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complement membrane attack complex 189 complement receptor 3 (CR3)<br />

ammonia to block the action of C3 and C4; and the adding<br />

of zymosan or cobra venom factor to induce alternate pathway<br />

activation of C3, which consumes C3 in the plasma.<br />

complement membrane attack complex<br />

Refer to membrane attack complex.<br />

complement multimer<br />

A doughnut-shaped configuration as a part of the complement<br />

reaction sequence.<br />

Visible<br />

indicator<br />

system<br />

Three Pathways of Complement System Activation<br />

Parameter Classical Pathway Alternative Pathway lectin Pathway<br />

Activation Binding of antibody molecules<br />

(specifically IgM and IgG1, IgG2,<br />

and IgG3) to foreign particle<br />

Patient serum<br />

being tested for<br />

specific antibody<br />

Invisible<br />

system<br />

No free C<br />

Antibody present<br />

in serum<br />

Ab<br />

C<br />

+<br />

Ag<br />

Sheep RBC + Ab (Hemolysin)<br />

Complement<br />

Known<br />

specific<br />

antigen<br />

No antibody present<br />

in serum<br />

Sheep RBC + Ab<br />

No hemolysis = Positive reaction Hemolysis = Negative reaction<br />

Complement fixation reaction.<br />

complement receptor 1 (CR1)<br />

A membrane glycoprotein found on human erythrocytes,<br />

monocytes, polymorphonuclear leukocytes, B cells, a T cell<br />

subset, mast cells, and glomerular podocytes. On red cells,<br />

CR1 binds C3b or C4b components of immune complexes,<br />

facilitating their transport to the mononuclear phagocyte<br />

system. It facilitates attachment, endocytosis, and phagocytosis<br />

of C3b/C4b-containing complexes to macrophages<br />

or neutrophils and may serve as a cofactor for factor-Imediated<br />

C3 cleavage. The identification of CR1 cDNA<br />

has made possible the molecular analysis of CR1 biological<br />

properties.<br />

+<br />

+<br />

C<br />

+<br />

Free C<br />

Invading microorganisms Binding of MBP to mannose<br />

groups of carbohydrates on<br />

microorganisms<br />

Activation mechanism Antibody-dependent Antibody-independent Antibody-independent<br />

Limb of immunity Adaptive immune response Innate immune response Innate immune response<br />

Components C1 (C1q, C1r, C1s) to C9 Factors B, D, P, H, I C1 (C1r, C1s) to C9<br />

Components that initiate<br />

enzyme cascade<br />

C1 (C1q, C1r, C1s), C2, C4 C3, B, D Lectin, MASP1, MASP2, C4, C2<br />

C3 convertase C4b, C2a, C2b C3bBb C2b, C4b, C2a<br />

C5 convertase C4b, C2a, C3b C3bBb, C3b C4b, C2a, C3b<br />

Terminal components C5, C9, MAC (C5b678(9) n) C5, C9, MAC (C5b678(9) n) C5, C9, MAC (C5b678(9) n)<br />

B = plasma factor B. D = plasma protease factor D. P = properdin. H = protein H. I = factor I. MBP = mannan-binding protein. MASP =<br />

MBP-associated serine protease. MAC: membrane attack complex.<br />

complement receptor 2 (CR2)<br />

A receptor for C3 fragments that also serves as a binding<br />

site for Epstein–Barr virus (EBV). It is a receptor for<br />

C3bi, C3dg, and C3d based on its specificity for their C3d<br />

structures. B cells, follicular dendritic cells of lymph nodes,<br />

thymocytes, and pharyngeal epithelial cells, but not T<br />

cells, express CR2. EBV enters B lymphocytes by way of<br />

CR2. The gene encoding CR2 is linked closely with that of<br />

CR1. A 140-kDa single polypeptide chain makes up CR2,<br />

which has a short consensus repeat (SCR) structure similar<br />

to that of CR1. CR2 may be active in B cell activation.<br />

Its expression appears restricted to late pre-B cells and to<br />

mature B cells. CR2 function is associated with membrane<br />

IgM. Analysis of cDNA clones has provided the primary<br />

structure of CR2.<br />

complement receptor 3 (CR3)<br />

A principal opsonin receptor expressed by monocytes, macrophages,<br />

and neutrophils. It plays an important role in the<br />

removal of bacteria and binds fixed C3bi in the presence of<br />

divalent cations. It also binds bacterial lipopolysaccharides<br />

and β glucans of yeast cell walls. The latter are significant<br />

in the ability of granulocytes to identify bacteria and yeast<br />

cells. CR3 is an integrin type of adhesion molecule that<br />

facilitates the binding of neutrophils to endothelial cells in<br />

inflammation. It enables phagocytic cells to attach to bacteria<br />

or yeast cells with fixed C3bi, β glucans, or lipopolysaccharides<br />

on their surfaces. This facilitates phagocytosis<br />

and the respiratory burst. CR3 is comprised of a 165-kDa<br />

α glycoprotein chain and a 95-kDa β glycoprotein chain.<br />

CR3 appears related to LFA-1 and P-150,95 molecules and<br />

shares a β chain with them. All three of these molecules<br />

are of critical significance in antigen-independent cellular<br />

adhesion, which confines leukocytes to inflammatory areas,<br />

among other functions. Deficient surface expression of<br />

these molecules occurs in leukocyte adhesion deficiency<br />

(LAD), in which patients experience repeated bacterial<br />

infections. The primary defect appears associated with the<br />

common β chain. Besides C3bi binding, CR3 is of critical<br />

significance in IgG- and CR1-facilitated phagocytosis by<br />

neutrophils and monocytes. CR3 has a more diverse function<br />

than does either CR1 or CR2.<br />

C

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