The alternative complement pathway is capable of discriminating human cells and tissues from a wide variety of potential pathogens. It has been recently demonstrated that attachment of complement component C3b to activator-derived molecules (e.g., small polysaccharides) restricts inactivation of C3b by factors H and I in a manner similar to activator surfaces. It is now shown that restriction is reversed by certain soluble polyanions (e.g., sialoglycopeptides, heparin, or dextran sulfate) that mimic the effects of sialic acid and glycosaminoglycans on human cells and tissues. Fluid-phase polyanions enhanced binding of factor H to C3b attached to activating particles, indicating that the effect resulted from increased affinity between C3b and factor H. The enhancement was specific for activator-bound C3b since no enhancement was observed on nonactivating particles. While several polyanions could cause this effect, some polyanions could not, indicating specificity. The active polyanions also inhibited lysis of cells via the alternative pathway. The binding site for sialic acid appears to reside on factor H, since factor H bound to heparin-agarose and to sialic acid-bearing fetuinagarose, whereas C3b bound to neither under the same conditions. These observations suggest that occupation of a specific site on factor H by polyanions induces an increase in the C3b-H affinity, resulting in discrimination of host cells and tissues from alternative pathway-activating foreign cells.The alternative pathway of complement (AP) represents a natural defense system for recognition and destruction of foreign organisms in vertebrate species (1-4). It enhances phagocytosis and is cytolytic for many bacteria, parasites, and virus-infected cells and for some tumor cells. This relatively simple system is composed of only six plasma glycoproteins (C3 and factors B, D, H, I, and P) but recognizes a wide variety of foreign organisms without prior contact or memory. The molecular mechanism by which C3b and the regulatory system of complement discriminate (5) between human and foreign particles has yet to be fully described. As an approach to this problem, a fluid-phase model for the AP recognition event has been constructed (6, 7). This paper shows that the recognition process can be fully mimicked with soluble complexes.