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Complement System01:27

Complement System

The complement system is a group of approximately 20 plasma proteins that strengthen the body's defenses against infections through opsonization, inflammation, and cell lysis. Opsonization involves coating pathogens with complement proteins, making them more recognizable and facilitating phagocyte engulfment. Certain complement proteins induce inflammation that attracts immune cells to the site of infection. Cell lysis involves the destruction of pathogens through the formation of a membrane...
Anticoagulant Drugs: Low-Molecular-Weight Heparins01:30

Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
Hypersensitivity Reactions: Immune-Complex Reactions01:19

Hypersensitivity Reactions: Immune-Complex Reactions

Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum sickness, a systemic...
Antibody Actions01:26

Antibody Actions

Antibodies, or immunoglobulins, are critical players in the immune system's arsenal against invading pathogens. Produced by B cells and plasma cells, their primary role is to detect and bind to specific antigens, molecules found on the surface of pathogens like bacteria or viruses. Beyond antigen recognition, antibodies perform several vital functions that contribute to immune defense.
Neutralization
Antibodies can bind to pathogens, preventing them from infecting host cells. This process...
Antimicrobial Proteins01:23

Antimicrobial Proteins

Antimicrobial proteins are important components of the immune system. They aid the body in combating pathogens by either killing them directly or hindering their replication processes. Four main types of antimicrobial substances are interferons, the complement system, iron-binding proteins, and antimicrobial proteins.
Interferons
Interferons (IFNs) are proteins produced by lymphocytes, macrophages, and fibroblasts infected with viruses. While IFNs cannot prevent viruses from entering and...
Hypersensitivity Reactions: Cytolytic Reactions01:01

Hypersensitivity Reactions: Cytolytic Reactions

Type II hypersensitivity involves IgG and IgM antibodies targeting cell surface antigens, leading to cell destruction. This can occur through complement activation, antibody-dependent cell-mediated cytotoxicity (ADCC), or acting as opsonins for phagocytosis. When excessive, these reactions cause significant tissue damage.Drug-induced hemolytic anemia is a common example, where drugs like penicillin or cephalosporins bind to red blood cells, forming drug-protein complexes. These complexes...

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Related Experiment Video

Updated: May 31, 2026

Methods for Quantitative Detection of Antibody-induced Complement Activation on Red Blood Cells
06:29

Methods for Quantitative Detection of Antibody-induced Complement Activation on Red Blood Cells

Published on: January 29, 2014

Complement and the antiphospholipid syndrome.

Wendy Lim1

  • 1Department of Medicine, McMaster University, Hamilton, Ontario, Canada. limwp@mcmaster.ca

Current Opinion in Hematology
|July 7, 2011
PubMed
Summary
This summary is machine-generated.

Complement activation contributes to antiphospholipid antibody syndrome (APS) complications like pregnancy loss and thrombosis. Inhibiting complement may offer a new treatment for APS beyond anticoagulation.

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Area of Science:

  • Immunology
  • Pathophysiology
  • Reproductive Medicine

Background:

  • Antiphospholipid antibody syndrome (APS) involves thrombosis and pregnancy morbidity, linked to antiphospholipid antibodies (aPL).
  • The complement cascade's role in APS pathophysiology is increasingly recognized.
  • Experimental data highlights complement activation's contribution to aPL-induced adverse outcomes.

Purpose of the Study:

  • To review the role of complement activation in antiphospholipid antibody syndrome.
  • To explore complement inhibition as a potential therapeutic strategy for APS.

Main Methods:

  • Review of experimental data, including studies on complement-deficient mice.
  • Analysis of specific complement inhibitors in preclinical models.
  • Case study of complement inhibition in catastrophic APS.

Main Results:

  • Complement activation is implicated in fetal loss, growth restriction, and thrombosis in APS models.
  • Inhibition of complement activation demonstrated a protective effect against these complications.
  • Successful use of a C5 complement inhibitor in a patient with catastrophic APS undergoing transplantation.

Conclusions:

  • Complement activation is a key player in the pathogenesis of APS-related pregnancy morbidity and thrombosis.
  • Mouse models have advanced understanding, but clinical studies in APS patients are needed.
  • Complement inhibition represents a promising, novel therapeutic avenue for APS, potentially offering an upstream treatment alternative to anticoagulation.