MCQ Pathology Answer 5

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The Correct Answer is B.

The binding of antibody to its antigen often triggers the complement system through the so-called classical pathway. It can occur in solution or when the antibodies have bound to antigens on a cell surface.

The proteins of the classical pathway

C1

C1 exists in blood serum as a molecular complex containing:
  • 6 molecules of C1q
  • 2 molecules of C1r
  • 2 molecules of C1s
The constant regions of mu chains (IgM) and some gamma chains (IgG) contain a binding site for C1q. (A single molecule of IgM is enough to initiate the pathway. IgG is far less efficient, requiring many molecules to do so.)
  • Binding of C1q activates C1s and C1r.
  • Activated C1s (a serine protease) cleaves two serum proteins:
    • C4 is cleaved into a large fragment
      • C4b, which binds covalently to sugar residues on cell-surface glycoproteins, and a smaller, inactive, fragment of
      • C4a which diffuses away.
    • C2 is cleaved into
      • C2b, which binds noncovalently to a site on C4b, leaving a smaller, inactive, fragment of
      • C2a which diffuses away.
    • The complex of C4b•2b is called "C3 convertase" because it catalyzes the cleavage of C3. (C4b•2b is also a serine protease.)

Category: Pathology MCQs

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