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complement receptor 4 (CR4) 190 complotype<br />

complement receptor 4 (CR4)<br />

Glycoprotein membrane receptor for C3dg on polymorphonuclear<br />

neutrophils (PMNs), monocytes, and platelets. CR4<br />

facilitates Fc-receptor-mediated phagocytosis and mediates<br />

Fc-independent phagocytosis. It consists of a 150-kDa α<br />

chain and a 95-kDa β chain. Chromosome 16 is the site of<br />

genes that encode the α chain, whereas chromosome 21<br />

is the site of genes that encode the β chain. Tissue macrophages<br />

express CR4. It is an integrin with a β chain in<br />

common with CR3 and LFA-1.<br />

complement receptor 5 (CR5)<br />

A receptor that binds C3bi, C3dg, and C3d fragments based<br />

on its specificity for their C3d component. Reactivity is<br />

only in the fluid phase and not when the fragments are<br />

fixed. CR5 is the C3dg-dimer receptor. Neutrophils and<br />

platelets manifest CR5 activity.<br />

The classical and alternative pathways of the complement system.<br />

complement receptors (CR)<br />

Receptors for products of complement reactions.<br />

Proteolytic cleavage of human complement component<br />

C3 takes place following activation of the classical or the<br />

alternative complement pathway. Following the generation<br />

of C3a and C3b, the C3b covalently binds to bacteria,<br />

immune complexes, or other targets and then unites with<br />

a high affinity receptor termed the C3b/C4b receptor and<br />

currently known as CR1. Subsequent proteolytic cleavage<br />

of the bound C3b is attributable to factor I and a cofactor.<br />

This action yields C3bi, C3dg, and C3c, which interact<br />

with specific receptors. CR2 is the C3dg receptor, and CR3<br />

is the C3bi receptor. Proteins on the surfaces of various<br />

types of cells identify and unite with complement proteins<br />

linked to antigens. Phagocyte surface complement receptors<br />

aid the engulfment of complement coated pathogenic<br />

microorganisms. CR1, CR2, CR3, CR4 and C1q receptors<br />

are examples.<br />

complement receptors, membrane<br />

Receptors expressed on blood cells and tissue macrophages<br />

of humans. These include C1q-R (C1q receptor), CR1 (C3b/<br />

C4b receptor; CD35), CR2 (C3d/Epstein–Barr virus [EBV]<br />

receptor; CD21), CR3 (iC3b receptor; CD11b/CD18), CR4<br />

(C3bi receptor; CD11c/CD18), CR5 (C3dg-dimer receptor),<br />

fH-R (factor H receptor), C5a-R (C5a receptor), and C3a/<br />

C4a-R (C3a/C4a receptor). Ligands for C receptors generated<br />

by either the classic or alternate pathways include fluid<br />

phase activation peptides of C3, C4, and C5, designated<br />

C3a, C4a, and C5a, which are anaphylatoxins that interact<br />

with either C3a/C4a-R or C5a-R and participate in inflammation.<br />

Other ligands for C receptors include complement<br />

proteins deposited on immune complexes that are either<br />

soluble or particulate. Fixed C4 and C3 fragments (C4b,<br />

C3b, C3bi, C3dg, and C3d), C1q, and factor H constitute<br />

these ligands. These receptors play a major role in facilitating<br />

improved recognition of pathogenic substances. They<br />

aid in the elimination of bacteria and soluble immune<br />

complexes. Neutrophils, monocytes, and macrophages<br />

express C3 receptors on their surfaces. Neutrophils and<br />

erythrocytes express immune adherence receptors (CR1) on<br />

their surfaces. Four other receptors for CR3 are designated<br />

CR2, CR3, CR4, and CR5. Additional receptors for complement<br />

components other than C3 and a receptor for C3a are<br />

termed C1q-R (C1q receptor), C5a-R (C5a receptor), C3a-R<br />

(C3a receptor), and fH-R (factor H receptor).<br />

complement system<br />

A group of more than 30 plasma and cell surface proteins<br />

that faciliate the destruction of pathogenic microorganisms<br />

by phagocytes or by lysis. Refer to complement.<br />

complementarity<br />

A genetic term that indicates the requirement for more than<br />

one gene to express a trait.<br />

complementarity-determining region (CDR)<br />

The hypervariable regions in an immunoglobulin molecule<br />

that form the three-dimensional cavity where an epitope<br />

binds to the antibody molecule. The heavy and light polypeptide<br />

chains each contribute three hypervariable regions to the<br />

antigen-binding region of the antibody molecule. Together,<br />

they form the site for antigen binding. Likewise, the T cell<br />

receptor α and β chains each have three regions with great<br />

diversity that are analogous to the CDRs of the immunoglobulin.<br />

These hypervariable areas are sites of binding for<br />

foreign antigen and self MHC molecular complexes.<br />

complementation<br />

A mechanism whereby a hybrid cell develops the survival<br />

capacity of two separate parental cells under different selective<br />

circumstances.<br />

complete carcinogen<br />

A cancer-causing agent that can promote all four stages<br />

of carcinogenesis.<br />

complete clinical response (hematopoietic neoplasm)<br />

Reduction to nearly zero or ≤ 5% of the number of blasts in<br />

a post-treatment patient’s blood or bone marrow smear.<br />

complete Freund’s adjuvant (CFA)<br />

A suspension of killed and dried mycobacteria suspended<br />

in lightweight mineral oil which, when combined with an<br />

aqueous phase antigen (such as a water-in-oil emulsion),<br />

enhances immunogenicity. CFA facilitates stimulation of<br />

both humoral (B cell) and cell-mediated (T cell) limbs of<br />

the immune response.<br />

complex allotype<br />

An allotype with multiple amino acid residue positions that are<br />

not the same as those of a different allotype at that same locus.<br />

complex release activity<br />

Binding of injected preformed complexes to the endothelial<br />

cell membranes immediately after their injection<br />

into experimental animals. The amount of such binding<br />

decreases with age, favoring deposition of such complexes<br />

within tissues.<br />

complotype<br />

A major histocompatibility complex (MHC) class III haplotype.<br />

It is a precise arrangement of linked alleles of MHC<br />

class III genes that encode C2, factor B, C4A, and C4B MHC

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