ABSTRACT

The complement system plays a crucial part in the destruction and removal of microorganisms from the body. Pathogens coated with complement proteins are more efficiently phagocytosed by macrophages, and bacteria coated with complement can also be directly destroyed by complement-mediated lysis. The system of plasma proteins known collectively as complement can be activated in various ways (see Fig. 4.1), of which the so-called alternative pathway is important in innate or nonadaptive immunity. This pathway can be activated in the absence of antibody, although even low titers of IgM antibodies against an infecting microorganism will greatly amplify complement activation.