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CLS 1113 Introduction to Clinical Laboratory Practices

Unit 5 Labeled Immunoassays Chapter 10

Labeled Immunoassays
Designed for Ags and Abs that DO NOT react in precipitation or agglutination tests due to their small size or low concentrations.
Indirect method of detection:

Competitive vs. Non-Competitive


Test Antigen or Antibody competes for binding sites

Elements of Labeled Immunoassays


Ligands
Antibodies Standards or Calibrators Separation Methods Detection of Label

Radioimmunoassay (RIA)
Competitive binding assay

Uses a radioactive substance as a label


3H - Tritiated hydrogen 125I - Iodine 125

Radioimmunoassay
Two Types
Number 1

Radioimmunoassay
Number 2

Enzyme Immunoassay
Immunoassay labels
Enzymes
Cheap Readily available Long shelf life Easily adapted to automation

ELISA, Figure 10-4, page 149

Enzyme Immunoassay
Enzymes are naturally occurring molecules that catalyze specific biochemical reactions.
They react with suitable substances to produce products that are chromogenic (color), fluorogenic, or luminescent.

ELISA: Sandwich method

Figure 10-5, page 149

Fluorescent Immunoassay
Similar to ELISA but a fluorochrome is used rather than an enzyme.
Fluorochromes have the ability to absorb energy from light an emit it at a longer wavelength.

Fluorescent Immunoassay: Direct and Indirect

Chemiluminescent Immunoassays
Chemiluminescence is the production of light energy due to a chemical reaction.
Certain substances when oxidized can give off short or long bursts of light energy.

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