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PROCEDURES
ASSOC . PROF. JOCELYN D. DOMINGO
MR. ALVIN REY FLORES
What is an ANTIGEN?
• Foreign substances that stimulates antibody formation but may not always
able to evoke and immune response
• What is an IMMUNOGEN?
• IMMUNOGENS- macromolecules capable of triggering an adaptive
immune response by inducing antibodies or sensitized T cells in an
immunocompetent host.
ANTIGENS AND IMMUNOGENS
• AKA: IMMUNOGLOBULINS
• Composed of 4 Polypeptide Chains
• Specific proteins that combines with an antigen
• Paratope: Ag binding site
• Antibody Classes: IgG, IgA, IgM, IgD, IgE
IMMUNOGLOBULIN CONSISTS OF 4
POLYPEPTIDE CHAINS
N terminus
Ag binding site Variable regions Ag binding site
VH
VL
CH1
CL
Disulfide
CH2
bonds
Constant
EM Rabbit Ig
region
CH3 X 2,042,500
Light chain
A. Primary Reactions
• Specific recognition and combination of Ag and a corresponding Ab
• Examples: Immunofluorescence, Radioimmunoassay, Enzyme Immunoassays,
Chemiluminescence
B. Secondary Reactions
• Conformation of Amino Acids Chain due to interchain hydrogen bonding
• Examples: Precipitation, Agglutination, Complement Fixation, Neutralization
C. Tertiary Reactions
• Occur as biologic reactions and involves folding of polypeptide chains through
hydrophobic and hydrogen bonds
• Examples: Phagocytosis, Opsonization, Chemotaxis, Immune Adherence, Cellular
Degradation
IMMUNOASSAYS
• are quick and accurate tests that can be used on-site and in the laboratory
to detect specific molecules and /or measure the concentration of a
molecule in a solution through the use of an antibody or immunoglobulin.
• Immunoassays rely on the inherent ability of an antibody to bind to the
specific structure of a molecule referred to as "analyte" and which
chemically in many cases a protein.
IMMUNOASSAYS
• HOMOGENEOUS
• DIRECT DETECTION
• method uses a labeled primary antibody that reacts directly with the antigen.
• Ag can be immobilized on the assay plate or in a capture assay format
• Application: Immunohistochemistry
• INDIRECT DETECTION
• method is the most popular format for ELISA.
• It uses a labeled secondary antibody for detection. The secondary antibody
has specificity for the primary antibody.
DIRECT, INDIRECT, SANDWICH IMMUNOASSAY
• SANDWICH ASSAY-
• Sensitive, Robust and Most Powerful ELISA Assay Format
• Analyte (to be measured) bound between 2 Primary Antibodies
(Capture and Detection Ab)
• Ab Sources: Mouse IgG and Rabbit IgG
• For sandwich assays, it is beneficial to use secondary antibodies that
have been cross-adsorbed to remove any antibodies that have affinity
for the capture antibody.
COMPONENTS OF LABELED IMMUNOASSAY
• Procedures:
BETA : Ramon procedure
Ab concentration (varying), Ag concentration. (fixed)
ALPHA: Dean Webb procedure
Ag concentration (varying), Ab (fixed)
TYPES OF IMMUNOPRECIPITATION REACTION
• AGGLUTINATION INHIBITION
• 2 Step Procedure
• Homologous Ag inhibits aggn of Ag coated particle
• 1st step: soluble Ag in px sample + known Ab rgt.
• 2nd step: particulate Ag is added
(+) result : _____________________________
AGGLUTINATION - INHIBITION
TYPES OF AGGLUTINATION REACTIONS
• ANTIGLOBULIN TECHNIQUES
• COOMB’S TEST
• Primarily employed in Blood banking Procedures
• Coomb’s Reagent is added to bridge the gap between the cells
• to demonstrate incomplete antibodies
• TYPES:
• DIRECT COOMB’s
• INDIRECT COOMB’s
TYPES OF AGGLUTINATION REACTIONS
• COAGGLUTINATION
• Term given to systems using bacteria as the inert particles to which antibody
is attached.
• Staphylococcus aureus is most frequently used
• With surface protein called protein A which naturally adsorbs the Fc portion
of Ab
• The active sites face outward and are capable of reacting with specific
antigen.
• Exhibits greater stability than latex particles and are more refractory to
changes in ionic strength.
COMPLEMENT FIXATION
• Basis: Ag combines with an Ab in the presence of complement, the
complement is “FIXED” by the immune complex
• Inability of the complement to react with cells sensitized with other
immune complexes
• Two systems involved for complement fixation:
• 1. Test system/Bacteriolytic system
• 2. Indicator system/Hemolytic system
COMPLEMENT FIXATION
• Components:
• Known target Ag rgt (ex. beef heart extract, bacterial Ag)
• Complement - Best source : Guinea pig serum
• Hemolysin or Amboreceptor - the Ab used to sensitize indicator cell
• Best source: Rabbit antisera
• Indicator cells - Sensitized Sheep RBCs
PROCEDURE:
+ + +
POSITIVE REACTION:
+ +
+
Free labled
AB
Nitrocellulose strip
• Dye-labelled antibody, specific for target antigen, is present on the lower end of
nitrocellulose strip or in a plastic well provided with the strip
• Antibody, also specific for the target antigen, is bound to the strip in a thin (test) line, and
either antibody specific for the labelled antibody, or antigen, is bound at the control line
Immunochromatography
Parasitized
Blood
Test band Control band
(bound AB) (bound AB)
Blood and buffer, which have been placed on strip or in the well,
are mixed with labelled antibody and are drawn up strip across
the lines of bound antibody
Source: http://www.wpro.who.int/rdt
Immunochromatography