Complement C5 convertase is a kind of serine protease that cleaves the C5 into fragments C5a, an anaphylatoxin and a chemotactic factor, C5b, the first component of the membrane attack complex (MAC). C5 convertase is made up of three fragments, in the classical or lectin pathways is C4b, C2a, and C3b, while in the alternative pathway is one C3b and two Bb. C5 convertase is generated on activating surfaces after the deposition of C3b molecules on the target surface in the vicinity of C3 convertase complexes.
Normally, C5 convertase cleaves the C5 is the final enzymatic step in the complement activation cascade resulting in the generation of the cytolytic proteolytically activated form of C5b-9 complex. Besides, C3 convertase binding to the additional C3b molecules nearby was thought to be needed for forming C5 convertase activity. In addition, high C5 convertase activity is related to the generation of C3b-C3b or C3b-C4b dimers in which the additional C3b molecule was shown to be covalently attached to a specific site on the first C3b or C4b molecule.
Fig.1 Involvement of C5 convertase in both classical and alternative pathways.Distributed under CC BY-SA 4.0, from Wiki, without modification.
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Fig.2 Inhibition of alternative pathway C3 and C5 convertase by anti-C3b Fab fragment.1
A key alternative pathway player C3b can suppress excessive inflammation by mitigating complement-mediated immune responses and tissue damage. Utilizing phage display technology, an antibody was developed that specifically binds to C3b, without recognizing the non-activated C3 molecule. The crystal structure of C3b complexed with the antibody’s Fab fragment unveils the mechanism behind this specificity. The assembly of C5 convertase was carried out on zymosan particle surfaces. Various concentrations of anti-C3b Fab fragment or a control Fab were combined with constant levels of C5 and convertase. The activity of the convertase was measured through a hemolytic assay with chicken erythrocytes, and results were reported as the percentage of hemolysis observed without the presence of an inhibitor. Results show that anti-C3b Fab fragment obstructs both factor B and C5 binding to C3b, thereby inhibiting C5 convertase activity. This inhibition curtails anaphylatoxin production and membrane-attack complex formation. This study sheds light on the molecular underpinnings of alternative pathway complement activation, showcasing a novel approach to complement inhibition.
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