Ch 18 - Lab Analysis of the Immune Response Flashcards

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1
Q

Diagnostic Immunology

A
  • Use antibodies as very, very specific test indicators for antigens
  • Use antigens as very, very specific test indicators for antibodies
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2
Q

Antigens

A

Substances that cause the production of antibodies. Usually, components of invading microbes or foreign substances.

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3
Q

Tests in Diagnostic Immunology

A

Precipitation Reactions, Agglutination Reactions, Neutralization Reactions, Complement-fixation Reactions, Fluorescent Antibody Tests, Enzyme-Linked Immunosorbent Assay (ELISA)

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4
Q

2 Factors for a good diagnostic test

A
  1. Test Sensitivity

2. Test Specificity

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5
Q

2 Factors for a good diagnostic test

Test Seneitivity

A

Probability that the test is reactive if the specimen is a true positive (low false negative %)

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6
Q

2 factors for a good diagnostic test

Test Specificity

A

Probability that a positive test will not be reactive if a specimen is a true negative (low false positive)

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7
Q

Properties of Immunologic-based Diagnostic Tests

A
  • Interactions of antibodies with antigens
  • Known antibody can identify an unknown pathogen
  • Known pathogen can identify an unknown antibody
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8
Q

Antigen-Antibody Binding

A

4 protein chains form a Y shape

  • two identical light and 2 heavy chains joined by disulfide bonds
  • variable (v) regions are at the ends of the arms; bind epitopes
  • constant (Fc) region is identical for a particular Ig class
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9
Q

Monoclonal Antibodies

Hybridoma

A

“immortal” cancerous B cell (myeloma) combined with an antibody-producing normal B cell. Produces monoclonal antibodies (mAb)

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10
Q

Monoclonal Antibodies

A

Uniform, highly specific for 1 antigen, and produced in large quantities. Uses: diagnostic tools and human therapy. Often derived from mouse cells leading to some side effects

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11
Q

Precipitation Reactions

Precipitin

A

Visible antigen-antibody complex

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12
Q

Precipitation Reactions

Precipitin Ring

A

Oprimal amount of antibody in a test

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13
Q

Precipitin

A

Soluble antigens binding to antibodies to form visible aggregates

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14
Q

Precipitin Ring Test

A

Uses liquid in a narrow test tube for precipitin formation. A cloudy line forms where there is the optimal ratio of antigen and antibody.

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15
Q

Immunodiffusion Test

A

Uses agar as the medium for precipitin formation. Precipitation reactions carried out in an agar gel medium. Precipitin develops at the point where the optimal antigen-antibody ration occurs during diffusion through the gel.

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16
Q

Immunoelectrophoresis

A

Uses protein electrophoresis to separate serum proteins before precipitin formation

17
Q

Radial Immunodiffusion Assay (RID)

A

Has antibodies in the agar and quantifies samples by the size of the precipitin ring