Immunology

complement system

The complement system comprises an assembly of liver-manufactured, soluble and cell-bound proteins that participate in innate and adaptive immunity. Activation of the complement cascade by protease cleavage leads to chemotaxis (C5a), inflammation and increased capillary permeability (C3a, C5a), opsonization (C3b), and cytolysis.

▼activation : alternative pathway : amplification by C3 : anaphylatoxins C3a, C5a : antigen uptake : C1 : C2 : C3 : C4 : C5 : C6 : C7 : C8 : C9 : C1INH : CD59 : chemotaxis : classical pathway : complement cascade : complement control proteins : convertases C3, C3/C5, C5 : disorders : evolution : Factor B : Factor H : Factor I : ficolins : immunoglobulins and complement activation : inhibitory proteins : lectin pathway : MBL -MAPS : mannose-binding lectin pathway : membrane attack complex : opsonin : pathways : perforin : phagocytosis : pore : proteases : regulation : serine proteases : sialic acid ▼

Sequential activation of the protein components of the complement cascade upon cleavage by a protease, leads to each component's becoming, in its turn, a protease. Three pathways are involved in complement attack upon pathogens:
● classical pathway
● alternative pathway
● mannose-binding lectin pathway (MBL -MAPS)

The classical pathway utilizes C1, which is activated by binding of an antibody to its cognate antigen.

Inactive C1 circulates as a serum molecular complex comprising 6 C1q molecules, 2 C1r molecules, and 2 C1s molecules. Constant regions in some immunoglobulins specifically bind C1q, activating C1r and C1s. The mu chains of IgM and some gamma chains of IgG contain specific binding sites, though IgM is far more effective than IgG.

Activated C1s is a serine protease that cleaves C4 and C2 into small inactive fragments (C4a, C2a) and larger active fragments, C4b and C2b. The active component C4b binds to the sugar moieties of surface glycoproteins and binds noncovalently to C2b, forming another serine protease C4b•C2b, which is called C3 convertase because it cleaves C3, releasing an active C3b opsonin fragment.

Macrophages and neutrophils possess receptors for C3b, so cells coated with C3b are targetted for phagocytosis (opsonization). The small C3a fragment is released into solution where it can bind to basophils and mast cells, triggering histamine release and, as an anaphylatoxin, potentially participating in anaphylaxis.

C3 amplifies the humoral response because of its abundance and its ability to auto-activate (as a C3 convertase). Breakdown of C3b generates an antigen-binding C3d fragment that enhances antigen uptake by dendritic cells and B cells .

Binding of C3b to C5 induces an allosteric change that exposes C3b•C5 to cleavage by C4b•C2b, which is now acting as C3/C5 convertase. The alternative pathway possesses a distinct C5 convertase, so the two pathways converge through C5.

Cleavage of C5 by the C3/C5 convertase releases:
● anaphylotoxic C5a, which promotes chemotaxis of neutrophils
● C5b, which complexes with one molecule of each of C6, C7, and C8. The resultant C5b•6•7•8 complex assists polymerization of as many as 18 C9 molecules to form a cytolysis-promoting pore (membrane attack complex, tem) through the plasma membrane of the target cell, which then suffers osmosis-induced cytolysis.

Another cytolytic mediator utilized by CTLs and NK cells is perforin, which is a 534 aa glycoprotein with sequence homology to the membrane attack component of complement C9. Like C9, perforin integrates into the target cell membrane, forming polyprotein pores up to 20nm in diameter comprising 12—18 perforin monomers, which breach membrane integrity and permit cytolytic cell death.

The alternative pathway is not activated by antigen-antibody binding, but instead relies upon spontaneous conversion of C3 to C3b, which is rapidly inactivated by its binding to inhibitory proteins and sialic acid on the cell's surface. Because bacteria and other foreign materials lack these inhibitory proteins and sialic acid, the C3b is not inactivated and it forms the C3b•Bb complex with Factor B. The C3b.Bb complex acts as a C3 convertase, forming C3b•Bb•C3b, which acts as a C5 convertase that can ititiate assembly of the membrane attack complex. C3b•Bb, acting as a C3 convertase, provides a positive feedback loop that amplifies production of C3.

The lectin pathway (MBL - MASP) is homologous to the classical pathway, but utilizes opsonin, mannan-binding lectin (MBL, MBP) and ficolins rather than C1q. Binding of mannan-binding lectin to mannose residues on the pathogen surface activates the MBL-associated serine proteases, MASP-1, MASP-2, MASP-3, which cleave C4 into C4b and C2 into C2b. As in the classical pathway, C4b and C2b bind to form the C4b•C2b C3 convertase. Ficolins are homologous to MBL and function through MASPs. Diversified ficolins are of particular importance in invertebrates, which lack the adaptive immune response that evolved some 500 million years ago in jawed vertebrates.

Several complement control proteins regulate activity of the complement system, including:
● C1 inhibitor (C1INH), which eliminates the proteolytic activity of activated C1r and C1s. Following C1 activation by antigen-antibody complexes, C1INH permits only a brief interval during which activated C1 can cleave C4 and C2.
● Factor I, which inactivates C3b
● Factor H, which removes Bb, thus interrupting the C3 convertase feedback loop within the alternative pathway
● CD59, which inhibits C9 polymerization during assembly of the membrane attack complex.

Dysregulation of the complement system manifests variously as immune complex disorders (C2 deficiency), susceptibility to bacterial infections (C3 deficiency), the autoimmune disorder SLE (early component or C2 deficiency), hereditary angioneurotic edema (HANE) (C1INH deficiency).

▲ activation : alternative pathway : amplification by C3 : anaphylotoxins C3a, C5a ф antibodies ф antigen : antigen uptake : C1 : C2 : C3 : C4 : C5 : C6 : C7 : C8 : C9 : C1INH : CD59 : chemotaxis : classical pathway : complement cascade : complement control proteins : convertases C3, C3/C5, C5 : disorders : evolution : Factor B : Factor H : Factor I : ficolins : immunoglobulins and complement activation : inhibitory proteins : lectin pathway : MBL -MAPS : mannose-binding lectin pathway : membrane attack complex : opsonin : pathways : perforin : phagocytosis : pore : proteases : regulation : serine proteases : sialic acid ▲

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cytotoxicity

Cytotoxic agents are toxic to cells:
● Cytotoxic physical agents
___ ● thermal (excessive heat or cold)
___ ● irradiation

● Cytotoxic drugs and chemicals have cytolytic, carcinogenic, mutagenic and/or teratogenic potential. Direct contact may cause tissue irritation, ulceration, and necrosis.
___ ● antineoplastic and immunosuppressive therapeutic agents
___ ● free radicals
___ ● strong acids and alkalis
___ ● secreted digestive enzymes and antimicrobials – lysozyme, phospholipase, defensins
___ ● secreted cytolytic molecules • FasL, granzymes, granulysin, perforin
___ ● phagocytosis-promoting opsonins – C3b of complement cascade, pulmonary surfactants

● Cytotoxic cellular immune responses
_ ● Antibody-dependent cell-mediated cytotoxicity (ADCC) is mediated by antibody-marking
_ ● Complement-dependent cytotoxicity (CDC) is mediated by the complement system (opsonin-induced phagocytosis performed by macrophages and neutrophils, anaphylatoxin induced histamine release by basophils and mast cells).
_ ● Lymphocyte-mediated cytotoxicity ('LMC') requires is independent of antibody-marking and the complement system

__ ● killer cells
___ ● non-specific 'attack' cells – eosinophils (IgE, CD67), macrophages (IgG, CD14), K cells (IgG), LAK cells (IL-2 activated cytolysis cells, lymphokine-activated killer cells), NK cells (CD16, CD56)
___ ● natural killers cells (NK) of innate immune system – have activating receptors and killer inhibitory receptors (KIR) – secrete cytolytic granzymes and perforin ('LMC')
___ ● natural killer T cells (NKT) – have αβ TCR plus some of the cell-surface molecules of NK cells – respond to glycolipid antigens presented by the cell-surface molecule CD1d (ADCC) – secrete IFN-γ (Th1 cytokine) plus IL-4 and IL-13 (Th2 cytokines)
___ ● cytotoxic T cells • (CD8 +) Tc matures into CTL (killer T cells) following activation (ADCC)
___ ● phagocytic cells engulf pathogens, often after pathogen coating by opsonins (CDC)

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killer T cells

Cytotoxic, CTLs, or killer T cells (CD8+) release lysis-inducing lymphotoxins.

▼ Apo_1 : apoptosis : C9 : CD8+ : CD95 : caspases : class I MHC : CIK cells : CTLs : cytotoxic T lymphocytes : epitope : Fas-FasL : granzymes : LAK cells : LAK anti-tumor Tx : membrane attack complex : MHC class I : natural killer cells : NK cells : NK receptors : perforin : perforin gene : perforin pore : serine protease : Tc : TIL cells : TNFR ▼

▼ Tc → CTL , some CTL → CIK
▼ natural killer cells (NK)
▼ laboratory: leukocyte + IL-2 → LAK
▼ anti-tumor Tx TIL, LAK

Tc cells express CD8 plus an antigen-specific T cell receptor (TCR) that ligates antigens presented by MHC class I, and are derived from a common lymphoid progenitor matured in the thymus. These Tc cells, once activated and matured into cytotoxic T lymphocytes (CTLs), recognize and destroy infected/altered self-cells.

Cytotoxic T lymphocytes (CTLs) and natural killer (NK) cells lyse target cells. CTLs recognize a specific epitope peptide presented by major histocompatibility complex (MHC) class I molecules on the target cells. NK cells recognize targets that express no class I MHC molecules I or low levels of MHC I molecules, enabling NK cells to target cells that have evaded CTLs.

Evidence suggests that both NK cells and CTLs exclusively employ perforin-dependent cytolysis. Perforin is a 534 aa glycoprotein with sequence homology to the membrane attack component of complement C9. As a cytolytic mediator, perforin integrates into the target cell membrane, forming polyprotein pores up to 20nm in diameter comprising 12—18 perforin monomers, which breach membrane integrity and permitting cytolytic cell death. The cell-type-specific expression of the perforin gene is determined by the promoter and upstream region, and there is evidence of transcriptional repression of the perforin gene in non-killer cells by two novel regulatory elements, one of which that is exclusively expressed by non-killer cells appears to be an Ets family member.[p]

Perforin pores in the plasma membrane of targetted cells permit entry of serine-protease granzymes, which cleave caspase precursors and trigger apoptosis. Perforin-dependent cytolysis plays an important role in immune response to bacterial and viral infections, in tumour surveillance, in immunopathology, and in autoimmunity.

A second cytolytic mechanism is mediated by the interaction of activated T cell surface FasL with TNFR family Fas receptors (TNFRSF6, Apo_1, CD95) expressed on the surface of the target cell. Fas and TNFR1 share a a conserved extracellular region and a cytoplasmic domain, crucial for the induction of apoptosis. Targets that express Fas can be lysed upon interaction with FasL on the surface of an effector cell (usually an activated T cell) or upon cross-linking by anti-Fas antibodies. A deficiency of functional Fas—FasL interactions results in lymphoproliferation, abnormal constitution of the peripheral T cell pool, and autoimmunity. [pdf]

Cytokine-induced killer (CIK) cells are a unique population of cytotoxic T lymphocytes (CTL) with the characteristic CD3+CD56+ phenotype. CIK cells also express CD94, part of the NK receptor comprising of CD94-NKG2 heterodimer. CIKs have demonstrated higher proliferative and cytolytic activities in comparison to the reported CD3-CD56+ lymphokine activated killer (LAK) cells that are essentially activated natural killer (NK) cells. CIK cells are non-MHC-restricted in target cell recognition and killing.

Lymphokine-activated killer cells (LAKs) are leukocytes stimulated in the laboratory to kill tumor cells. LAKs are generated by culturing spleen or peripheral blood leukocytes in presence of high concentrations of IL-2. LAKs are T-like cells that express CD3 or CD8. They lyse targets non-specifically, and with a target range hierarchy different than that of NK cells. LAK cells respond chemotactically and accumulate at sites of viral infection.

Natural killer (NK) cells are very important components of the innate immune system, are distinct from CTLs. NK, natural killer cells constitute a corps of circulating lymphocytes that are constitutively specialized to attack cancerous cells and virus infected cells. Preprogramming for target recognition, coupled with the absense of need for backup by a clone of identical cells, renders NK cells capable of rapid (innate) response to pathogens.

Individuals inherit multiple, polymorphic genes for NK receptors, so the assemblage of NK receptors differs between individuals. NK cells carry two forms of surface receptors:
● killer inhibitory receptors (KIR) belonging to the immunoglobulin superfamily. KIRs transmit an inhibitory signal when they encounter class I MHC molecules on a cell surface. (By contrast, T cells only recognize antigens that are presented by a MHC molecule.)
● activating receptors, which activate the NK cell upon binding to a target cell
-- ● killer lectin like receptor (KLR) CD94/NKG2 heterodimer, which employs MHC as ligand
-- ● natural cytotoxic receptors (NCR) which do not associate with MHC.

Lymphokine-activated killer (LAK) and tumor-infiltrating lymphocytes (TIL) have been employed therapeutically since the '70s mainly in end-stage patients with solid tumors. TIL are more specific and potent cytotoxic effectors than LAK, but their clinical use be considered potentially useful only in a few patients, chiefly those with solid tumors such as melanoma and glioblastoma.[r]

▲ Tc → CTL , some CTL → CIK
▲ natural killer cells (NK)
▲ laboratory: leukocyte + IL-2 → LAK
▲ anti-tumor TIL, LAK

▲ ф antibodies ф antigen : Apo_1 : apoptosis סּ apoptosis ф B cells : C9 ф C9: CD8+ : CD95 ф CD : caspases : class I MHC ф complement system ф classes of MHC : CTLs ф cytolysis : cytotoxic T lymphocytes : epitope : Fas-FasL ф granulocytes : granzymes : membrane attack complex ф membrane attack complex ф MHC : MHC class I : natural killer cells ф : NK cells ф NK cells : perforin : perforin gene : perforin pore ф C9 pore ф receptors : serine protease ф serine proteases ф surface receptors : Tc : TNFR ▲

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