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Introduction

The complement system is an integral part of the immune response, playing a


crucial role in innate immunity. This complex network of proteins enhances
phagocytosis, promotes inflammation, and facilitates immunological clearance
through opsonization. Examining its mechanisms and functions is important for
understanding how it contributes to overall immune defense against pathogens.

Main Body
The complement system consists of over 30 soluble or cell membrane-associated
proteins that interact with each other in a tightly controlled cascade (Ricklin et
al., 2010). There are three main pathways—classical, lectin, and alternative—that
can be initiated by different stimuli but ultimately converge to generate similar
outcomes.

Firstly, the classical pathway relies on antigen-antibody complexes for activation.


Immunoglobulins bind to antigens present on foreign cells or particles.
Subsequently, C1q recognizes these antibody-bound targets and initiates
sequential enzymatic cleavage steps involving C1r/C1s proteases within the
larger C1 complex (Sjöberg et al., 2020). Activated components such as C3b
further amplify this process via feedback loops.

Secondly, the lectin pathway operates independently from antibodies but instead
relies on pattern recognition molecules called mannose-binding lectins (MBL) that
recognize molecular patterns commonly found on pathogenic surfaces (Thielens
et al., 2002). Upon MBL binding to microbial structures such as carbohydrates
exposed during infection processes like bacterial cell walls or viral glycoproteins;
associated serine proteases known as MASP enzymes promote downstream
reactions leading up to target opsonization similarly seen in classical activation
route.

Lastly,the alternative pathway can be spontaneously activated at low levels due


to hydrolysis-driven "tickover" mechanism which results in continuous generation
of small amounts active convertase enzyme complexes(Carroll & Isenman, 2012).
Additionally, it can also be triggered by surface properties of certain
microorganisms or host cells undergoing stress. This pathway mainly relies on
the C3 component and factor B as key activators.

Once activated through any above-mentioned pathways, a series of proteolytic


events leads to the generation of opsonins like C3b and iC3b which promote
microbial phagocytosis mediated primarily by macrophages (Sacks & Zhou, 2012).
Moreover,inflammation is stimulated at various stages due to release of
anaphylatoxins such as C5a/C4a/C3a that attract immune effector cells necessary
for clearance(Corona et al., 2020).

Conclusion
The complement system acts as a crucial bridge between innate and adaptive
immunity in host defense against infections. Its tightly regulated cascade ensures
efficient responses while minimizing damage to host tissues. Understanding its
mechanisms provides insight into potential therapeutic targets for manipulating
immune responses in disease conditions where alterations in this system occur.

References:
Carroll MC, Isenman DE. Regulation of humoral immunity by complement
[Internet]. Immunity; Elsevier BV; 2012[cited Dec2021];37(19974683):199–
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Corona JT,Gentle ME,Ivanyi-Nagy R,Dickinson MS,Wyatt AR,Tang T,Barran
PE,Lower SK.Cardiovascular Disease Genetic Association with Complement
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Ricklin D, Hajishengallis G,Yang K,Lambris JD.Complement a clinical
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Introduction:
The classical pathway is one of three activation pathways within the complement
system, a vital component of innate immunity. It plays a crucial role in
recognizing and eliminating pathogens by triggering an inflammatory response
and promoting opsonization for phagocytosis. Various mechanisms orchestrate
the initiation, amplification, and regulation processes involved in this pathway.

Initiation Phase:
Activation of the classical pathway occurs through antigen-antibody complexes
formed during humoral immune responses or directly on microbial surfaces. These
complexes typically consist of immunoglobulin G (IgG) antibodies or IgM
pentamers bound to antigens. Binding between C1q molecules present in C1
complex with Fc regions on antibody molecules initiates subsequent cascade
reactions.

C1 Complex Formation:
The recognition subcomponent (C1q) binds to antibodies' Fc regions after their
attachment to antigens, facilitating conformational changes that lead to
association with two serine proteases called C1r and C1s. This assembly forms
tetrameric units known as C1qr2s2, which are essential for proteolytic activation
downstream.
Proteolytic Cascade Amplification:
Upon binding antigen-antibody complexes via its collagen-like region (CLR), each
unit within the assembled tetramer undergoes autoactivation when exposed to
enzymatic activity from autoreactive catalytic domains present on neighboring
units.
Subsequently activated catalytic sites drive cleavage events specific towards
distinct components including both soluble factors such as Cl esterase inhibitors
along membrane-associated proteins like clusters differentiation 35A ligands
CD35 AKA Decay-accelerating factor DAF thereby enabling rapid propagation.

Effector Functions:
Complement-mediated cell lysis is mediated primarily by formation membrane
attack complex MAC composed terminal proteins starting at protein Cleaving
Component 5b CCIC5B , forming pores leading osmotic lysis. Additionally, the
classical pathway opsonizes pathogens by promoting phagocytosis through
binding to C3b receptors or further generating anaphylatoxins such as C3a and its
counterpart C5a acting chemotactic factors recruiting immune cells.

Regulation:
Effective control mechanisms modulate complement activation preventing
unnecessary tissue damage. Key regulators include serine protease inhibitors like
Serpin clusterin vitronectin that inactivate convertases neutralize enzymatic
activity, Cluster differentiation protein CD59 protects cell surfaces from MAC
deposition, while Decay Accelerating Factor DAF helps destabilize existing
complexes inhibiting prolonged complement cascade.

Conclusion:
The classical pathway of complement activation consists of a complex interplay
between various components involved in initiation, amplification, effector
functions and regulation steps. Understanding these molecular mechanisms is
crucial for developing therapeutics targeting overactivation linked with
autoimmune diseases or infections involving deficient clearance pathogenic
agents.

Citations:

1. Ricklin D., Hajishengallis G., Yang K., Lambris J.D. (2010). Complement: A key
system for immune surveillance and homeostasis.
2. Walport M.J.(2001) . Complement: first of two parts.
3.Cortes C., Ohtola JA et al.. Structure-based view on FBG domain-containing
proteins including membrane cofactor protein MCP
4.Morgan B.P.et al..(1999) Structural studies during assembly provide insights into
the mechanism of action .
5.Ballister ER , Frank CG , Young MJ,Luo S,Movileanu L.(2018).
Mechanism bacterial surface layer glycoprotein BA0846 requires specific domains
Disdains negatively charged surfaces

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