SEROLOGY TESTS Flashcards
PRESERVING SERUM
Physical- refrigerate for 72 hrs at 4-6C.
Chemical- add 0.001g Merthiolate powder per mL of serum or 5% phenol or
tricresol at 0.1ml/ml of serum
inactivation of serum
Physical- heat serum at 56C for 30 mins
or heat at 60-62C for 3-4 mins
Chemical- Add choline chloride
–Frequency of positive result obtained in the testing of a
population who are truly positive
Sensitivity
–Proportion of negative test results obtained on the population
who lack the antibody being detected
Specificity
–Reaction between a single antigenic determinant (epitope)
and single antibody
Affinity
–Strength of binding between an Antigen with many
determinants and multivalent Antibody.
Avidity
immunologic reactions
primary, secondary and tertiary AG-AB rxn -
- PRIMARY AG-AB REACTION
- MOST SENSITIVE
–No visible reaction, first union of Ag-Ab
–Farr, Equilibrium, Dialysis, ELISA, RIA , IFA - SECONDARY AG-AB REACTION - LESS
SENSITIVE
–Visible reaction
–Precipitation, Agglutination, Neutralization, complement fixation - TERTIARY AG-AB REACTION
–In vivo Ag-Ab reaction
–Phagocytosis, Opsonization, chemotaxi
Process whereby specific antigens aggregate
to form larger visible clumps when the
corresponding specific antibody is present in
the serum. Clumping and sedimentation of
Particulate Ag/Ab complexes
agglutination
Agglutinins vs
Agglutinogen
Agglutinins- Antibodies that agglutinate
antigen
Agglutinogen – Associated antige
stages of agglutination
- sensitization
- elution
– First phase of agglutination
– Physical attachment of antibody molecules to antigen on erythrocyte membrane
– Reversible
SENSITIZATION
Subsequent release of antibody into
surrounding medium by manipulation of the
physical condition to break antigen-antibody
complex
ELUTION
FACTORS AFFECTING HEMAGLUTTINATIOBN
- PARTICLE CHARGE
* Zeta potential - ELECTROLYTE CONCENTRATION AND VISCOSITY
- ANTIGEN-TO-ANTIBODY RATIO
* ZONE OF EQUIVALENCE- no. of multivalent sites of antigen and
antibodies are equal
* PROZONE- excess antibody
* POST ZONE- excess antigen - ANTIGENIC DETERMINANTS
- PHYSICAL CONDITION
* pH – 6.5-7.5
* Temperature- cold reacting, warm reacting
* Time- 15 -60 minutes depending on the antibod
Establishment of cross-links between
sensitized particles and antibodies ~
agglutination
LATTICE FORMATION
Forces involved in Antigen-Antibody
Binding:
1. Electrostatic Forces (Ionic Bonds)
2. Van der Waals Forces (London Dispersion
Forces)
3. Hydrogen Binding
4. Hydrophobic Binding
- Electrostatic Forces (Ionic Bonds)
- Van der Waals Forces (London Dispersion
Forces) - Hydrogen Binding
- Hydrophobic Binding
TYPES OF AGGLUTINATION
- DIRECT
- INDIRECT
b) Passive - AGGLUTINATION INHIBITION
- COAGGLUTINATION
- HEMAGGLUTINATION
– Agglutination of natural Ag (ABO, Rh, Cold agglutination)
DIRECT AGGLUTINATION
–Agglutination of particulate Ag (latex, charcoal, bentonite)
INDIRECT AGGLUTINATION
a) Reverse Passive – for Ag detection ; Uses antibody
coated particles (CRP latex test)
b) Passive – for Ab detection ; Uses antigen coated
particles (ASO latex test)
CARRIWER OF COAGLUTINATION
Carrier: Bacterium
BLOCKING PRINCIPLE
- AGGLUTINATION INHIBITION
TYPES OF HEMAGLUTTINATION
a) Direct – natural Ag
b) Indirect - Needs AHG to effect hemagglutination
(Coomb’s)
c) Passive Hemagglutination – uses passive Ag ; (+)
Hemagglutination:carpet / Mat cells)
d) Hemagglutination inhibition- Blocking ; (+) No
hemagglutination : Button cell
e) Virus Hemagglutination – influenza, mumps
f) Virus hemagglutination inhibition – influenza, mumps, german measles
Aggregation of soluble test antigens
Interaction of Ag with Ab in correct proportion
Layering of antigen in solution over a small volume of
antiserA
PRECIPITATION
MECHANISM OF PRECIPITATIOB
Mechanism : sensitization and Lattice formation
TYPES OF PRECIPITATION
- Gel precipitation
Immunodiffusion (ID)
* RID (Single ID)
Fahey
Mancini
* Ouchterlony (Double)
Electroimmunodiffusion (EID) - Liquid precipitation
Lancefield
Neufield quellung
– One reactant (Ag or Ab) remains fixed in gel
– Other reactant is allowed to moved
– Interaction with the reagent that is immobilized
– Reagents become fixed in the gel if they are added to the gel medium while it is in liquid form
SINGLE IMMUNODIFFUSION
TECHNIQUE