Some human antibodies may paradoxically inhibit complement activation on
bacteria and enhance pathogen survival in humans. This property was
also claimed for IgG antibodies reacting with terminal
galactose‐α‐1,3‐galactose (Galα3Gal; IgG anti‐αGal), a
naturally occurring and abundant antibody in human plasma that targets
numerous different pathogens. To reinvestigate these effects, we used
IgG anti‐αGal affinity isolated from a pool of normal human IgG
and human hypogammaglobulinaemia serum as a complement source. Flow
cytometry was performed to examine antibody binding and complement
deposition on pig erythrocytes, Escherichia coli O86 and Streptococcus pneumoniae
serotype 9V. Specific nanobodies were used to block the effect of
single complement factors and to delineate the complement pathways
involved. IgG anti‐αGal was capable of activating the classical
complement pathway on all the tested target cells. The degree of
activation was exponentially related to the density of bound antibody on
E. coli O86 and pig erythrocytes, but more linearly on S. pneumoniae
9V. The alternative pathway of complement amplified complement
deposition. Deposited C3 fragments covered the activating IgG anti‐αGal,
obstructing its detection and highlighting this as a likely general
caveat in studies of antibody density and complement deposition. The
inherent capacity for complement activation by the purified carbohydrate
reactive IgG anti‐αGal was similar to that of normal human IgG. We propose that the previously reported complement inhibition by IgG anti‐αGal
relates to suboptimal assay configurations, in contrast to the
complement activating property of the antibodies demonstrated in this
paper.