A new cytolytic pathway is described whereby cells sensitized with cytotoxic antibody can be specifically iysed in the complete absence of intact, classical complement pathway function. Evaluation of this model with sera deficient in the 4th (C4), 2nd (C2), and 6th (C6) components of complement has revealed that this new Iytic mechanism, termed the Cl-bypass activation pathway, is initiated by the antibody-mediated activation of C1. Utilizing components of the previously described alternate complement pathway, this pathway bypasses C4 and C2 to activate the third to ninth components of complement (C3-9) with induction of membrane damage.Serum complement (C) is the principal humoral cytotoxic effector system within the body, and a principal mediator of the biological events of inflammation. Until recently, complement activity was thought to result from the sequential activation of a single series of effector proteins. That is, antigen-antibody complexes were shown to activate in turn the first three components of complement C1, C4, and C2, termed the early components, and activation of these early components led to activation of C3-9, the later components in the complement sequence. A few years ago work from several laboratories established the existence of an alternate pathway of complement activation that bypassed C1, C4, and C2 of the "classical" pathway to enter the complement sequence at the level of C3 (1-4).Previous studies from our laboratory have shown that the alternate pathway is very inefficient at mediating the lysis of both erythrocytes and nucleated cells sensitized with cytotoxic antibody (5). In this report, for the first time, a new cytolytic system is described whereby cells sensitized with cytotoxic antibody can be specifically lysed in the complete absence of intact classical pathway function. Examination of this model has disclosed the existence of a novel cytotoxic complement pathway that is initiated by the attachment of C1 to membrane-bound antibody. The formation of an antigen-antibody-Cl complex (EAC1) leads to activation of components of the bypass or alternate complement pathway, and these in turn activate C3 and the later components of the complement sequence.
MATERIALS AND METHODSPreparation of Anti-Forssman Antiserum and Purification of IgG Immunoglobulin. Anti-Forssman antiserum was prepared in a New Zealand white rabbit by repeated intravenous injections of increasing quantities of boiled sheep erythrocyte stromata over a 2.5-week period (10). 2 Weeks after the last intravenous injection of antigen, the rabbit was injected in each footpad with 0.2 ml of an emulsion containing equal volumes of antigen and Freund's complete adjuvant. 2 Weeks later, the animal was bled and the serum was used as a source of IgG hemolytic antibody. The IgG fraction of this antiserum was purified by gel filtration on Sephadex G-200 followed by sucrose density ultracentrifugation as described (6). 0.1 ml of a 1:1280 dilution of this antiserum was sufficient to produce 50% hemolysis of 0.1 ml of ...