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Innate Immunity
Barriers
Epithelial layers
Defensins
Intraepithelial lymphocytes
C1r C1r
C1s MASP C1s P
C4 C4 C4 D
C2 C2 C2 B
C3
C3b
Classical Pathway :
immune complex : IgG & IgM
Alternative Pathway :
endotoxin , CVF
virus , parasite , bacteria
Lectin pathway :
carbohydrate(mannose)
MAC : Membrane Attack Complex
C5a C9
C7
C6
C8
C5
C6 C6 C
C6
C5b 6
C5b C5b C5b
C5 convertase C9
C7 C7 C7
C8 C8
Alternative pathway
D
B
C3B
C3
C3
C3 Ba
D
Bb
C3B C3 convertase
C3a
C3a C3a
C3a
C3B
C3B
Bb C5 convertase
C3B C3B
Classical pathway
C1q r s
C4
C2
C4a
C4b
C2a
C4a
C3
C4b
C3 convertase
C2b
C2a
C3a C4a
C3b
C4b
C5 convertase C2b
C3b
MASP: MBL associated serine protease
MAC : Membrane Attack Complex
C9
C7
C6
C8
C5
C5 convertase
MAC : Membrane Attack
Complex
C5a C9
C7
C6
C8
C5b
C5 convertase
MAC : Membrane Attack Complex
C9
C8
C6
C5b
C5 convertase
C7
MAC : Membrane Attack Complex
C9
C6
C5b
C5 convertase
C7
C8
MAC : Membrane Attack Complex
C
C6
6
C5b
C5 convertase C9
C7
C8
MAC : Membrane Attack Complex
C6 C6 C6 C6
C6 C6 C6 C6
C6 C6 C6 C6
C1,4,2 C3,B,D
C 3 / C 5 convertase
C 4a , C 5a , C3a C 3b C 5b , C 6 --- C 9
Lysis of microbes
Inflammation
Phagocytosis of
opsonized microbes
The Complement system in Disease
C1r C1r
C1s MASP C1s P
C4 C4 C4 D
C2 C2 C2 B
C3
C3b
C4 and C2 deficiencies :
50% associated with Auto Immune Disease (SLE)
Not usually associated with increased susceptibility
to infection
C3 deficiency :
Frequent pyogenic bacterial infection
Alternative Pathway deficiencies
Factor D, B and Properdin
Increased susceptibility to pyogenic bacterial infection
Terminal complement components deficiencies
C5, C6, C7, C8, C9
Increased susceptibility to Neisseria bacterium
Complement Regulators deficiencies :
DAF deficiency :
Paroxysmal nocturnal Hburia
C1INH deficiency
Hereditary angioneurotic edema
Regulators /
inhibitors of
complement
Complement Receptors