The ability of fresh serum to opsonize microorganisms was recognized nearly 70 yr ago (1). Subsequent studies identified synergistic effects of both antibody and complement on opsonizatiou (2) and demonstrated that particles to which C3 was affixed by the sequential participation of antibody, C1, C4, and C2 became opsonized (3-6). In 1968, a patient was found with marked susceptibility to infection who spontaneously inactivated C3 in vivo. His serum had normal functional levels of antibody, CI, C4, and C2, but failed to opsonize bacteria even when fortified with purified C3 (7). Further studies of his serum revealed a defect in his properdin pathway (8, 9). This patient, and the good health of humans deficient in C2 (10) and of guinea pigs deficient in C4 (~ 1), have emphasized the functional significance of this alternate pathway of C3 activation, first recognized by Pillemer and his associates (12). The properdin system has been shown to participate in bacteriolysis, protozoal inactivation, virus neutralization, and lysis of erythrocytes in paroxysmal nocturnal hemoglobinuria (13-16). Unlike the classical complement pathway, the properdin system can be activated by polysaccharides in the absence of antibody (17).This report describes quantitative studies of the phagocytosis of paraffin oil droplets coated with bacterial lipopolysaccharide. Opsonization of these particles occurs in the absence of C4 and C2, but is dependent upon C3 and the properdin pathway. Measurement of the opsonization of these particles thus constitutes a quantitative functional assay for this system.
Materials and MethodsPreparation of Phagocytes.--Suspensions containing over 95% polymorphonuclear leukocytes were obtained from guinea pig peritoneal exudates. The exudates were elicited with sodium caseinate, and the cells were collected and washed as previously described (18). Human peripheral blood from normal laboratory personnel or patients with infections and leukocytosis was collected with acid-citrate dextrose, National Institutes of Health formula A; the erythrocytes were removed by dextran sedimentation and lysis with ammonium chloride; and leukocytes were washed as described previously (19). The celts were suspended in KrebsRinger phosphate medium, pH 7.4 (medium), at a concentration of 2-5 mg of guinea pig