Antihumanglobulin Test Flashcards
Reactivity of AHG to cells sensitized with warm antibodies resulted:
Anti-gamma globulin fraction
Direct antiglobulin test is also called
One-stage procedure
Early AHG reagent were prepared using
Crude globulin fraction
Reactivity of AHG to cells sensitized with cold antibodies resulted:
Anti-nongamma globulin fraction
The nongamma globulin component was shown to be:
Beta globulin fraction
Antiglobulin reagent can either be:
Monospecific or Polyspecific
Polyspecific
It contain an antibody to human IgG and to the C3d component of human complement
Also called as a two-stage technique
Indirect antiglobulin test
Reagent labeled with anti-IgG contain
no anticomplement activity
Monospecific reagent contain
only one antibody specificity: either anti-IgG or antibody to specific complement component
Anti-IgG contain antibodies specifc to
Fc fragment of the gamma heavy chain
If reagent not labeled with “gamma heavy chain-specific” it may contain:
Anti-light chain specificity
Anti-light chain specificity react with cells sensitized with
IgM, IgA and IgG
The final degradation step has shown to occur:
in-vivo
Hemagglutination; indicates..
that the RBC’s had been sensitized by an antibody that had reacted with an antigen present os cell surface
What is Block Titrations
performed by reacting dilutions of each antibody to cells sensitized with different amounts of IgG
Anti-C3c is considered the most imp anticomplement beacause…
Because of its limited capacity to cause nonspecific reactions
ENGELFREIT: Showed that degradtion of C3b to C3d can occur in-vitro if:
incubation is greater than 1 hours
Anticomplement use in international reference
Anti-C3d
Sensitization can occur:
In-vitro or In-vivo
They contain no activity agains human immunoglobulins
Anticomplement
Complement activation:
C3 and C4 are divided into two component.. C3b and C4b binds to the RBC membrane. C3a and C4a pass a fluid phase. And further degradation of C3b and C4b occurs by removing C3c and C4c to leave C3d and C4d
The cross linking of sensitized RBC’s by AHG produced
Hemagglutination
Considered the most important anticomplement component by the ISBT:
anti-C3c