b bind together
on the surface of the bacteria
C2b and C4a diffuse away
22. C3 Activation complex
C2a and C4b bind together on
the surface to form a C3
activation complex
This C3 activation complex is
called as C3 convertase(C4b2a)
The function of the C3 activation
complex is to activate C3
proteins.
This is done by cleaving C3
into C3a and C3b
C3 convertase
23. C3 is the one of the most abundant proteins in the serum and
plays important role or central role in complement activation.
The native C3 component consists of 2 polypeptide chains-
α and β
Hydrolyses of C3a of the α chain by the C3 convertase
generates C3b.
24. The C3b bind to and coat the surface of the bacteria.
C3b is an opsonin
Opsonins are molecules that bind both to bacteria
and phagocytes
Opsonization increases phagocytosis by 1,000 fold.
25. C3a
C3a increases the inflammatory response by binding to
mast cells and causing them to release histamine
26. Building the C5 activation complex
Some of the C3b binds to C4b2a to form a trimolecular
complex C4b2a3b called as C5 convertase.
The C3b component of this complex bind to the C5 and
changes its conformation, so that the C4b2a component
cleaves C5 into C5a and C5b
These C5b begin to coat
the surface of the bacteria.
C5a disperses away from
the bacteria.
27. The function of C5a
• C5a disperses away from the bacteria.
– Binds to mast cells and increases inflammation.
– Most powerful chemotactic factor known for leukocytes
28. Building the Membrane Attack complex
C5b on the surface of
bacteria binds to C6
The binding of C6 to C5b
activates C6 so that it can
bind to C7
C7 binds to C8 which in
turn binds to many C9’s
Together these proteins form
a circular complex called
the Membrane attack
complex (MAC)
This MAC formation leads to formation of
pore or channel in the cell membrane causing
lysis and death of the target cell
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42. Membrane Attack complex
• The MAC causes Cytolysis.
– The circular membrane attack
complex acts as a channel in
which cytoplasm can rush out of
and water rushes in.
• The bacterium’s inner integrity
is compromised and it dies
45. The alternative pathway
The alternative pathway is part of the non-specific defense
because it does not need antibodies to initiate the pathway.
The ACP is activated directly by surface constituents of foreign
cells
The alternative pathway is slower than the Classical
pathway
46. Components of the Alternate Pathway
Native component Active component(s) Function(s)
C3
C3a
Mediates inflammation;
anaphylatoxin.
C3b
Binds cell surfaces for opsonization
and activation of alternate pathway.
Factor B
B
Binds membrane bound C3b. Cleaved
by Factor D.
Ba Unknown.
Bb
Cleaved form stabilized by P produces
C3 convertase.
Factor D D Cleaves Factor B when bound to C3b.
Properdin P
Binds and stabilizes membrane bound
C3bBb.
47. Initiation of The Alternative pathway
C3 contains unstable thioester
bond.
This unstable bond makes C3
subject to slow spontaneous
hydrolysis to C3b and C3a
The C3b is able to bind to
foreign surface antigens.
Mammalian cells contain sialic
acid which inactivates C3b
48. Factor B
• C3b on the surface of a
bacterium (ex. LPS)
binds to another plasma
protein called factor B
LPS, LTA
49. Factor D
The binding of C3b to factor B
allows a protein enzyme called
Factor D to cleave Factor B
to Ba and Bb.
Factor Bb remains bound to
C3b while Ba and Factor D
disperse away.
Factor D is plasma serine
protein.
The resultant C3bBb complex
act as C3 convertase
(analogue of C4b2a3b of CCP)
50. The C3 activation complex
Properdin, also called factor P, binds to the C3bBb complex to
stabilize it.
C3bBbP make up the C3 activation complex for the alternative
pathway ie. It cleaves more C3 into C3a and C3b.
51. The C3 activation Complex
The C3 activation
complex causes the
production of more C3b.
This allows the initial steps
of this pathway to be
repeated and amplified
2X106 molecules can be
generated in 5 minutes
52. C5 activation complex
• When an additional C3b
binds to the C3 activation
complex it converts it into a
C5 activation complex.
• The C5 activation complex
cleaves C5 into C5a and
C5b.
• C5b begins the
production of the MAC.
56. Lectins are proteins those
recognize and binds to
specific carbohydrates
targets.
This pathway is initiated by
binding of protein complex
constituting of mannose –
binding lectin (MBL) and serine
protease , MASP-1 and -2 to
mannans on the bacterial cell
surface.
MASP = MBL associated serin protease
57. The MBL and MSAP complex acts similar to C1r/C1s in cleaving
C4 and C2 , leading to the formation of the C3 convertase of
CCP.
MBL is acute phase protein produced in response to
inflammation.
Its function in the complement pathway is similar to that of
the C1q
58. • All three pathways lead to production of C3b central
molecule of complement cascade
• Presence of C3b on surface of a microbe marks it as
foreign and targets it for destruction
• C3b with two important functions:
1. Combines with other complement components to
generate C5 convertase
2. Opsonizes bacteria
59.
60.
61. The end result of activation of all three complement pathways is
production of an active C5 covertase.
The generated C5b component is extremely labile and becomes
inactive within 2 minutes unless C6 binds to stablize its activity
(C4bC2bC3b) – C5 convertase
65. inflammation
The role of complement system in in vivo
Alternative, lectin & classical pathway
C3
C3b
opsonization
phagocytosis
C3b
C3bC3b
C3b
C5a
C4aC3a
MAC
lysis
67. Many components of the activated
complement system are capable of
attacking host cells besides foreign
cells and microorganisms.
Thus it is very very important that the
host cells to protected from autologus
attack.
A series of regulatory proteins
involved in the regulation mechanism.
Very little is known about the
complementary regulatory proteins in
fish
Regulation of Complement System
Regulatory proteins on human cells protect them from complement-mediated attack
68. 1. C1 inhibitor (C1-INH)
• Important regulator of classic pathway
• A serine protease inhibitor (serpin)
• Irreversibly binds to and inactivates C1r and C1s,
as well as MASP in lectin pathway
2. Factor H
• Regulate alternative pathway
• Reduce amount of C5 convertase available
• With cofactor activity for the factor I- mediated
C3b cleavage into iC3b,C3c and C3dg.
• The Factor 1 also degrades C4b in the presence
of C4-binding protein (C4bp)
69. 1. C1 inhibitor (C1Inh) binds
C1r2s2, causing
dissociation from C1q.
2. Association of C4b and C2a
is blocked by binding C4b-
binding protein
(C4bBP),complement
receptor type I, or
membrane cofactor protein
(MCP).
3. Inhibitor-bound C4b is
cleaved by Factor 1.
4. In alternative pathway, CR1,
MCP, or Factor H prevent
binding of C3b and Factor
B.
70. 3. Properdin
• Protects C3b and stabilizes C3 convertase
4. Factor I
• Cleaves cell-bound or fluid phase C3b and C4b inactivates
C3b and C4b
5. Decay accelerating factor (DAF)
• Glycoprotein on surface of human cells
• Prevents assembly of C3bBb or accelerates disassembly of
preformed convertase no formation of MAC
• Acts on both classical and alternative
71.
72. 6. C4b-binding protein (C4BP)
• Inhibits the action of C4b in classical pathway
• Splits C4 convertase and is a cofactor for factor I
7. Complement Receptor 1 (CR-1)
• Co-factor for factor I, together with CD46
8. Protectin (CD59) and Vitronectin (S protein)
• Inhibits formation of MAC by binding C5b678
• Present on “self” cells to prevent complement
from damaging them
S protein prevents
insertion of C5b67
MAC component into
the membrane.
Homologous
restriction factor
(HRF) and membrane
inhibitor of reactive
lysis((MIRL or CD59)
bind C5b678,
preventing assembly of
poly-C9 and blocking
formation of MAC
73. Till date, Factor H clones from trout and CD59 like molecules in
brook trout have been identified only.
75. DAFC1Inh
Properdin
positive feedback
Factor I
CR1 MCPC4bp
Factor I
Fact-H CR1 MCPDAF
CD59
HRF
S-protein
a-2macrogl
LECTIN PATHWAY
Regulation of complement system
membrane protein
soluble molecule
C-pept.ase N
76. Complement binding receptors
Many of the biological activities of the complement system
depend on the binding of complement fragments to
complement receptors, which are expressed by various cells.
No complement receptors in teleost have been identified except
some work on β-2 integrin molecule of channel catfish
79. Complement mediated inflammation
The smaller complement fragments (C3a,C4a and C5a) generated
during complement activation by cleavage called Anaphylatoxins.
Anaphylatoxins induce smooth muscle contractions and increase
vascular permeability resulting in influxes of fluid carrying antibody
and phagocytes to the site of antigen entry.
Recently, C3a anaphylatoxin molecules have been generated from
Rainbow trout (C3-1,C3-3, C3-4).
These three molecules stimulate respiratory burst activity in head kidney
cells of trout
Chemotactic activity of the complement activated factors has been
noticed in japanese eel and trout
2.Anaphylatoxin (C3a, C4a, C5a)
• Cause degranulation of mast cells
80. 3.Chemotaxis
• C5a and C5,6,7
complex attract
neutrophils
• C5a – enhance
adhesiveness of
neutrophils to the
endothelium
4. Cytolysis (MAC)
• Disrupt the membrane & the entry of water and electrolytes
into the cell
5. Enhancement of antibody production
• Binding of C3b to its receptors on the surface of activated
B cells enhanced antibody production
81. Clearance of circulating immune
complexes
In fish the antigen is trapped in
melano- macrophage centres present
in the Spleen and kidney for immune
clearance
82. C1Inh: inhibitor of C1 and MBL (serin protease inhibitor – multiple effects)
α2-macroglobulin: inhibitor of MBL
C4bp: C4 binding protein - inhibitor of the classical C3 convertase
Factor H: inhibitor of the alternative C3 convertase
Factor I: cleaves C4b and C3b
Properdin: stabilizes the convertases of the alternative pathway
DAF (CD55): Decay Accelerating Factor (of C3 convertases)
MCP (CD46): Membrane Cofactor Protein, cleavage of C3 convertases with factor I
CR1: complement receptor 1, inhibitor of C3 convertases
CD59 (MIRL): Membrane Inhibitor of Reactive Lysis – inhibits binding of C9 to C8
HRF: Homologous Restriction Factor (inhibits binding of C8 and C9)
Abbreviations
83. References
The complement by Hugh B. Fackrell & Maria Sawicki
THE MULTIPLE ROLES OF COMPLEMENT –
Dr Andrew Guirguis
Haematology Registrar
The Alfred Hospital
Scientific Meeting – 22nd May, 2008
Kuby immunology 7th edition
Immunology – 4th edition-
[Richard_A._Goldsby,_Thomas_J._Kindt,_Barbara_A._O(B
ookZZ.org)
https;//www.ncbi.nlm.nih.gov
https;//www.immunology.org
https;//www.boundless.com