Lab Stuff Flashcards

1
Q

How do you use a haemocytometer?

A
  • Prepare cell suspension, and mix with trypan blue to stain
  • Load into heamocytometer chamber, allowing capillary action to draw suspension under coverslip
  • Count cells under microscope
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2
Q

How do you count cells under a microscope for haemocytometry?

A

Live cells do not take up Trypan blue, whereas dead cells do.
Only count unstained cells

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3
Q

How do you calculate viable cell count (formula)?

A

(Number of live cells x Dilution factor) / Volume of square

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4
Q

How do you calculate the volume of cells required to achieve correct cell density?

A

Same as C1V1 = C2V1 but with density

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5
Q

How does MTT proliferation assay work?

A

Measures cell proliferation by assessing metabolic activity

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6
Q

How does MTT assay assess metabolic activity?

A

Mitochondrial reductase enzymes in live cells convert the yellow MTT to purple formazan

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7
Q

What are Th1 and Th2?

A

Subsets of T helper cells

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8
Q

What cytokine does Th1 produce?

A

IFN-y

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9
Q

What cytokines do Th2 produce?

A

IL-4, IL-5, IL-13

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10
Q

What is the immunity type associated which each T helper cell?

A

Th1 - cell-mediated immunity (protection against intracellular viral/bacterial infection)
Th2 - humoral immunity (stimulates B-cell antibody production, often associated with allergens/parasites)

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11
Q

What can ELISA be used to do?

A

ELISA can measure the cytokines in a sample

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12
Q

How can ELISA measure cytokine levels?

A

The main format used is sandwich ELISA, in which the cytokine is captured between two antibodies.
Enzyme-linked antibody binds cytokine → Colour change via enzymatic reaction.

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13
Q

What would high IFN-y levels indicate?

A

A Th1 response, which would be expected for viral or intracellular bacterial infections (cell-mediated immunity)

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14
Q

What would high IL-4/IL-5/IL-13 levels indicate?

A

A Th2 response, which would be expected for helminth infections or allergic diseases (antibody-mediated immunity)

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15
Q

What do vaccines aim to have?

A

A balanced Th1/Th2 response, to provide broader protection

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16
Q

For HBV, what are two lab methods for detection?

A

qPCR and ELISA

17
Q

What does qPCR detect in HBV?

A

HBV DNA (viral genome)

18
Q

What does ELISA detect in HBV?

A

HBsAg (viral surface antigen)

19
Q

What is the difference in sensitivity for qPCR vs ELISA?

A

qPCR has a higher sensitivity, and can detect viral low viral loads.
ELISA requires higher antigen levels for detection

20
Q

What is the difference in specificity for qPCR vs ELISA?

A

Both have high specificity, but qPCR is higher- ELISA can give false positives

21
Q

What is the difference in window period detection for qPCR vs ELISA?

A

qPCR has an earlier detection window; can detect HBV before serological markers.
ELISA can only detect once surface antigen is present and in high levels

22
Q

Which out of qPCR or ELISA is better for monitoring?

A

qPCR, as it can measure and track viral load over time, whereas ELISA mainly just measure the presence of the HPV antigen

23
Q

What is the difference in cost for qPCR vs ELISA?

A

qPCR is more expensive than ELISA

24
Q

What is the clinical use for qPCR for HPV?

A

Diagnosing acute and chronic infections; monitoring antiviral therapy

25
What is the clinical use for ELISA for HPV?
Initial screening test for HBV infection
26
What is the CATT test?
Card Agglutination Test for Trypanosomiasis- diagnostic test used to detect antibodies against T brucei
27
How does the CATT test work?
1. CATT antigen is form if T brucei that is expressing a predominant variable antigen type (isoVAT) 2. Serum from the patient is mixed with the CATT antigen on a card 3. If antibodies are present in the sample, trypanosomes with agglutinate
28
What are the positives of CATT?
Simple, quick and cheap. No special equipment needed.
29
What are the negatives of CATT?
- Relies on a specific VSG antigen, which may not have been expressed by the trypanosome, so there would be no antibodies- false negatives - Would not detect early stage infections, where antibodies have not yet been produced
30
How to you work out sensitivity?
True positives / (True positives + False negatives)
31
How do you work out specificity?
True negatives / (True negatives + False positives)
32
Why is high sensitivity important?
Important to avoid missing cases
33
Why is high specificity important?
Important to prevent unnecessary treatment
34
What is sensitivity?
Measures the percentage of actual infections correctly identified
35
What is specificity?
Measures the percentage of uninfected individuals correctly identified
36
What are isoVATs?
Variant antigen types found across many isolates