COMPLIMENT,OPSONISATION
and
PHAGOCYTOSIS
Opsonisation is the process
of coating micro-organisms with plasma proteins to increase their adherence to
phagocytic cells in preparation for phagocytosis. The two main opsonins are IgG
antibody and the third component of complement
(C3) which bind to the
surfaces of micro-organisms.
Phagocytic cells have
membrane receptors for IgG (Fc piece) and activated C3 (which is called C3b).
IgG antibody binds to micro-organisms because the Fab portion recognises
bacterial epitopes. C3b binds because during activation of C3 a thiol bond is
exposed which permits the formation of ester or amide bonds (covalent binding)
with the bacterial surface structures. C3 is activated by limited proteolysis
by enzymes called C3 convertases. There are two C3 convertases, one produced by
activation of the classical pathway which is antibody dependent (IgM or IgG),
while the alternative pathway can be activated in the absence of antibody. The
classical pathway is inactivated when the C1q subcomponent of first component
of complement binds to two adjacent IgG molecules or a single IgM molecule. The
C1s subcomponent of C1 becomes an active protease and activates C4 and C2 to
form the classical pathway C3 convertase which is a complex of activated C4
(C4b) and C2 (C2a) it is designated C4b2a. The alternative pathway is activated
when micro-organisms come into contact with body fluids. The pathway is always
being activated slowly to generate small amounts of activated C3 (C3b). When
C3b binds to a micro-organism activation of the alternative pathway is
amplified so that a large amount of the alternative pathway C3 convertase is
formed on the surface,
followed by deposition of activated C3 (C3b). Complement can also kill micro-organisms
directly. Once C3b has been formed, same binds to the C3 convertase to change
it to a C5 convertase which activates C5 to form C5b. Subsequently C6, C7, C8
and C9 bind together with C5b to form a hollow cylinder which is inserted into
cell membranes to produce lysis. Thus complement kills micro-organisms in two
ways:
1. Opsonisation followed by phagocytosis and
intracellular killing (indirect).
2. Assembly
of the cytolytic C5b-9 membrane attack complex (direct).
Neutrophils and monocytes/macrophages
are the two important phagocytic cells. Neutrophils and monocytes circulate in
the blood and migrate into the tissues at the post-capillary venule. Initially
they adhere to endothelium and then migrate through intercellular junctions. In
the tissues they migrate towards
bacteria by means of a process called chemotaxis, which is defined as direct
movement along a concentration gradients of chemotactic agents (e.g. C5a
leukotriene B4, IL-8, bacterial peptides). Phagocytes recognise their targets
by specific sugar residues (e.g. mannose or LPS) but binding is greatly
enhanced if the organism is opsonised with IgG and/or C3b. Phagocytes possess
Fc and C3b receptors and there is co-operation between these receptors. Thus an
organism opsonised with IgG and C3b is more effectively phagocytosed. Ingestion
(phagocytosis) is a localised endocytosis process requiring energy. The plasma
membrane envelopes the particle and buds off to form an intracellular vesicle,
the phagosome. Following fusion of the phagosome with lysosomal granules the phagolysosome is formed and the
bacteria are killed by oxygen-dependent and oxygen independent process.
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