Extra Cards (Not needed) Flashcards

1
Q

Monoclonal and Polyclonal antibodies differences

A

Monoclonal:
homogeneous population of antibodies

made by a single clone of plasma B cells

highly specific for a single epitope on an antigen

Production is expensive

Less cross reactivity

Polyclonal:
heterogeneous mixture of antibodies

made by different B cell plasma clones

bind to the same antigen but may attach to different epitopes of that antigen

Production is inexpensive

Greater cross reactivity

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2
Q

Describe the prozone effect and effect

A

A phenomenon in which visible agglutination or precipitation does not occur in mixtures of specific antigen and antibody because of antibody excess. This can result in false negative recations.

Lack of agglutination at high antibody concentrations = prozone effect
False negative reactions

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3
Q

Describe Hook Effect

A

Antigen excess occurs when antigen is present in such high levels that it limits the antigen-antibody crosslinking, resulting in the formation of smaller immune complexes causing immunoassays to underestimate high concentrations of protein.

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4
Q

Agglutination vs percipitation

A

Agglutination: antigenic particle has antigens which bind to antibodies

Precipitation:
Free antigens bind to free bound antibodies to form a lattice structure

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5
Q

Direct Agglutination vs Passive Agglutination

and example of Direct agglutination and tube agglutination

A

Direct:
antigens are found naturally on a particle (eg RBC, bacteria)
-Tube agglutination, slide
- Coombs Test (indirect and direct method using overall direct agglutination principles)
-CAT

Passive:
employs carrier particles that are coated with soluble antigens (eg Latex, charcoal)

Widal Test (direct)
Brucella serum antigen test (tube)
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6
Q

Haemagglutination – Column Agglutination Technology (CAT) principle

A

The microtubes contain a gel matrix to trap agglutinates.

  • In a positive reaction, as the card is centrifuged plasma and/or RBCs come into contact with the antibody and agglutinated RBCs are trapped in the gel particales.
  • In a negative reaction non-agglutinated RBCs are allowed to pass through the column
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7
Q

Viral Haemagglutination methods

A

Many viruses have the ability to agglutinate RBCs without antigen–antibody reactions

used to detect antibodies in patient’s sera that
neutralize the agglutinating viruses (Viral hemagglutination inhibition test)

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8
Q

Process of Viral hemagglutination inhibition test

and what is the titration

A

Patient’s serum is first incubated with a viral preparation.

  • Then RBCs that the virus is known to agglutinate are added to the mixture.
  • If antibody is present, this will combine with viral particles and prevent agglutination.
  • Lack of agglutination indicates presence of antibody in patient’s serum.

Titration - The highest dilution of serum (Ab) that prevents hemagglutination is called the HAI titer of the serum.

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9
Q

Complement Based Immunoassay principle and titration

A

With some antigen-antibody systems no visible reaction occurs.

  • The complement fixation test can be used to detect the presence of either specific antibody or specific antigen in a patient’s serum, based on whether complement fixation occurs.
  • Indicator system = red blood cells plus their haemolysin (antibody).
  • Results are reported as the highest serum dilution not “fixing” complement
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10
Q

Draw the process of complement fixation

A

Lecture Slide

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11
Q

Neg, Pos, Substrate Blank, Standards purpose ELISA

A

Negative control – has no analyte

Positive control – contains the analyte

Standards – contain the analyte of known concentration

Substrate blank – Necessary to evaluate the substrate reaction.

  • This well does not receive any sample or detector antibodies.
  • The blank wells also control for any variation,
  • Expected values for the blank are quite low, approaching zero.
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12
Q

Example of

  1. lateral flow test
  2. Direct Agglutination
  3. Passive Agglutination
  4. Indirect
A
  1. Pregancy test or malaria test for parasite detection
  2. Widal Test
  3. Treponema Pallidum
  4. Coombs test
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