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The initial protease for the alternative pathway is _____, whereas _____ is the initial protease for the lectin pathway.

a. Factor B ; Factor P
b. C1s ; Factor P
c. C1s ; MASP
d. Factor D ; MASP

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Final answer:

d. Factor D ; MASP

The initial protease for the alternative pathway is Factor D, and MASP is the initial protease for the lectin pathway. Factor D activates C3 in the alternative pathway, and MASP initiates the lectin pathway upon binding to pathogen-associated carbohydrates.

Step-by-step explanation:

The initial protease for the alternative pathway is Factor D, whereas MASP is the initial protease for the lectin pathway. In the alternative pathway, Factor D is essential for the proteolytic activation of complement component C3 in the absence of antibodies, making it antibody-independent.

The lectin pathway is similar to the classic pathway but is initiated by mannose-binding lectin (MBL) or ficolins binding to specific carbohydrate patterns on pathogens.

Once these proteins are bound, MASP (MBL-associated serine protease) becomes activated, leading to a cascade of events similar to the classical and alternative pathways, culminating in the formation of the membrane-attack complex that can lyse pathogens.

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