The sequence of steps and their approximate appearance are shown here in schematic form. C5b triggers the assembly of a complex of one molecule each of C6, C7, and C8, in that order. C7 and C8 undergo conformational changes that expose hydrophobic domains that insert into the membrane. This complex causes moderate membrane damage in its own right, and also serves to induce the polymerization of C9, again with the exposure of a hydrophobic site. Up to 16 molecules of C9 are then added to the assembly to generate a channel of 100 Å diameter in the membrane. This channel disrupts the bacterial cell membrane, killing the bacterium. The electron micrographs show erythrocyte membranes with membrane-attack complexes in two orientations, end on and side on. Photographs courtesy of S. Bhakdi and J. Tranum-Jensen.
