Laboratory Evaluation of the Cellular Immune System (RVSP) Flashcards
Solution used to obtain lymphocyte pellets
Ficoll hypaque density gradient soln
Identification of lymphocytes is useful in
Immunodeficiency diseases Lymphoproliferative malignancies Unexplained infectious diseases Monitoring of transplants Acquired immunologic abnormalities (AIDS)
ILUMA
3 ways to separate lymphocyte pellets
Nylon wool technique
Using monoclonal Abs (flow cytometry, lymphokwik)
Magnetic beads
T lymphocyte enumeration mtd that is manual
Rosette assay
Rgnt in rosette assay
Sheep’s RBCs
In rosette assay, sheep’s RBC’s attach to
CD2 of T cells
How many cells are ctd in Rosette assay?
200 cells
Formula for B cells
100 - rosettes
Tests for lab eval of Lymphocyte function
Transformation assays
- mitogen-induced blastogenesis
- mixed lymphocyte culture
Cytotoxicity assay
Mitogen-induced blastogenesis (MIB) is an assessment of
Proliferative capacity of lymphocytes
Incubation period of mitogens in mitogen-induced blastogenesis (MIB)
3-4 days
Incubation period of antigens in mitogen-induced blastogenesis
5-10 days
Radiolabeled DNA nucleoside used in mitogen-induced blastogenesis
Tritiated thymidine
Methods for manual lymphocyte enumeration
Hemocytometry
Rosette assay
In MIB, after incubation, the harvest cells are transferred to
Disks of filter paper
In MIB, the disks of filter paper are placed in
Scintillation counter
MIB method where the response of the entire cell population is measured
Bulk Assay Mtd
Mitogens for T cells
Phytohemagglutinin Concanavalin A (Con A)
Mitogens for B cells
Staphylococcal protein A
Pokeweed mitogen
Mixed lymphocyte assay (MLC) is a special type of lymphocyte __________ assay
Stimulation
Major determinant in MLC
D locus of HLA system
Test used to assess the ability of histoincompatible lymphocytes from one indiv to stimulate lymphocytes of another indiv
Mixed lymphocyte culture (MLC)
In MLC, ___________ cells are mixed with _____________
Irradiated stimulator cells
Irradiated responder cells
Used in MLC for incubation
Cell culture
Used in MLC to determine degree of stimulation
Scintillation counter
Test used in the selection of compatible donor for a BM transplant
MLC
Endpoint of cytotoxicity assay
Cell death
Cell death may be due to
- Complement activity (complement-mediated cytotoxicity)
- Direct effect of one cell to another cell (cell-mediated cytotoxicity)
Target cell lysis is determined by the release of ________ from the target cell or incorporation of a _________
Chromium Vital dye (eosin, trypan blue)
Substances used in Chromium-release assay for stimulation
Phytogemagglutinin
Labeled 51Cr
True/False. Chromium-release assay uses PBMC
True
Represents unlysed cells in chromium-release assay
Radioactivity in the cells at the end of the experiment
Std technique for detection of Ag-Ab interaction on a cell surface
Dye Viability Exclusion Assay
Explain the assay for neutrophilic activation
Stimulatory substances bind to surface receptors to illicit metabolic and structural changes that result to phagocytosis, oxidative burst, locomotion, and degranulation
Assay that uses particles that are visible within the cell and can be counted after ingestion
Assay of phagocytosis and endocytosis
Target cells for the assay of phagocytosis and endocytosis
Neutrophil
Monocyte
In the assay of phagocytosis and endocytosis, target cells are incubated with
Yeast
Stain used in the assay of phagocytosis and endocytosis
Giemsa
Number of cells counted in the assay of phagocytosis and endocytosis
200 cells
Increase in oxidative metab during phagocytosis
Oxidative burst
Test used in the assay of enzymatic and intracellular killing
Nitro Blue-Tetrazolium test (NBT)
Formed when there is a nmal oxidizing environment
Formazan
Color of NBT in oxidized form
Yellow
Color of formazan
Deep blue
True/False. NBT Test is a quantitative assay
False. It is a SEMIQUANTITATIVE assay
Disease where the PMNLs will not turn blue in the NBT test
Chronic Granulomatous Disease
Tests the phagocytic function of polymorphonuclear leukocytes (PMNLs)
Nitro Blue-tetrazolium test
Opsonin in the serum can be detected by incubating serum with __________ and ____________
Normal neutrophils
Yeast particles
Assay of membrane permeability uses _____________
Fluorescein diacetate