>Now while you two are still talking to the list, what is the compliment >system (apparently has nothing to do with being nice to each other :>) >and where can I get a better one? The complement system consists of at least 9 plasma proteins (designated C1-C9). When activated, the systems augments and encourages many immune responses. The major biological effects of complement results from the breakdown (or conversion) or components C3, and C3 can be converted (into C3a and C3b) by activation of either of two pathways. The classical pathway for complement activation usually involves antigen-antibody complexes, although the pathway can be "triggered" by immunoglobulin aggregates, and components C1, C4 and C2 are involved (and consumed). The conversion of C3 can also be activated via an "alternative" or properdin pathway - independent of components C1, C4 and C2, an dnot requiring antigen-antibody complex formation. Endotoxin, bacterial wall polysaccharides and immuno- globulin aggregates are capable of activating complement via the alternative pathway, as are several drugs and apparently via micro-bubbles produced via diving/dcs. Amplification of C3 conversion via this route results from a positive feedback loop involving the major C3 clevage product C3b. Following conversion of C3 (by either pathway), and 'attack sequence' results from the sequential involvement of further complement components in an amplifying 'cascade', with the ultimate formation of a complex molecule (C5-9) capable of cell membrane damage. The rate of complement activation is regulated by several mechanisms. The positive feedback loop already mentioned is balanced by regulation resulting both in from the inherent rapid decay of several components and the involvement of inhibitor and inactivator molecules. The biologic results of complement activation include the release of anaphylatoxins (causing vasodilation and increased capillary permeability), enhancement of immune adherence (important for phagocytosis), the release of histamine and chemotactic factors and cell lysis. Furthermore, the complement system plays a part in the induction of specific immune responses. Although complement augments many host protective mechanisms, activation may result in damage to host tissus. There is work that implicates complement in many of the presentations seen in severe DCS that are not easily explained just by blocked blood flow to tissues (severe shock, widespread edema, etc.). Hope this helps - John Submariner Research, Ltd. (johncrea@de*.co*)
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