MICRO EXAM 2 CH10 Flashcards

1
Q

What occurs in an immunoassay between Ab-Ag?

A

An antibody molecule recognizes and binds to an antigen.

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2
Q

What is binding of antibody and antigen related to?

A

Conc of each reactant.
Specificity of Ab to Ag.
Affinity and avidity.
Environmental conditions (temp, pH and time).

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3
Q

Serology?

A

The study of serum.

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4
Q

What is an antibody?

A

Proteins in the serum that bind to antigen.

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5
Q

What is an antigen?

A

Anything that causes an immune response.
Usually a high molecular weight protein or polysaccharide.

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6
Q

What is an immune complex?

A

Ab attached to an Ag.

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7
Q

What is an immunogen?

A

The Ab-eliciting property of the molecule. (Is what triggers an immune response).

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8
Q

What is an epitope?

A

A small part of a molecule that is recognized by the immune system.

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9
Q

What is affinity?

A

The attraction between the Ab and Ag.

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10
Q

What is high affinity binding?

A

Strong binding interaction between Ab and Ag.

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11
Q

What is low affinity binding?

A

Weak binding interaction between Ab and Ag.

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12
Q

What is avidity?

A

Overall strength of Ab-Ag bond that has been formed.

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13
Q

Avidity and cross-reactivity relationship?

A

High avidity = low cross-reactivity and vice versa.

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14
Q

What is the law of mass action?

A

Governs the reversibility of the Ab-Ag rxn.
At equilibrium, ratio between Ab and Ag remain constant.

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15
Q

What are polyclonal Abs?

A

Mixture of multiple Ab that has been derived from different cells against multiple epitopes found on Ag(s).

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16
Q

What are monoclonal Abs?

A

Only one cell that has been exposed to one epitope and specific to only one epitope.
High specificty and avidity.

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17
Q

1st step of polyclonal Ab production?

A

Inject Ag into rabbit.

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18
Q

2nd step of polyclonal Ab production?

A

Ag activates B cells.

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19
Q

3rd step of polyclonal Ab production?

A

Plasma B cells produce polyclonal Abs.

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20
Q

4th step of polyclonal Ab production?

A

Obtain antiserum from rabbit containing polyclonal Abs.

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21
Q

1st step of monoclonal Ab production?

A

(Innocculation) Inject rabbit with antigen.

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22
Q

2nd step of monoclonal Ab production?

A

(Innocculation) Obtain whole blood from rabbit, centrifuge for plasma.

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23
Q

3rd step of monoclonal Ab production?

A

(Production) Mixing antiserum and myeloma cells to develop hybridoma cells.

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24
Q

4th step of monoclonal Ab production?

A

Hybridomas are cloned for individual cells.

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25
Q

5th step of monoclonal Ab production?

A

Test for monoclonal Abs.

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26
Q

What is cross-reactivity?

A

When an antibody binds to an antigen that is not the exact target, but share similar epitopes.

27
Q

What immunoglobulin creates a primary response?

28
Q

What immunoglobulin creates a secondary response?

A

IgG
known as anamnestic response

29
Q

What is a titer?

A

Measurement of the amount of Abs for specific Ags.
Highest or last dilution is the result

30
Q

How is a titer reported?

A

1:16 dilution = 16

31
Q

How does an agglutination assay work?

A

Agglutinating Abs reacts with Ags on the surface of microscopic particles to form visible clumps.

32
Q

What are agglutination tests performed on?

A

Glass, plastic or cardboard slides.
Tubes as well

33
Q

What is a direct agglutination?

A

Natural carrier particles of patient Ab and Ag.

34
Q

Example of direct agglutination?

A

RBCs, blood typing

35
Q

Example of indirect agglutination?

A

Latex beads coated with Ag.

35
Q

What is indirect agglutination?

A

Artificial carrier particles

36
Q

What is the prozone phenomenon in latex agglutination?

A

Occurs when the concentration of Abs exceeds the concentration of Ags.
Also known as the zone of Ab excess.

37
Q

What is the postzone in latex agglutination?

A

Concentration of Ags exceed the Ab concentration.

38
Q

What kind of results can a postzone latex agglutination give?

A

False negs

39
Q

What is the zone of equivalence?

A

Optimal ratio of concentration between Ab and Ag.

40
Q

What is a labeled immunoassay?

A

Ag or Ab is labeled (tagged) with a substance that can be detected later on and allows for the detection of an antibody.

41
Q

Types of tags?

A

Radioactive isotopes (RIA)
Enzymes (EMIT, ELISA)
Fluorescent molecules
Luminescent labels

42
Q

Types of immunoassays?

A

Heterogenous and homogenous

43
Q

What is heteogenous assays?

A

Separation assay that requires multiple steps.

44
Q

What is homogenous assays?

A

Does not require a separation step.

45
Q

What is a fluorescence polarization immunoassay?

A

It is a competitive and homogeneous assay.

46
Q

How does fluorescence polarization immunoassay work?

A

Ag (reagent) that is tagged and an untagged Ag (patient) compete for specific Ab in a cuvette.

47
Q

Results for fluorescence polarization immunosassay?

A

Larger molecules (tagged Ag) emit polarized light.

48
Q

What is luminescence/chemiluminescence?

A

Process of exciting molecules by chemical means and measuring the light emitted as the molecules turn back to their unexcited state.
Competitive and heterogeneous

49
Q

What is direct fluorescent Ab test (DFA)?

A

A conjugated Ab to fluorescent tag binds to an Ag. Looks for Ag.

50
Q

Example of IFA?

A

FTA-ABS for syphillis

51
Q

What is indirect fluorescent Ab test (IFA)?

A

Ag fixed onto slide with primary Ab of interest (not tagged). Secondary Ab conjugated to fluorescent tag binds to primary Ab.

52
Q

What is immunofluorescent assays?

A

Rapid Ag or Ab detection.
Mono or polyclonal Abs are conjugated with fluorochromes.

53
Q

What is competitive immunoassays?

A

Labeled known and patient unknown are added to a rxn to compete for the target.

53
Q

Examples of fluorochromes?

A

Fluorescien
Rhadomine

54
Q

Is the concentration inversely proportional in a competitive immunoassay?

55
Q

What is a membrane-bound immunoassay?

A

An immunoassay that uses a membrane that has bound Abs.

56
Q

What is the material used for a membrane-bound immunoassay?

A

Nitrocelulose, nylon, etc

57
Q

What is an immunochromatographic test?

A

Detects Ag in lateral flow method. Abs bound to membrane.

58
Q

1st step of immunochromatographic test?

A

Specimen placed in buffer

59
Q

2nd step of immunochromatographic test?

A

Process sample is placed onto the membrane.

60
Q

3rd step of immunochromatographic test?

A

Buffer is carried laterally along the membrane by capillary action.

61
Q

4th step of immunochromatographic test?

A

Labeled rabbit Ab suspended in buffer.

62
Q

5th step of immunochromatographic test?

A

If Ag is present, Ag labeled Ab latex is formed = pos line