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ANTIBODY VARIATION
ISOTYPE ALLOTYPE IDIOTYPE
Same heavy chain for each class Variation in constant regions Variations in variable regions
H chains – unique to each Genetic variations in the constant Variations in variable regions that
immunoglobulin class regions give individual antibody molecules
specificity
Antibody fragmentation
COMPLEMENT SYSTEM
MAJOR FUNCTIONS
1. Opsonization
Following activation, opsonization occurs as complement
components coat pathogenic organisms or immune
complexes
Facilitating the process of phagocytosis
2. Inflammation
Activation of the complement system results in the
induction of histamine release from mast cells and
basophils, and stimulation of inflammatory response
3. Cytotoxic
In the final stage of the complement cascade membrane
attack of target cells (e.g. bacteria and tumor cells) occur,
leading to cell death
Activation Sequence:
o C1q attaches to the immunoglobulin and initiates complement activation C1q binding initiate C1r
C1 r cleaves C1s
C4: First activation unit A beta globulin originates from a proC4 synthesized by the macrophage
Consist of 3 peptide chains (C4-a, C4-b, and C4, Y) joined by disulfide bonds
C4 is cleaved into C4a and C4b by C1s
Activation Sequence:
o C1s mediates cleavage of C4 into C4a and C4b C4b is bound to cell membrane while C4a is
released into the fluid phase
C2: Second activation unit C2 is cleaved into C2a and C2b by C1s in the presence of C4b
Activation Sequence:
o C1s in the presence of C4b (C14b) cleaves C2 units into C2a and C2b
o C2a is bound to the cell-bound C4b while C2b is released in the fluid phase
o C4b2a complex is now attached on the surface of the cell membrane
C3: Third activation unit Most abundant complement component in the serum
Cleaved by C3 convertase into C3a and C3b
Activation Sequence
o C3 is cleaved by C3 convertase into C3a and C3b
o C3a remains unbound
o C3b is bound to the cell-bound C4b2a
o C4b2a3b complex is now attached on the surface of the cell membrane
C5: First membrane attack C5 is cleaved by C5 convertase into C5a and C5b
unit
Activation Sequence:
o C5 is cleaved by C5 convertase into a smaller C5a and a larger C5b
o C5a is released into the surrounding fluid medium
o C5b is the first component of the membrane attack complex that is bound on the surface of the cell
membrane that serves as the receptor of C6 and C7
C6: Second membrane Activation Sequnece:
attack unit o C6 binds to cell-bound C5b forming a stable C6b6 complex
C7: Third membrane Activation Sequnece:
attack unit o C7 binds to cell-bound C5b6 forming the stable C5b6 forming the stable C5b6 that is bound to the
target cell membrane
C8: Final membrane attack Activation Sequnece:
unit o C8 binds to C5b67 complex and leakage of membrane begins
o Cell lysis can occur by the C5b678 complex in the absence of C9
C9: Final membrane attack Activation Sequnece:
unit o C9 binds to cell-bound C5b678 complex accelerates cytolysis by producing circular lesions in the
membrane
o C5b6789 complex induces the formation of hollow cylinders (tubules) in the bilipid layer of the cell
membrane allowing exit of electrolytes and water out of the cell
ALTERNATE PATHWAY
1. The initial recognition necessary for the alternative pathway is the presence of C3, specifically C3b that is probably continuously generated
in small amounts in the circulation
2. C3 activation, where C3b that exists in trace amounts in normal serum becomes membrane-bound on the surface of target cells, happen
through any of the following:
Non-immunogenic
o Lipopolysaccharide (LPS)
o Endotoxin from the cell walls of gram-negative bacteria
o Cell walls of some bacteria
o Cell walls of yeasts (zymosan)
o Cobra venom factor (CVF)
Immunogenic
o IgA
o Other antibodies
o Óther antibody types can fix the alternate complement pathway?
3. The membrane-bound C3b interacts with Factor B (C3 proactivator) to form C3bB, which is a magnesium ion-dependent complex
4. C3bB is cleaved by Factor D (C3 proactivator convertase) into 2 fragments, Ba and Bb
5. Ba is released, and Bb is bound to C3b forming the C3bBb complex: amplification C3 convertase
6. When stabilized by Properdin (Facotr P), the C3bBb complex becomes the C3 convertase that cleaves C3 into C3a and C3b
7. As more C3b is generated, the complex expands (C3bnBb) and becomes a C5 convertase (e.g., C3bBb3b)
8. C5 convertase cleaves C5 into C5a and C5b initiating the membrane attack pathway
9. Membrane attack complex (C5b6789)
MANNOSE-LECTIN BINDING PATHWAY
1. Macrophages that digest microbes release chemicals that cause liver to produce lectins
Lectins are mannose-binding lectin or MBL which proteins that bind to carbohydrates such as mannose on the surface of
the microbe
The liver then produces MBL in acute-phase inflammatory reactions
MBL acts like C1q of the classical pathway but bi7nds to mannose on many bacterial cells
2. Once MBL binds to the target cell, 2 serine proteases (MASP-1 and MASP-2) bind to the bacterial surface.
MASP-1 & MASP-2 act like C1r and C1s of the classical pathway, respectively
3. Cleaving of C4 and C2 to form C3 convertase
4. Cleaving of C3 forming C5 convertase
5. Cleaving of C5 initiating the formation of the membrane attack complex (C5b6789)
SPECIFICITY CROSS-REACTIVITY
o Antibody’s highest affinity for a particular antigen o Occurs when the antibody combines with an antigen that
is structurally similar to the immunogen that is
stimulated the antibody production or the antigen the
antibody has the highest affinity for (i.e. heterophile
antibodies)
o What is an example of quaternary immune phenomenon and its significance in the diagnosis of immunologic conditions?
o What are the effects of pH, temperature, and salt concentration in the in vitro reactivity of the different types of antibodies?