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Classical complement pathway

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Antigen

IgG IgM

C1q 1 C1 { C1r C1s

The classical complement pathway is initiated by the recruitment of C1 complement proteins to -bound cell surface . C1 specificaly binds to the Fc domain of -bound IgG and IgM. The C1 complement protein complex is composed of C1q, C1r and C1s protein subunits. The C1r subunit has protease activity that becomes active following C1 binding. PREVIOUS NEXT

C1 C4b C4 2

Binding of C1 to the Fc domains of activates C1 protease activity. Activated C1 cleaves C4 complement protein into C4a that is released and C4b that binds to the cell surface. C4a functions as an that stimulates . PREVIOUS NEXT

C3 C4b convertase {C2b

C1

C2b C2

3 C2a

Activated C1 cleaves C2 complement protein into C2a that is released and C2b that binds to C4b on the cell surface. The C4b and C2b protein complex constitutes the C3 convertase enzyme system. PREVIOUS NEXT

C3 C4b convertase {C2b

C3

C1

C3b 4

The C3 convertase cleaves C3 complement protein into C3a that is released and that is required to constitute the C5 convertase enzyme system and also functions as an . PREVIOUS NEXT

Opsonisation Click here for more detail.

C4b C5 convertase { C2b C3b Opsonisation C1 5 C3b

C3b associates with the C3 convertase and constitutes the C5 convertase enzyme system. C3b also binds to the cell surface as an opsonin for enhanced detection by expressing complement receptors. Follicular dendritic cells in germinal centres also express complement receptors which enhances capture of immune complexes for presentation to B . PREVIOUS NEXT

C4b C5 C3b convertase { C2b C3b

C5 C1

6 C5a C5b

The C5 convertase cleaves C5 complement protein into C5a that is released and C5b that recruits additional complement proteins invloved in the formation of the membrane attack complex (MAC). C5a functions as anaphylatoxin that stimulates inflammation. PREVIOUS NEXT

C5b C3b

C6 }C5 convertase C1 C7 C8 7 C9

C5b recruits C6 and C7 complement proteins and the protein complex inserts into the cell membrane. Further recruitment of C8 and C9 complement proteins then follows. PREVIOUS BACK TO START

Kill

Membrane attack complex (MAC)

C3b Lysis

} C5 convertase 8 C1

C8 and C9 complement proteins constitute a membrane-bound pore that mediates cell lysis. The group of complement proteins C5b-C9 is known as the membrane attack complex (MAC). In addition, the Fc domain of bound antibody and cell surface bound C3b enhance detection by phagocytes expressing Fc and complement receptors. Antigen PREVIOUS

Fc Kill Kill

C3b

Phagocytosis IgG IgM

Fc receptor Enhanced of the target cell is mediated by surface-bound C3b complement protein that functions as an opsonin and is detected by complement receptors expressed by phagocytes. Opsonisation of the target cell by IgG is also detectable by phagocytes and Natural killer cells expressing Fc receptors. Phagocytes primarily include , and dendritic cells and to a lesser extent and . Follicular dendritic cells in germinal centres also express complement and Fc receptors which enhances capture of immune complexes for presentation to B lymphocytes.