Point of care diagnostics- Lateral flow technology Flashcards

1
Q

in lateral flow assay for the diagnosis of IPA which antibody is used

A

JF5 Ab

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2
Q

J5F Ab is labeled with

A

colloidal gold- shows up red

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3
Q

when antigen is present (person with IPA)

A

antigens bind to the labeled J5F Ab (comes before test and control line).

  • these labeled J5F Ab flow up the pad via capillary action onto the membrane and binds to the immobile J5Ab
  • unbound labeled antibodies will bind to the control antibodies (double line)
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4
Q

when antigen is not present

A

labeled J5F Ab bind to the control immobilised antibodies alone (single line)

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5
Q

outline protocol for how sample is prepared to be used in LFA

A

serum or haemorrhage BAlL combined with sample buffer and heated to 100 degrees

  • centrifuged
  • liquid at top added to LFA
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6
Q

Lateral flow assay for IPA detects what

A

J5F antigen in human sera

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7
Q

bronchoalveolar lavage used to

A

isolate aspergillus fumigateurs antigens

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8
Q

how does BAL occur

A

bronchoscope put down trachea and into the left primary bronchus- water flushed and then sucked back up

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9
Q

Non-invasive molecular imaging is

A

antibody guided

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10
Q

antibody guided molecular imaging uses which machinery

A

ImmunoPET/MRI

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11
Q

lung diseases

A

all look quite similar on CT scan

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12
Q

on an x ray

A
  • On an x-ray typically see diffuse lung patterning
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13
Q

radiologists look for

A

abnormalities in the lungs

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14
Q

radiological tests are very

A
  • Radiologists looks for abnormalities in the lungs
  • Very non-specific for fungal infections
  • E.g. cant tell you directly what it is- can just tell that something is not right
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15
Q

antibodies can be used to

A

show the presence of IPA in the lungs- very specific

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16
Q

antibody has to be

A

humanised to prevent HAMA reaction

17
Q

immunoPET/MRI

A

immune positron emission tomography’ magnetic resonance imaging

18
Q

how to use immunoPET/MRI to identify IPA in mice

A
  • knock out mice immunity
  • 24h later challenge mice with spore of IPA (into trachea)
  • inject tracer in tail
  • in vivo and ex vivo bio distribution of 64-Cu- yelled antibody tracers
19
Q

why is immunoPET/MRI good

A
  • non-invasive
  • very specific
  • no uptake into lungs of mice with other infections
20
Q

which antibody used

A

humanised JF5

21
Q

what causes mice to become immunocompromised

A

depletion neutrophil granulocytes in C57BL/6 mice via injection of anti-G3-1 antibody RB6-8C5

22
Q

how is humanisation of JF%

A

CDR grafting

23
Q

humanisation reduces the

A

immunogenicity of exogenic mAbs- improves activation of human immune system activation (ADCC/CMC)

24
Q

humanised antibodies

A

constant region is human

- variable light and heavy chains are grafter CDRs- e.g. complementary to JF5 CDR

25
Q

LFD using

A

mAb JF5 is a simple and quick front-line test

26
Q

immunoPET/MRI allows..

A

non-invasive detection fo aspergillus lung infection in vivo

27
Q

humanised version of mAb JF5 has entered

A

GMP production for first-in-human clinical trials 2017/18