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Ch. 20 The Lymphatic System and Immunity
Chapter 20, Problem 20.2a

Complement proteins are crucial for stimulating phagocytes to clear immune complexes. Predict what type of hypersensitivity disorder might result from complement deficiencies. Explain what other consequences might arise from a complement deficiency.

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Identify the role of complement proteins in the immune system, particularly their function in opsonization and clearance of immune complexes.
Understand the classification of hypersensitivity disorders, focusing on the four types: Type I (immediate), Type II (cytotoxic), Type III (immune complex-mediated), and Type IV (delayed-type).
Recognize that complement deficiencies can impair the clearance of immune complexes, leading to their accumulation and deposition in tissues.
Predict that a deficiency in complement proteins might lead to a Type III hypersensitivity disorder, as these disorders are characterized by immune complex deposition and inflammation.
Consider other consequences of complement deficiencies, such as increased susceptibility to infections due to impaired opsonization and phagocytosis, and potential development of autoimmune conditions due to inadequate clearance of apoptotic cells.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Complement System

The complement system is a part of the immune system that enhances the ability of antibodies and phagocytic cells to clear pathogens and promote inflammation. It consists of a series of proteins that, when activated, can opsonize pathogens, recruit immune cells, and form membrane attack complexes to lyse cells. Deficiencies in this system can lead to increased susceptibility to infections and impaired clearance of immune complexes.
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Hypersensitivity Disorders

Hypersensitivity disorders are exaggerated immune responses that can lead to tissue damage and disease. They are classified into four types: Type I (immediate), Type II (cytotoxic), Type III (immune complex-mediated), and Type IV (delayed-type). A deficiency in complement proteins can particularly predispose individuals to Type III hypersensitivity, where immune complexes accumulate and cause inflammation and tissue damage.
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Phagocytosis

Phagocytosis is the process by which certain immune cells, such as macrophages and neutrophils, engulf and digest pathogens and debris. This process is crucial for clearing infections and maintaining tissue homeostasis. Complement proteins enhance phagocytosis by opsonizing pathogens, making them more recognizable to phagocytes. A deficiency in complement can impair this process, leading to chronic infections and autoimmune conditions.
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