For more than 30 years it has been known that complement
plays a central role in the development of humoral
immune responses. Today it is clear that complement influences
a variety of B cell functions, including the uptake,
processing and presentation of foreign and selfantigens,
the production of specific antibodies as well as
shaping of the B cell repertoire. A central role in the performance
of these functions is played by the B cell signalling
triad consisting of the B cell receptor for antigen
(BCR), a complex consisting of the iC3b/C3d fragmentbinding
complement type 2 receptor (CR2, CD21) and its
signalling element, CD19, and the IgG-binding receptor,
Fc?RIIb (CD32). Recent evidence suggests that complement,
in addition to facilitating the uptake and presentation
of antigen to T helper cells by antigen-presenting
cells, also regulates T cell functions by promoting the
production of the pro-inflammatory cytokines TNF-a and
IFN-? on the one hand, and the differentiation of regulatory
T cells producing IL-10 on the other. This review
aims at describing the present status of our understanding
of the mechanisms underlying complement regulation
of acquired immunity and autoimmunity.