00:01
So we've talked about two cellular
components of innate immunity,
the mast cells and the NK cells.
00:07
Now we're going to talk
about a protein component
of the innate immune response.
00:12
And that's the complement.
00:14
And complement a series of
proteins, there are over 20 of them,
they are synthesized,
by the liver, released by
the liver and they circulate.
00:22
It turns out that
in tissues as well,
macrophages are going to be a major
source of compliment in that location.
00:31
In any event,
these proteins of the
complement cascade
are activated by sequential
proteolysis, they get clipped
by things that are upstream,
so they are get turned on and
become proteases themselves,
by virtue of
degradation of breakdown
of the protein by
specific clipping.
00:51
There are three ways that we can
start the complement cascade.
00:55
One, in the middle,
there is the classic pathway.
00:59
So if we have an antibody
bound to a particular antigen,
there is a conformational
change of the constant region
of that bound antibody, and it will
activate complement quite effectively.
01:12
So that's the classical pathway.
01:14
And that's how the
adaptive immune system
works into the
innate immune system.
01:19
But there are other ways so
there are specific components,
the top portion,
there specific
components or microbes,
that through other proteins
in the complement pathway
can activate complement cascade.
01:32
So that's the alternate pathway.
01:34
And then finally, at the bottom,
there's a lectin pathway.
01:37
So it turns out that most
microbes, most bacterial,
microbes have terminal mannose,
as one of the sugars on their
glycoproteins and glycolipids.
01:47
That mannose,
we have a binding protein that
circulates and binds to it.
01:52
And when that happens,
that recognition by mannose
binding protein to the microbe
will activate complement.
01:59
So three different ways we
can get into the pathway.
02:02
The most important thing though,
is the cleavage of C3
to various fragments.
02:08
That C3 cleavage is going
to be an important linchpin.
02:13
Now unfortunately,
in the compliment cascade,
things do not go neatly
sequentially from C1
to whatever C9 at the end.
02:23
Those numbers are assigned based on
when the proteins were discovered.
02:28
So the first one
discovered is C1,
second one, C2, etc.
02:32
Unfortunately, it's not exactly the
way the complement cascade goes.
02:36
Regardless, C3 and C3 cleavage
through any of the kind of
pathways that are described above
is the important linchpin.
02:45
That C3 gets cleaved
to C3a and C3b pieces,
without getting too much
down into the weeds,
C3a is going to be very important
for driving inflammation.
03:00
How does it do that?
It does so by binding to
receptors on mast cells,
and the mast cells
release their granules?
Oh, well, this stuff is interconnected.
Cool, right?
Okay, C3b,
that got generated
from the cleavage,
that C3b actually has an active
style ester and forms linkages
on a variety of targets.
03:23
And that once that C3b binds,
cells that have receptors for
C3b can actually glom on to it
and will ingest, will
eat, will phagocytosis,
cells that are
opsonized with the C3b.
03:40
So C3a, C3b,
the cleavage of C3
and the C3a and b
will then get us
into the next stage
which is going to be
the cleavage of C5.
03:52
And C5 makes a
number of fragments,
C5a is going to be an important
one of those fragments
because it will also drive mast
cell degranulation and activation.
04:04
And in fact C3a and C5a
have been labelled
as anaphylatoxins,
because they are can be important
things that drive anaphylaxis.
04:15
The C5b,
now will then go on and cleave
and incorporate
C6, C7, C8 and C9
to make a membrane
attack complex
to form a pour that
will cause lisis
of the microbe or
whatever it's attached to.
04:32
So we've talked
about mast cells,
we talked about
natural killer cells,
we talked about complement
as important components
of the innate immune response.
04:41
And now you've gotten a window as well
into many of the things that they can do.
04:46
And with that, we'll close.