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Human complement system protein (None standardized for the entire system; individual proteins include abbreviations such as C1, C2, C3, C4, C5, C6, C7, C8, C9, Factor B (fB), Factor D (fD), Properdin (fP))

Target
None standardized for the entire system; individual proteins include abbreviations such as C1, C2, C3, C4, C5, C6, C7, C8, C9, Factor B (fB), Factor D (fD), Properdin (fP)
Molecular classification
Enzyme (many are serine proteases, e.g., C1r, C1s, Factor D), Protein complex (e.g., C1 complex, Membrane Attack Complex (MAC)), Receptor (e.g., complement receptors CR1, CR2, CR3, CR4, anaphylatoxin receptors), Other (humoral immunity effector)
01

Overview

The human complement system comprises a network of approximately 50 plasma proteins and membrane receptors primarily synthesized by the liver and circulating in blood and tissues. This system, a key component of humoral innate immunity, operates through three major activation pathways—classical, alternative, and lectin—triggered by pathogen recognition or immune complexes. Activation results in a sequential proteolytic cascade amplifying the immune response and producing effector molecules: opsonins promoting phagocytosis (C3b), chemotactic and inflammatory peptides (C3a, C5a; anaphylatoxins), and the membrane attack complex (C5b-9), which mediates lysis of target cells. Complement proteins also facilitate the clearance of immune complexes and apoptotic cells, bridge innate and adaptive immunity, and play a role in tissue homeostasis. Dysregulation or genetic deficiency of complement proteins is implicated in a spectrum of human diseases, including autoimmune, infectious, and inflammatory conditions, making several system components important therapeutic targets.

Other names
Complement cascade proteinsComplement componentsSerum complement proteinsHumoral complement proteinsIndividual proteins (e.g., "C3", "C5") are commonly used as aliases for their respective subunits
02

Mechanism of action

Inhibition of complement activation (blocking cleavage of C5, C3, etc.). Prevention of MAC assembly and cell lysis. Reduction of inflammation (inhibiting anaphylatoxin effects).

03

Biological functions

Immune response (innate and adaptive immunity)Opsonization (promoting phagocytosis of pathogens)Signal transduction (amplification cascade)Cell lysis (via Membrane Attack Complex)Inflammation (generation of anaphylatoxins C3a, C5a)Clearance of immune complexes and apoptotic cells
04

Disease associations

Inflammation (autoimmune and inflammatory diseases)Infection (defense against bacteria, viruses, fungi)Cardiovascular disease (role in atherosclerosis and thrombosis)Rare complement-mediated diseases (paroxysmal nocturnal hemoglobinuria, atypical hemolytic uremic syndrome)Neurodegenerative disease (Alzheimer’s, others under investigation)Other (glomerulonephritis, lupus, sepsis)
05

Safety considerations

Immunosuppression (increased risk of infection when complement is inhibited)Thrombosis (in paroxysmal nocturnal hemoglobinuria treated with complement inhibitors)Infusion reactions (with antibody therapeutics)Off-target effects (broad complement inhibition can affect normal immune surveillance)
06

Interacting drugs

Eculizumab (targets C5)

2 more in the full profile.

07

Biomarkers

C3 and C4 levels (diagnostic of complement activity and deficiency)CH50 (total hemolytic complement activity)C5a (elevated during complement activation, monitored in inflammation)

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