Immunoassays Flashcards

1
Q

What are immunoassays?

A

Testing methods used to detect and measure either antigens or antibodies in a sample.

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2
Q

What is an antigen?

A

A hormone, vitamin, or drug found in biological samples such as blood.

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3
Q

What are antibodies?

A

Proteins created in response to antigenic stimulators.

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4
Q

Who developed the first radioimmunoassay for insulin?

A

Yalow and Berson in 1960.

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5
Q

What is a label in the context of immunoassays?

A

A compound attached to an antibody or antigen that helps observe the interaction.

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6
Q

What is the structure of antibodies?

A

Composed of 4 polypeptide chains arranged in a Y-shape.

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7
Q

What are the two types of chains in antibodies?

A

Heavy chain and light chain.

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8
Q

What determines the class of each antibody?

A

The C-terminal constant region of the heavy chain.

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9
Q

How many isotypes of antibodies are there in mammals?

A

Five: IgG, IgM, IgA, IgD, and IgE.

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10
Q

What is the function of IgA?

A

Found in mucosal areas, prevents colonization by pathogens.

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11
Q

What is the primary role of IgG?

A

Major antibody in serum, provides immunity against invading pathogens.

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12
Q

What are monoclonal antibodies?

A

Antibodies derived from a single plasma cell line or clone.

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13
Q

What are the advantages of using monoclonal antibodies?

A

Well defined reagents, unlimited quantity, consistent affinity and specificity.

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14
Q

What is an immunogen?

A

A chemical substance capable of inducing an immune response.

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15
Q

What is a hapten?

A

Chemical determinants that stimulate antibody synthesis when bound to a carrier.

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16
Q

What is the difference between affinity and avidity?

A

Affinity refers to the interaction energy of a single binding site; avidity is the overall strength of binding.

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17
Q

What type of labels were first used in immunoassays?

A

Radioactive isotopes.

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18
Q

What is the purpose of a fluorimeter?

A

To detect fluorescent labels in immunoassays.

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19
Q

What is a Western blot?

A

A method for separating proteins via gel electrophoresis followed by immunoassay.

20
Q

What is the purpose of blocking agents in Western blots?

A

To fill empty protein binding locations on the membrane.

21
Q

What is a competitive immunoassay?

A

An assay where unlabelled analyte competes with labelled analyte to bind to an antibody.

22
Q

What are the two types of competitive immunoassays?

A
  • Homogenous
  • Heterogenous
23
Q

What is an Enzyme-Linked Immunosorbent Assay (ELISA)?

A

A plate-based assay technique designed for detecting and quantifying soluble substances.

24
Q

What are the general steps in an ELISA?

A
  • Coating/capture
  • Plate blocking
  • Probing/detection
  • Signal Measurement
25
Q

What is the role of the secondary antibody in an indirect ELISA?

A

To detect the primary antibody that is bound to the antigen.

26
Q

What is the purpose of signal measurement in immunoassays?

A

Detection of the signal generated via the direct or secondary tag on the specific antibody.

27
Q

What is the Enzyme-Linked Immunosorbent Assay (ELISA)?

A

A technique used to detect and quantify proteins or antigens.

28
Q

List the formats of ELISA.

A
  • Direct
  • Indirect
  • Sandwich
29
Q

What characterizes a Sandwich ELISA?

A

The analyte is bound between two primary antibodies, each detecting a different epitope.

30
Q

Why is the Sandwich ELISA format highly used?

A

It offers high sensitivity (signal amplification) and specificity.

31
Q

What does EMIT stand for?

A

Enzyme Multiplied Immunoassay Technique.

32
Q

What principle does EMIT operate on?

A

Enzyme inhibition being proportional to the amount of analyte in the patient sample.

33
Q

What enzyme is commonly used in EMIT?

A

Glucose-6-phosphate dehydrogenase.

34
Q

How does a competitive homogenous immunoassay work?

A

It measures the concentration of analyte by competition with a conjugated enzyme.

35
Q

What is the function of the Cloned Enzyme Donor Immunoassay (CEDIA)?

A

It allows enzyme fragments to assemble into a fully functional enzyme based on the presence of an analyte.

36
Q

What is a specific enzyme example used in CEDIA?

A

β-galactosidase.

37
Q

What is the role of anti-analyte antibodies in CEDIA?

A

They bind to the analyte-enzyme complex, inhibiting the formation of the functional enzyme.

38
Q

What does Fluorescence Polarization Immunoassay (FPIA) measure?

A

The polarization of fluorescence emitted by a fluorescent molecule.

39
Q

What is the hook effect?

A

A phenomenon where high concentrations of analyte impair immunocomplex formation, affecting assay results.

40
Q

What must be validated to avoid the hook effect?

A

Questionable sample results using dilution protocol.

41
Q

What are heterophile antibodies?

A

Antibodies produced against poorly defined antigens, generally weak with multi-specific activities.

42
Q

What are human anti-animal antibodies?

A

Antibodies developed as a result of treatment with animal immunoglobulins.

43
Q

How do heterophile antibodies interfere with immunoassays?

A

They bind to the conjugate, enzyme, or other parts of the detection system.

44
Q

What is a common type of human anti-animal antibody?

A

Human anti-mouse antibodies (HAMA).

45
Q

What percentage of patient samples may contain human anti-animal antibodies?

46
Q

Fill in the blank: The _______ effect is also known as the prozone effect.

47
Q

True or False: The amount of polarized fluorescence emitted in FPIA is directly proportional to the analyte concentration.