Immunology Quiz: Complement System and Antibodies
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Questions and Answers

What is the primary function of the Membrane Attack Complex (MAC)?

  • Enhance antibody production
  • Increase phagocytosis of pathogens
  • Stimulate inflammation
  • Perforate membranes of target cells (correct)
  • Which antibody class is characterized as pentameric?

  • IgM (correct)
  • IgA
  • IgG
  • IgE
  • What role do splenic macrophages play in immune complex (IC) clearance?

  • Transport ICs to lymph nodes
  • Produce additional antibodies
  • Bind to the Fc portion of antibodies in ICs (correct)
  • Activate the complement system directly
  • What is the composition of the Fab region of an antibody?

    <p>Two heavy chains and two light chains (A)</p> Signup and view all the answers

    How are polymeric immunoglobulins such as IgA and IgM held together?

    <p>By the J chain (B)</p> Signup and view all the answers

    Which type of bacteria is more susceptible to lysis by the Membrane Attack Complex (MAC)?

    <p>Gram negative bacteria (C)</p> Signup and view all the answers

    What is one of the primary functions of the complement system?

    <p>Opsonization and phagocytosis (A)</p> Signup and view all the answers

    What structure does the Membrane Attack Complex (MAC) specifically perforate?

    <p>Plasma membrane (B)</p> Signup and view all the answers

    Which statement accurately describes the relationship between Gram negative bacteria and the Membrane Attack Complex?

    <p>Gram negative bacteria are more readily lysed by MAC. (D)</p> Signup and view all the answers

    What advantage does opsonization provide to the immune system?

    <p>Facilitates pathogen recognition and uptake (D)</p> Signup and view all the answers

    Which of the following functions is considered the most important function of the complement system?

    <p>Opsonization and phagocytosis (D)</p> Signup and view all the answers

    What is the effect of opsonins on the immune response?

    <p>They enhance the effectiveness of antibodies and complements. (B)</p> Signup and view all the answers

    Which process is NOT directly facilitated by the complement system?

    <p>Toxin production (C)</p> Signup and view all the answers

    What is the primary role of C3b in complement activation?

    <p>To target bacteria for phagocytosis. (B)</p> Signup and view all the answers

    Which of the following opsonins directly enhances phagocytosis of pathogens?

    <p>All of the above (D)</p> Signup and view all the answers

    Which receptor binds specifically to C3b during the opsonization process?

    <p>CR1 (C)</p> Signup and view all the answers

    Why are encapsulated pathogens typically resistant to phagocytosis?

    <p>Their capsules inhibit opsonization. (C)</p> Signup and view all the answers

    What does the term 'fixation' of complement refer to?

    <p>The activation of complement proteins. (C)</p> Signup and view all the answers

    What is the composition of the C1 complex in the classical pathway of complement activation?

    <p>1 molecule of C1q and 2 molecules of C1r and C1s (D)</p> Signup and view all the answers

    Which immunoglobulin is considered the most efficient at activating the classical complement pathway?

    <p>IgM (C)</p> Signup and view all the answers

    What is required for C1q to activate the classical pathway?

    <p>Binding to two Fc regions (D)</p> Signup and view all the answers

    In terms of pathway activation, what is the similarity between the Lectin and Classical pathways?

    <p>They follow the same sequence after initial recognition (C)</p> Signup and view all the answers

    What initiates the formation of the Membrane Attack Complex (MAC)?

    <p>Binding of C5b to C6 (C)</p> Signup and view all the answers

    What is the role of anaphylatoxins like C5a and C3a in the immune response?

    <p>They activate and attract leukocytes (C)</p> Signup and view all the answers

    Which of the following molecules forms a cylindrical pore in membranes during the MAC formation?

    <p>C9 (B)</p> Signup and view all the answers

    Which event marks the final step in the formation of the Membrane Attack Complex?

    <p>C5b678 binding to C9 (B)</p> Signup and view all the answers

    What role does C5 convertase play in the complement cascade?

    <p>It cleaves C5 into C5a and C5b. (A)</p> Signup and view all the answers

    Which component initiates the assembly of the Membrane Attack Complex (MAC)?

    <p>C5b (D)</p> Signup and view all the answers

    What attracts neutrophils during the complement cascade?

    <p>C5a (C)</p> Signup and view all the answers

    What does the lectin pathway of complement activation use to detect pathogens?

    <p>Soluble receptors (D)</p> Signup and view all the answers

    Which serine proteases are involved in the cleavage of C4 and C2 in the lectin pathway?

    <p>MASPs (A)</p> Signup and view all the answers

    How is C3 convertase generated in the complement system?

    <p>Through the deposition of C3b on pathogen surfaces. (C)</p> Signup and view all the answers

    Which pathway of complement activation is triggered by the binding of C1 to antibodies?

    <p>Classical pathway (B)</p> Signup and view all the answers

    Which component of the complement system is more directly involved in the opsonization of pathogens?

    <p>C3b (B)</p> Signup and view all the answers

    What is the primary outcome of a C3 deficiency in the complement system?

    <p>Increased susceptibility to Neisserial infections (D)</p> Signup and view all the answers

    Which receptor functions as a B cell coreceptor?

    <p>Complement Receptor 2 (CR2) (B)</p> Signup and view all the answers

    What is a key function of the C3a receptor in the complement system?

    <p>Vascular permeability and mast cell degranulation (B)</p> Signup and view all the answers

    Which receptors are involved in phagocytosis and have a role in cell adhesion?

    <p>Complement Receptor 1 (CR1) and Complement Receptor 4 (CR4) (B)</p> Signup and view all the answers

    What secondary condition can arise from deficiencies in late complement components?

    <p>Increased susceptibility to Neisserial infections (B)</p> Signup and view all the answers

    What function do complement control proteins serve?

    <p>Regulating complement activation pathways (C)</p> Signup and view all the answers

    Which of the following is NOT a role of complement split products?

    <p>Phagocytosing foreign particles (B)</p> Signup and view all the answers

    Which of the following complement receptors is known for its role in leukocyte adhesion?

    <p>Complement Receptor 3 (CR3) (B)</p> Signup and view all the answers

    Flashcards

    Membrane Attack Complex (MAC)

    A complex of proteins assembled on the surface of bacterial membranes, ultimately forming a pore that leads to cell lysis.

    Opsonization

    The process of marking a pathogen for destruction by phagocytic cells.

    Phagocytosis

    The process of engulfing and destroying pathogens by immune cells.

    Inflammation

    The process of recruiting immune cells and other defense mechanisms to the site of infection.

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    Why are Gram-negative bacteria susceptible to lysis by MAC?

    The process of lysis by MAC is more effective against Gram-negative bacteria than Gram-positive bacteria.

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    Outer membrane of Gram-negative bacteria

    Gram-negative bacteria have an outer membrane that is more susceptible to MAC attack.

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    Complement system

    The complement system is a critical part of the innate immune response.

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    Opsonization and Phagocytosis

    Complement proteins can enhance the opsonization and phagocytosis of pathogens.

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    What is C3b?

    C3b is a protein fragment produced by the complement system. It attaches to the surface of bacteria, marking them for destruction by phagocytes.

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    What is opsonization?

    Opsonization is the process of making a pathogen more recognizable to phagocytes by coating it with opsonins.

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    What is phagocytosis?

    Phagocytosis is the process by which phagocytes engulf and destroy pathogens.

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    What is an opsonin?

    Opsonin is a molecule that binds to a pathogen and increases its chances of being phagocytosed.

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    Why are encapsulated bacteria hard to phagocytose?

    Encapsulated bacteria are harder to phagocytose because they are surrounded by a capsule that protects them from phagocytes.

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    Why are Gram-negative bacteria more susceptible to lysis by MAC?

    Gram-negative bacteria have an outer membrane that is more susceptible to MAC attack than the thick peptidoglycan layer of Gram-positive bacteria.

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    What is the Membrane Attack Complex (MAC)?

    The MAC (Membrane Attack Complex) is a group of complement proteins that assemble on bacterial membranes, forming a pore that allows fluid and ions to enter, leading to cell lysis.

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    How are immune complexes (ICs) formed, and how do they relate to complement activation?

    Antibodies (Ab) bind to antigens (Ag) to form immune complexes (ICs). These complexes can activate complement, which leads to the formation of MACs.

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    What is the complement system, and what are its main functions?

    Complement is a system of proteins that plays a crucial role in the innate immune response. It helps in opsonization, phagocytosis, inflammation, and lysis of pathogens.

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    What are the Fab and Fc regions of an antibody, and what do they bind to?

    The Fab region of an antibody binds to the antigen. The Fc region binds to complement and Fc receptors on immune cells.

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    What is C5 convertase?

    C5 convertase is the enzyme responsible for cleaving C5 into C5a and C5b.

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    How is C5 convertase formed?

    C5 convertase is formed from C3 convertase by the addition of C3b, which binds to the C3 convertase complex.

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    What role does C5a play in the immune response?

    C5a attracts neutrophils, which are immune cells that destroy invading microbes. This is one way the complement system signals the presence of infection.

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    What is the role of C5b?

    C5b initiates the assembly of the Membrane Attack Complex (MAC). The MAC creates pores in the cell membranes of pathogens, ultimately leading to cell lysis.

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    What is the lectin pathway?

    The lectin pathway is a part of the complement system that is activated when soluble receptors recognize microbial surface patterns, initiating the cascade.

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    What are MASPs in the lectin pathway?

    MASPs are serine proteases that cleave C4 and C2 proteins, starting the lectin pathway cascade. This is similar to how the classical pathway uses C1.

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    How can damaged tissue activate the lectin pathway?

    The lectin pathway can also be activated by cytokeratin, a protein found in the lining of blood vessels. When endothelial cells are damaged, this protein is exposed, and the lectin pathway is triggered.

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    What is MBL in the lectin pathway?

    MBL (Mannose-Binding Lectin) is the primary receptor involved in the lectin pathway, recognizing specific features on microbial surfaces.

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    What activates the classical pathway of complement?

    The classical pathway of complement activation is initiated by the binding of C1q to two or more antibodies attached to an antigen.

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    Why is IgM the most efficient activator of the classical pathway?

    IgM is the most effective antibody in activating the classical pathway because it can bind multiple C1q molecules simultaneously.

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    How does IgG activate the classical pathway?

    IgG can also activate the classical pathway, but it requires at least two IgG molecules to be close together to allow C1q to bind to both of them.

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    What is the convergence point of the Lectin and Classical pathways?

    The Lectin and Classical pathways converge at the formation of the C3 convertase.

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    What is the MAC and how does it work?

    The MAC (Membrane Attack Complex) is formed from C5b, C6, C7, C8, and multiple C9 molecules. This complex forms a pore in the membrane of target cells, ultimately leading to lysis.

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    What are anaphylatoxins and what do they do?

    C5a and C3a are called anaphylatoxins because they trigger inflammation by increasing vascular permeability, recruiting leukocytes, and activating mast cells.

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    How do anaphylatoxins trigger inflammation?

    Anaphylatoxins like C5a and C3a act by binding to receptors on vascular endothelial cells and mast cells, leading to changes in vascular permeability and leukocyte recruitment.

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    What is the role of the complement system in immunity?

    The complement system uses a cascade of protein interactions to activate and amplify an immune response against pathogens. It plays a crucial role in both innate and adaptive immunity.

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    Why is C3 deficiency serious?

    C3 deficiency is a serious condition where the body cannot produce enough C3, making it difficult to fight bacterial infections. This is due to the lack of opsonization and the ability to trigger the classical and alternative pathways of complement activation.

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    What are the effects of late complement component deficiencies?

    Deficiencies in late complement components hinder the formation of the MAC. This makes individuals more susceptible to bacterial infections caused by the Neisseria genus, especially Neisseria meningitidis (the cause of meningitis).

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    What is Complement Receptor 1 (CR1)?

    CR1 is a receptor found on phagocytic cells like macrophages and neutrophils. It binds to C3b and C4b, accelerating phagocytosis and enhancing the removal of immune complexes from the blood.

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    What is Complement Receptor 2 (CR2)?

    CR2 is found on B cells and follicular dendritic cells (FDCs). It binds to iC3b, C3dg, and C3d, helping to regulate the activation of B cells and the development of immune responses.

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    What are Complement Receptors 3 (CR3) and 4 (CR4)?

    CR3 and CR4 are found on phagocytes and are involved in phagocytosis and cell adhesion. They bind to iC3b, further aiding in the clearance of pathogens.

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    Study Notes

    Complement System Overview

    • The complement system comprises over 20 plasma and cell surface proteins interacting with each other.
    • Complement components are typically denoted by uppercase "C" followed by a number (e.g., C1, C2, C3).
    • Complement activation is triggered by pattern recognition during inflammation and trauma.
    • Sequential proteolytic activation of zymogens (inactive precursors) generates active "split products."
    • Split products are identified by suffixes (e.g., C3a and C3b are split products of C3).

    Learning Objectives

    • Differentiate the three complement activation pathways.
    • Explain the biological properties of complement activation split products.
    • Describe the regulation of complement activation and its products in host resistance to infection, inflammation, and immunopathology.
    • Discuss the effects of deficiencies and defects in complement regulation.

    Introduction to the Complement System

    • The complement system is composed of over 20 proteins interacting; these proteins are crucial for the immune system.
    • Complement components are numbered sequentially with uppercase "C" as a prefix (e.g., C1, C2, C3).
    • Complement is activated by pattern recognition during infection or injury.
    • Proteolytic activation of inactive precursors generates active "split products".
    • These split products are denoted with suffixes (e.g., C3a and C3b are split products of C3).

    Functions of the Complement System

    • Identifies pathogens as a signal to the immune system.
    • C3 activation leads to the generation of C3a and the opsonin C3b.
    • Recruits phagocytes (C5a) and activates mast cells (C3a/C5a).
    • Kills pathogens by creating pores in their membranes (C5b6789(n)).

    Complement Pathways

    • Alternative pathway—spontaneous activation (continuously active).
    • Lectin pathway—triggered by plasma lectins binding to microbial surface carbohydrates.
    • Classical pathway—activated by antibodies (IgG or IgM) bound to antigens.

    Overview of Complement Functions

    • Membrane Attack Complex (MAC): Gram-negative bacteria are more susceptible to lysis by MAC than Gram-positive bacteria.
    • Opsonization and Phagocytosis: The coating of pathogens with complement factors enhances phagocytosis.
    • Inflammation: Complement split products promote inflammation/recruitment of immune cells.

    Antibody Structure Review

    • Fab region – binds antigen.
    • Fc region – binds complement and Fc receptors on cells.
    • Heavy chains (2) - composed of CH1, hinge, CH2, and CH3 domains.
    • Light chains (2) - composed of VL and CL domains.
    • Antigen binding sites contain hypervariable regions.
    • Hinge regions confer flexibility.

    Antibody Classes

    • Monomeric: IgD, IgE, and IgG.
    • Dimeric: Secretory IgA (sIgA).
    • Pentameric: IgM (5 Fc regions).
    • Polymeric (IgA and IgM) held together by the J chain.

    Immune Complex Formation

    • Immune complexes (Ab-Ag) form when antibodies bind to antigens.
    • Complement can be activated by immune complexes.
    • Immune complexes bind to complement receptors on RBCs and are transported to the spleen and liver.
    • Splenic macrophages and Kupffer cells remove immune complexes from RBCs.

    Immune Complex Elimination

    • Immune Complexes (ICs) bind to complement receptors (CR1) on RBCs and are transported to the spleen and liver.
    • Splenic macrophages and Kupffer cells bind to Fc receptors (FcRs) of ICs.
    • ICs are removed from RBC surfaces via phagocytosis.

    Regulation of Complement Activation

    • Properdin (Factor P): stabilizes C3 convertase.
    • Factor H: inactivates C3b by cleaving it to iC3b.
    • Decay-accelerating factor (DAF): disrupts C3 convertase (C3bBb).
    • Properdin (Factor I): inactivates C3b, C4b.
    • Membrane cofactor protein (MCP): promotes the inactivation of C3b and C4b.
    • CD59 prevents the formation of the membrane attack complex (MAC).

    Pathologic Effects of Complement

    • Tissue damage resulting from excessive complement activation, in bacterial infections.
    • Intravascular thrombosis leading to ischemic injury in tissues.
    • Formation of immune complexes in autoimmune diseases (e.g., systemic lupus erythematosus, vasculitis, glomerulonephritis).
    • Pathological effects of complement deficiencies or defects in regulation (e.g., increased susceptibility to recurrent infections, hereditary angioedema).

    Pathological effects of Complement Deficiencies

    • C3 deficiency: most severe; leads to increased susceptibility to recurrent bacterial infections.
    • Deficiencies in terminal complement components (C5-C9) result in insufficient MAC formation and higher risk of infections by Neisseria.
    • Deficiency in factors D and P (alternative pathways) leads to higher risk of Neisseria infections.

    Hereditary Angioedema (HAE)

    • Deficiency in C1-inhibitor leads to unregulated bradykinin production.
    • Results in edema and vasodilation/inflammation.

    Paroxysmal Nocturnal Hemoglobinuria (PNH)

    • Genetic defect in the PIGA gene affecting GPI-anchored proteins.
    • Deficiency in complement regulators (CD55, CD59) on RBCs leads to lysis and hemolytic anemia.

    Complement Receptors

    • Complement receptor 1 (CR1): binds to C3b, C4b and facilitates phagocytosis and clearance of immune complexes.
    • Complement receptor 2 (CR2): B cell co-receptor; binds iC3b, and is crucial for the immune response.
    • Complement receptor 3 (CR3: MAC-1): binds iC3b and other ligands promoting phagocytosis and leukocyte adhesion.
    • Complement receptor 4 (CR4): similar functions to CR3.
    • C3a receptor: chemotaxis and mast cell degranulation.
    • C5a receptor: chemotaxis and mast cell degranulation.

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    Complement Lecture Outline PDF

    Description

    Test your knowledge on the complement system and antibody functions with this quiz. Explore the roles of the Membrane Attack Complex, immunoglobulins, and the immune response dynamics. Ideal for students studying immunology or related fields.

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