Classical pathway of complement activation
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Classical and alternative pathways of complement activation

The classical complement system activation pathway is evolutionarily younger than the alternative.

Initiated on surfaces where antibodies are bound (mainly IgG, IgM). Binding to a surface (e.g. bacteria) changes the conformation of the antibody molecule → reveals the binding site for C1. It starts by binding C1q to the Fc fragment of the immunoglobulin. C1 (= C1q + x C1r + 2xC1s) also changes shape and becomes proteolytically active upon binding to the antibody → begins to cleave C4 and C2. C4b and C2a bind to the surface of the challenged microorganism → forms classic C3-convertase → cleaves a lot of C3 into C3a and C3b. Then another enzyme is formed - classic C5-convertase (C4bC3bC2a) → cleaves C5 into C5a and C5b.

Pentraxins can also start the classical pathway: CRP, serum amyloid P (acute phase reactants).

Terminal (lytic) phase of the complement cascade

C5b forms a complex with other components - C6, C7, C8. This complex burrows into the surface of the lipid membrane of the attacked cell and attaches to a ring of 13-18 C9 molecules. A pore is formed in the membrane - cytoplasmic components leak out, osmotic balance is disturbed, cells can lyse.

Most microorganisms are resistant (protection by the BS).

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External links

  • HOŘEJŠÍ, Václav – BARTŮŇKOVÁ, Jiřina. Základy imunologie. 3. edition. Praha : Triton, 2008. 280 pp. ISBN 80-7254-686-4.