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Complement components C8 and C9 are the final protein subunits that participate in assembly of the membrane attack complex (MAC), a key effector of the terminal complement pathway in the innate immune system[7][9]. C8 is a heterotrimer of α, β, and γ subunits; it anchors the complex to the target cell membrane and initiates pore formation by allowing subsequent C9 monomers to bind and oligomerize[1][3][5][8]. C9 then polymerizes to form a large β-barrel pore that disrupts membrane integrity, causing cell lysis and death of pathogens[5][7][8]. Deficiencies in C8 or C9 lead to susceptibility to Neisseria infections, while over-activation is implicated in autoimmune and inflammatory tissue damage. Some therapies indirectly target MAC formation (by inhibiting C5); direct targeting of C8 or C9 is still emerging[6]. CD59 is an endogenous membrane regulator that binds both C8 and C9 to block MAC assembly and prevent host cell damage[6].
Inhibition of MAC assembly by blocking C5 cleavage (prevents C5b formation and thus recruitment of C6–C9) Blockade of C9 polymerization (targeting assembly, usually with biologics such as CD59 mimetics)[6] Neutralization of complement-mediated cell lysis
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