23 Page Flashcards

1
Q

Radial Immunodiffusion?

A

antibodies are uniformly distributed in a support gel, and antigens are applied to a well cut into the gel.

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2
Q

What happens as the antigen diffuses out from the well in Radial Immunodiffusion?

A

Antigen-antibody combination occurs in changing proportions until the zone of equivalence is reached, forming a stable lattice network in the gel.

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3
Q

How is antigen concentration determined in Radial Immunodiffusion?

A

The area of the ring obtained is proportional to the antigen concentration, compared with a standard curve using antigens of known concentration.

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4
Q

What is the END POINT in the Mancini method?

A

The antigen is allowed to diffuse to completion, and when equivalence is reached, there is no further change in ring diameter.

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5
Q

MANCINI

A

ENDPOINT

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6
Q

Fahey and McKelvey

A

KINETIC

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7
Q

What is the reading time for IgG in the Mancini method?

A

24 hours.

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8
Q

What is the KINETIC method in Fahey and McKelvey?

A

Measurements are taken before the point of equivalence is reached, and the antigen is not allowed to diffuse completely.

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9
Q

What is the reading time for IgM in the KINETIC method?

A

50-72 hours (2-3 days).

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10
Q

How is the antigen concentration calculated in Radial Immunodiffusion?

A

d2=Ag conc.
The square of the diameter is directly proportional to the concentration of the antigen.

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11
Q

What type of graph is plotted in Mancini method?

A

A graph is plotted with concentrations of standards on the x-axis versus the diameter squared on the y-axis.

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12
Q

What is Ouchterlony Double Diffusion?

A

A qualitative gel precipitation technique where both antigen and antibody diffuse from wells cut in the gel.

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13
Q

What does the pattern obtained in Ouchterlony Double Diffusion indicate?

A

Whether or not the antigens are identical.

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14
Q

How are the wells arranged in Ouchterlony Double Diffusion?

A

Plates are set up with a central well surrounded by four to six equidistant outer wells.

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15
Q

What is placed in the central well of Ouchterlony Double Diffusion?

A

A multispecific antibody.

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16
Q

What is the incubation period for Ouchterlony Double Diffusion?

A

Between 12-48 hours in a moist chamber.

17
Q

What do precipitin lines in Ouchterlony Double Diffusion indicate?

A

They form where the moving front of antigen meets that of antibody at the point of equivalence.

18
Q

What are some uses of Ouchterlony Double Diffusion?

A

To identify fungi such as Aspergillus, Blastomyces, Coccidioides, and Candida.

19
Q

Serological Identity/ Line of identity/ Line of fusion in Ouchterlony Double Diffusion?

A

The two antigens are identical.

20
Q

Line of partial intersection/ Partial identity indicate?

A

The antigens share a common epitope.

21
Q

Line of non-identity/Line of intersection indicate?

A

The antigens share no identical determinants/not the same

22
Q

Formation of smooth curve/arc

A

Serological identity

23
Q

Partial identity

A

Formation of spur

24
Q

What is Rocket Immunoelectrophoresis?

A

A combination of radial immunodiffusion (RID) and electrophoresis.

Developed by Laurell.

25
Q

Distribution in Rocket Immunoelectrophoresis?

A

The antibody is distributed in the gel, and the height of the rocket corresponds to the amount of antigen in the sample.

26
Q

height of the rocket

A

equals to amount of Ag in sample

27
Q

rocket immunoelectrophoresis is developed by

A

Laurell

28
Q

one-dimension electroimmunodiffusion

A

rocket immunoelectrophoresis

29
Q

What is the arrangement of samples in Rocket Immunoelectrophoresis?

A

Standards are in wells 1 to 3
Patient samples are in wells 4 to 6.

Well 4-no Ag, no ring is formed
Well 5-low conc.
Well 6-high conc.

Well 4 contains no antigen, Well 5 has a low concentration of antigen, and Well 6 has a high concentration of antigen.

30
Q

Immunoelectrophoresis?

A

combines protein electrophoresis and immunodiffusion.

31
Q

How is the antigen and antibody arranged in Immunoelectrophoresis?

A

The antigen is placed in a well and electrophoresed, while the antibody is placed in a trough parallel to the separated proteins.

32
Q

What does an abnormal contour of the precipitin arc indicate?

A

monoclonal gammopathy.

33
Q

What is the purpose of Serum IEP?

A

For the detection of monoclonal gammopathy.

34
Q

Urine IEP?

A

Bence Jones protein.

35
Q

What is Immunofixation Electrophoresis?

A

A technique that combines protein electrophoresis and immunoprecipitation.

36
Q

How is the specimen processed in Immunofixation Electrophoresis?

A

The specimen is electrophoresed at 6 positions, and monospecific antisera is layered on each position.

37
Q

What types of antibodies are included in Immunofixation Electrophoresis (monospecific antisera)?

A

Antibodies to gamma, alpha, mu (heavy chains), and kappa, lambda (light chains).

GAM
KL

38
Q

What is the outcome of Immunofixation Electrophoresis?

A

Ag-Ab complexes form, are washed, and stained to visualize the results.

39
Q

What is the use of Immunofixation Electrophoresis?

A

Used to identify heavy and light chains involved in monoclonal gammopathies.