Which immunoglobulins do not activate classical complement?

Prepare for the ACAAI Board Exam. Utilize flashcards and comprehensive multiple-choice questions, equipped with hints and detailed explanations. Ace your allergy and clinical immunology exam efficiently.

The correct answer is that all the listed immunoglobulins—IgA, IgG4, and IgE—do not activate the classical complement pathway.

Classical complement activation is primarily triggered by specific immunoglobulins, particularly IgG (with certain subclasses, like IgG1 and IgG3, being more effective) and IgM. In contrast, IgA, while important in mucosal immunity, primarily functions through alternate pathways and does not participate in classical complement activation. IgG4 is unique amongst the IgG subclasses as it does not effectively activate complement due to its structure and function, which makes it less pro-inflammatory compared to other subclasses. IgE, known for its role in allergic reactions and parasitic infections, also does not activate the classical complement pathway.

Thus, the conclusion that all three immunoglobulins do not activate the classical complement pathway is accurate and reflects the specific roles and mechanisms of the different immunoglobulin classes within the immune system.

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