Pathology · Inflammation (Acute, Chronic, Granulomatous, Mediators)

Which complement fragment functions both as an anaphylatoxin that triggers mast cell degranulation and as a chemoattractant that directs neutrophil migration toward sites of complement activation?

  • A C3b
  • B C4a
  • C C5a
  • D C3a
Correct answer: C. C5a

Explanation

D5a is unique among the small fragments because it combines two actions: it is an anaphylatoxin stimulating histamine release from mast cells, and it is the most potent complement-derived chemoattractant for neutrophils and monocytes. D3a and D4a are anaphylatoxins but lack significant chemotactic activity. D3b is a large fragment serving as an opsonin bound by complement receptor 1, so it performs neither function listed here.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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