Three complement activation pathways and the role of fucoidan in complement activation. Fucoidan inhibits complement activation through the classical pathway by preventing active C1 formation, inhibiting C4 activity by forming a complex with C4, and preventing the binding of C4b and C2a (Blondin et al., 1994; Tissot, Montdargent, et al., 2003). Fucoidan also inhibits complement activation through the alternative pathway by preventing the binding of factor B to C3b (Blondin et al., 1994). The figure was created with BioRender.com.