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RADIOMMUNOASSAY
Radioimmunoassay is a highly sensitive technique that can
detect antigen or antibody at concentrations less than 0.001 g/ml.
A method of detecting or quantifying antigens or antibodies
using radiolabelled substances.
The technique of radioimmunoassay has revolutionized
research and clinical practice in many areas, e.g.,
blood baning
diagnosis of allergies
endocrinology
The technique !as first developed by t!o endocrinologists,
".A #erson and Rosalyn $alo!, in 1%&0 as an assay for the
concentration of insulin in plasma. 't represented the first time that
hormone levels in the bloodcould be detected by an in vitro assay.
All modern immunochemical methods of quantitation are based upon
having a simple and accurate method for measuring the quantity of
indicator molecules that bind to a solid phase surface.
Radioimmunoassay are commonly used to measure the
levels of hormones in blood and tissue fluids,
The principle of R'A involves competitive binding of radio
labeled antigen and unlabelled antigen to high affinity antibody. The
antigen is generally labeled !ith a gamma(emitting isotope such as
1)*'. +ence R'A is said to be a competitive binding type assay.
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METHOD
1. A miture is prepared of
a- Radioactive antigen
#ecause of the ease !ith !hich iodine atoms
can be introduced into tyrosine residues in a protein, the radioactive
isotopes 1)*' or 11' are often used.
b- Antibodies against that antigen.
). no!n amounts of unlabeled cold- antigen are added to samples
of the miture. These compete for the binding sites of the antibodies.
. At increasing concentrations of unlabeled antigen, an increasing
amount of radioactive antigen is displaced from the antibody
molecules.
2. he antibody(bound antigen is separated from the free antigen in the
supernatant fluid, and*. The radioactivity of each is measured. 3rom these data, a standard
binding curve, lie this one sho!n, can be dra!n.
Fig- A standard curve is obtained by adding increasing concentration on
unabeed H!sAg to a "i#ed $uantity o" %&'(I) H!sAg and s*eci"ic antibody+
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&. The samples to be assayed the unno!ns- are run in parallel.
4. After determining the ratio of bound to free antigen in each
unno!n, the antigen concentrations can be read directly from the
standard curve as sho!n above-.
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EN,YME IN.ED IMMUNOSOR!ENT ASSAY /EISA01
56'"A is so named because the technique involves the use
of an immunosorbent an absorbing material specific for one of the
components of the reactions, the antigen all antibody. 56'"A is
similar in principle to R'A but depends on an enzyme rather than a
radioactive label.
56'"A is usually done using %&( !ell microtitre plates
suitable for automation. An enzyme con7ugated to an antibody reacts
!ith a colorless substrate to generate a colored reaction product.
A number of enzymes have been employed for 56'"A,
including alaline phosphatase, horseradish proidase and p(nitro
phenyl phosphatase. 8hen mied !ith suitable substrate, each of
these enzymes generates a colored reaction product.
A number of variations of 56'"A have been developed,
allo!ing detection and quantitation of either antigen or antibody.
These are as follo!s9
1- 'ndirect 56'"A
)- :ompetitive 56'"A.
- "and!ich 56'"A
5ach type of 56'"A can be used qualitatively to detect the
presence of antibody or antigen.
Alternatively a standard curve based on no!n concentration
of antibody or antigen is prepared from !hich the unno!n
concentration of a sample can be determined.
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&0 Indirect EISA1
An indirect 56'"A is used to detect or quantitate antibody.
"erum or some other sample containing primary antibody Ab1- is
added to an antigen(coated micro titer !ell and allo!ed to react !ith
the bound antigen. After any free Ab1is !ashed a!ay the presence
of antibody bound to the antigen is detected by adding an enzyme(
con7ugated secondary anti(isotype antibody Ab)- !hich binds to the
primary antibody. Any free Ab)then is !ashed a!ay and a substrate
for the enzyme is added. The colored reaction product that forms is
measured by specialized spectrorphoteometric plate readers, !hich
can measure the absorbance of a %&(!ell plate in less than a minute.
Fig - Indirect EISA
An indirect 56'"A has been the method of choice to detect
the presence of serum antibodies against human immunodeficiency
virus +';-, the causative agent of A'
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=enerally, serum antibodies to +'; can be detected by indirect
56'"A !ithin & !ees of infection.
'0 2o3*etitive EISA
'n this technique antibody is first incubated in solution !ith a
sample containing antigen.
The antigen(antibody miture is then added to an antigen(coated
micro titer !ell. The more antigens present in the sample, the less
free antibody !ill be available to bind to the antigen coated !ell.
Addition of an enzyme con7ugated secondary antibody Ab)- specific
for the isotope of the primary antibody can be used to quantitate the
amount of primary antibody bound to the !ell as in an indirect
56'"A. 'n the competitive assay, ho!ever, the higher the
concentration of antigen, in the original sample, the lo!er the
absorbance.
Fig - 2o3*etitive EISA
40 Sand5ic6 EISA1
The technique of "and!ich 56'"A allo!s detection or
quantitation of antigen. 'n this case the antibody is immobilized on a
micro titer !ell. A sample containing antigen is added and allo!ed to
react !ith the bound antibody. After the !ell is !ashed, a record
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enzyme(lined antibody specific for a different epitope on the antigen
is added and allo!ed to react !ith the bound antigen. After any free
second antibody is removed by !ashing substrate is added and the
adored reaction product is measured.
METHOD:
An 56'"A is generally performed in !ells of micro plates.
1- 8ells of the plates are coated !ith unlabelled monoclonal
antihuman 'g= subclass(specific antibody and !ashed figure A->
)- Test samples, standard(and control sera are introduced in the
respective !ells and incubated> The 'g= subclass to be
determined !ill bind to the solid phase and non(bound 'g= is
removed by !ashing figure #->
- 5nzyme(labelled anti(human 'g= antibodies are added to each
!ell and non(bound con7ugate is removed by !ashing figure :->
2- ?lates are incubated !ith substrate solution>
*- After incubation, the colored reaction product is measured
photometrically figure
&- The concentration of the 'g= subclasses in the test samples is
calculated relative to the values of the calibration curve.
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Advantages o" EISA1- 't is economic.
)- 't is ;ersatile, sensitive and simple.
- Absence of radiation hazard.
2- 't is safer and less costly.
*- Availability of test its and facility for automation have
added to their ?opularity.
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IMMUNO7RE2I7ITATION
'mmunoprecipitation is one of the most !idely used
immunochemical techniques. 'mmunoprecipitation involves the
interaction bet!een a protein and its specific antibody, the separation
of these immune complees !ith ?rotein = or ?rotein A, This
technique provides a rapid and simple means to separate a specific
protein from !hole cell lysates or culture supernatants.
'mmunoprecipitation follo!ed by "
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). ?reclearing
. Antibody incubation/formation of antibody(antigen complees
2. ?recipitation
*. Analysis by "
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&. "pin cell lysates at 10,000g for 1* minutes at 2C:.
4. :arefully collect supernatant, !ithout disturbing the pellet
and transfer to a clean tube. The cell lysates can be frozen at t
term storage at minus D0C:.
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. Add *0ul of !ashed ?rotein = slurry in prechilled 6ysis
#uffer prepared as instructed in ?reclearing "tep 1 above-.
2. 'ncubate for 1 hour at 2C: on a rocing platform or a rotator.
*. "pin the eppendorf tube at1G.FFFg for 0 seconds at 2C:.
&. :arefully remove supernatant completely and !ash the
beads (* times !ith *00ul of 6ysis #uffer. To minimize bacgr
be given to remove the supernatant completely in these
!ashes.
4. After the last !ash, aspirate supernatant and add *0ul of 1H
6aemmli sample buffer to bead pellet. vorte and heat to =
minutes.
D. "pin at 10,000g for * minutes, collect supernatant and load
onto the gel. "upernatant samples can be collected and I
point if the gel is to be run later.
%. 3ollo! manufacturerJs instructions for "
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7rotease In6ibitor 2oc:tai /&99;01
( ?L"3, *mg *0ug/ml-
( Aprotinin, 100ug 1ug/ml-
( 6eupeptin, 100ug 1ug/ml-
( ?epstatin, 100ug 1ug/ml-
Radia I33unodi""usion /Mancini0 /singe di""usion in t5o
di3ensions0 /Met6od0
The relative concentrations of an antigen can be
determined by simple quantitative assay in !hich an antigen sample
is placed in a !ell and allo!ed to diffuse into agar containing a
suitable dilution of an antiserum as the antigen diffuses into the agar,
the region of equivalence is established and ring of precipitation
forms around the !ell. The area of the precipitin ring is proportional
to the concentration of antigen. #y comparing the area of theprecipitin ring !ith a standard carves, the concentration of the
antigen sample can be determined.
Fig - Diagra33atic re*resentation o" radia i33unodi""usion in a ge
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Doube I33unodi""usion /Ouc6terony /Doube di""usion in t5o
di3ensions Met6od0
'n the Fuchterlony method both antigen and antibody
diffuse radially from !ell to!ards each other, thereby establishing a
concentration gradient. As equivalence is reached a visible line of
precipitation forms. This simple technique is an effective qualitative
tool for determining the relationship bet!een antigens and the
number of different Ag(Ab systems present. The pattern of the
precipitin lines that form !hen t!o different antigen preparations are
placed in ad7acent !ell indicate !hether or not they share epitopes
Fig - Diagra33atic re*resentation o" doube i33unodi""usion
Singe di""usion in one di3ension /Oudin *rocedure0
The antibody is incorporated in agar gel in a test tube
and the antigen solution is layered over it. The antigen diffuses
do!n!ards through the agar gel, forming a line of precipitation that
appears to more do!n!ards. This is due to the precipitation form at
due to the precipitation formed at the advancing front of the antigen
and is dissolved as the concentration of antigen at the site increases
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due to diffusion. The number of bands indicates the number of
different antigens present.
Fig -Singe di""usion in one di3ension /Oudin0
Doube di""usion in one di3ension /
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IMMUNOEE2TRO7HORESIS
Aternative Na3es
'5? ( serum> 'mmunoglobulin electrophoresis ( serum>
=amma globulin electrophoresis> "erum immunoglobulin
electrophoresis
De"inition
"erum immunoelectrophoresis is a test that tells !hether or
not you have immunoglobulins in the blood. 'mmunoglobulins are
proteins that mae antibodies. The proteins can be abnormal. There
are various types of immunoglobulins. 'f you do have these proteins,
this test can also help identify !hat specific type they are.
Ho5 t6e Test is *er"or3ed
#lood is dra!n from a vein, usually from the inside of the
elbo! or the bac of the hand. The puncture site is cleaned !ith
antiseptic. An elastic band is placed around the upper arm to apply
pressure and cause the vein to s!ell !ith blood.
A needle is inserted into the vein, and the blood is collected in an air(
tight viaN or a syringe.
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test strip, or into a small container. A bandage may be applied to the
puncture site if there is any bleeding.
Ho5 t6e test 5i "ee
8hen the needle is inserted to dra! blood, you may feel
moderate pain, or only a pric or stinging sensation. After!ard, there
may be some throbbing.
8hy the Test is performed this test is performed to assess the
clonality monoclonal or polyclonal- of immunoglobulin. @o
monoclonal antibodies are detected.
=6at Abnor3a Resuts Mean
'n some malignant disorders that is, multiple myeloma,
chrome lymphocytic leuemia- a single clone of lymphocytes
produces one type of protein ( a monoclonal immunoglobulin. This isidentifiable as monoclonal all the same type- by
immunoelectrophoresis. "ome people have monoclonal
immunoglobulins, but do not have a malignant disorder.
Ris:s
O 5cessive bleeding
O 3ainting or feeling lightheaded
O +ematoma blood accumulating under the sin-
O 'nfection a slight ris any time the sin is broen-
;eins and arteries vary in size from one patient to another and from
one side of the body to the other. Fbtaining a blood sample from
some people may be more difficult than from others.
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The resolving po!er of immunodiffusion !as greatly
enhanced !hen =raybar and 8illiams devised the techniques of
immunoelectrophoresis. This involves the electrophoresis separation
of a composite antigen "uch as seam- into its constituent proteins,
follo!ed by immunodiffusion against its antiserum resulting, in
separate precipitin lines, indicating reaction bet!een each individual
protein !ith its antibody, thus enables identification and approimate
quantitation of the various proteins present in the serum. The
technique is preformed on other agar or agarose gel on a slide, !ell
and antigen !ell and an antibody through out it.
The test serum is place in the antigen !ell and
electrophoresed for about an hour. Antibody against human serum is
then placed in the trough and diffusion allo!ed to proceed for 1D()2
hours. The resulting precipitin lines can be photographed and the
slides dried, stained and preserved for record.
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Fig - Seru3 se*arated by eectro*6oresis
Fig - Anti seru3 t6roug6 "ied 5it6 antiseru3 to 5e 6u3an seru3+
Fig - Seru3 and antiseru3 ao5ed di""using into agar
Fig - 7reci*itin ine "or3 "or individua seru3 *rotein+
Eectroi33unodi""usion1
The development of precipitin lines can be speeded up
by electrically driving the antigen and antibody9 ;arious methods
have been described combining electrophoresis !ith diffusion of
these one(dimensional double 5lectroimmunodiffusion
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:ounterimmunoelctrophoresis- and one dimensional single
electroimmunodiffuison rocet electrophoresis- are used frequently
in the clinical laboratory.
&0 2ounteri33unoectro*6oresis
This involves simultaneous electrophoresis of the antigen P
antibody in gel in opposite directions resulting in precipitation at a
point bet!een them.
This method produces visible precipitation lines !ithin
thirty minutes and is ten times more sensitive than the standard
double diffusion techniques. The clinical applications are for
detecting various antigens such as alpha(fetoprotein in serum and
specific antigens of :ryptococcus and meningococcal in the
cerebrospinal fluid.
Fig - 2ounter i33unoeectro*6oresis /2IE0+ Antigen and Antibody are
driven toget6er by an eectric current and a *reci*itin ine "or3s+
'0 One di3ensiona singe eectroi33unodi""usion /roc:eteectro*6oresis0
The main application of this technique is for quantitative
estimation of antigens. The antiserum to the antigen to be quantities
is incorporated in agarose and gelled and the glass slide.
The antigen, in increasing concentrations, is placed in !ells punched
in the set gel. The antigen is then electrophoreses into the antibody
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containing agarose. The pattern of immunoprecipitaion resembles a
rocet and hence the name.
Fig - Roc:et eectro*6oresis
Antigen is driven in to gel containing antibody
1. Antibody in agarose gel.
). ?recipitin area
. Antigen !ells
2. 'ncreasing antigen concentration.
40 aure>s t5o di3ensiona eectro*6oresis
'n this technique, the antigen miture is first
electrophoretically separated in a direction perpendicular to that of
the final socet stage. #y this method one can quantitate each of
several antigens in a miture.
Fig - aure>s variant o" roc:et eectro*6oresis /t5o di3ensiona i33unoeectro*6oresis0
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REFEREN2ES
1. Qenis uby, immunology 1th edition, !.s. freeman P
company publication, page no( 1% to 12%.
2. Abbas A.., 6acman A.., ?ober Q.#., 'mmunology *th
edition, "ingapoor high court press P company
publication, page no( *% to &%.
3. Anand L.R., tet boo of microbiology 2thedition, orident
lodgment 6td. ?ublication, page no( DD to 10%.
2. http9//!!!.antibodybeyond.com/application/ia.htm
5. http9//!!!.antibodybeyond.com/elisa/radioimmunoassay