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Complement Classical Pathway

AB
C1 (C1qr2s2)Initiates the classical pathway
C1qBinds to the Fc portion of antibody that has bound antigen, to apoptotic cells, and to cationic surfaces
C1rSerine protease, cleaves C1s to make it an active protease
C1sSerine protease, cleaves C4 and C2
C4bcovalently binds to the surface of a microbe or cell, where antibody is bound and complement is activated
binds C2 for cleavage by C1sC4b
stimulates inflammation -anaphylatoxinC4a
C5binitiates assembly of the membrane attack complex
C6Component of the MAC: binds to C5b and accepts C7
C7Component of the MAC: binds to C5b,6 and inserts into lipid membranes
C8Component of the MAC: binds to C5b,6,7 and initiates the binding and polymerization of C9
C9Component of the MAC: binds to C5b,6,7,8 and polymerizes to form membrane pores
C5astimulates inflammation (anaphylatoxin)
C1 inhibitor (C1 INH)Serine protease inhibitor; binds to C1r and C1s and dissociates them from C1q
Factor ISerine protease; cleaves C3b and C4b by using factor H, MCP, C4BP or CR1 as cofactors
Factor HBinds C3b and displaces Bb
C4-binding protein (C4BP)Binds C4b and displaces C2
Membrane cofactor for protein (MCP CD46)Leukocytes, epi-,endothelial cells Cofactor for factor I-mediated cleavage of C3b and C4b
Decay-accelerating factor (DAF)Displaces C2b from C4b and Bb from C3b (dissociation of C3 convertases)
CD59 on Blood cells, endothelial cells, epithelial cellsbinds C7, C8 and blocks C9 binding and prevents formation of the MAC
ProperdinStabilizes C3 convertases (C3bBb) on microbial surfaces
Factor DPlasma serine protease, cleaves factor B when it is bound to C3b
Factor BBb is a serine protease and the active enzyme of the C3 and C5 convertases
C3astimulates inflammation (anaphylatoxin)
binds to the surface of the microbe, where it functions as an opsonin and as a component of C3 and C5 convertasesC3b
Type 3 complement receptor (CR3, Mac-1, CD11b/CD18) functionPhagocytosis Leukocyte adhesion to endothelium (via ICAM-1)
Type 2 complement receptor (CR2, CD21) distributionB lymphocytes, FDCs, nasopharyngeal epithelium
Type 2 complement receptor (CR2, CD21) ligandsC3d, C3dg > iC3b
Type 2 complement receptor (CR2, CD21) functionCoreceptor for B cell activation, Trapping of antigens in germinal centers, Receptor for EBV
Type 3 complement receptor (CR3, Mac-1, CD11b/CD18)iC3b, ICAM-1; also binds microbes/ Mononuclear phagocytes, neutrophils, NK cells
Type 1 complement receptor (CR1, CD35)C3b > C4b > iC3b, Mononuclear phagocytes, neutrophils, B and T cells, erythrocytes, eosinophils, FDCs
Type 1 complement receptor (CR1, CD35)Phagocytosis, Clearance of immune complexes
Type 1 complement receptor (CR1, CD35)Promotes dissociation of C3 convertases by acting as cofactor for cleavage of C3b, C4b



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