The human complement system, one of the protein cascade systems in pla
sma, is essential for immune defence. Its contribution to the host's d
efence is permanent and available even before specific antibodies and
T-lymphocytes are generated in the early stage of infection. Complemen
t is activated tither by the classical or the alternative pathways, bo
th of them leading to a cascade-like reaction sequence. Besides its fu
nction in host defence, complement is important in immune complex regu
lation. In addition, complement serves as a key mediator of the inflam
matory response. Specific receptors on almost every cell including mas
t cells (anaphylatoxin receptors) provide the base for a variety of ef
fector functions mediated by complement-derived activation products. O
f clinical relevance are complement deficiencies as well as the comple
ment-mediated inflammatory tissue destruction. A modern comprehensive
diagnosis is essential for a now available complement-oriented antiphl
ogistic therapy.