Clinical Immunology Flashcards
Papain or Pepsin:
Breaks Ab into two individual arms; cannot cross link
Papain
Papain or Pepsin:
Can still look at antibody immunoprecipitation
Pepsin
Term for the antibody:antigen ratio where there is optimal binding and cross-linking
Equivalence
Effect when there is too much antibody and precipitation does not occur
Prozone effect
Results in false negative
This technique demonstrates the diffusion of antigen from its site of inoculation within a gel matrix that contains antibody
At the point of equivalence, a precipitin line develops
A standard curve can be used to quantitate antigen or antibody concentration within an unknown solution
Radial immunodiffusion (RID)
What do you learn from a radial immunodiffusion?
Quantitate antigen or antibody concentration within an unknown solution
Involves the inoculation of serum from a patient and serum from a normal control onto a gel matrix poured onto a glass slide
The slide is exposed to an electric field, and the proteins migrate based on their charge
After the electrophoresis is complete, anti-sera specific for all human antibody isotypes is inoculated into a trough set up between the 2 sera samples
Immunoelectrophoresis
Tests that are commonly used to rapidly diagnose pneumococcus and meningococcus infections and identify the specific strain of the isolate
These tests use antibodies bound to latex beads
When a sample (CSF, blood, etc.) is added that contains the antigen, the antibodies and beads are cross-linked and settle out of solution
These tests are rapid and relatively easy to perform
Agglutination tests
Blood typing involves this type of test
Agglutination
Agglutination can be observed in blood typing assays due to the fact that antibodies of this isotype can be used
IgM
Direct or indirect Coombs test:
performed to determine whether maternal antibodies have bound fetal RBCs
Direct
Direct or indirect Coombs test:
performed to determine whether maternal serum contains antibody against Rh antigen
Indirect
Both direct and indirect Coombs tests requires these
Antibodies against human antibodies to agglutinate the RBCs
Anti-D antigen sera that is administered to Rh- mothers carrying a potentially Rh+ fetus
Rhogam
Difference between radioimmunoassay and ELISA
RIA uses a radioactive label
ELISA uses an enzyme label