precipitation tests
DESCRIPTION
Precipitation Tests. Lattice Formation. Ab in gel. Ag. Ag. Ag. Ag. Diameter 2. Ag Concentration. Radial Immunodiffusion (Mancini). Method Ab in gel Ag in a well. Interpretation Diameter of ring is proportional to the concentration Quantitative Ig levels. -. +. Ag. Ag. Ab. - PowerPoint PPT PresentationTRANSCRIPT
Precipitation Tests
Lattice Formation
Radial Immunodiffusion (Mancini)
• Interpretation– Diameter of ring is
proportional to the concentration
• Quantitative– Ig levels
• Method– Ab in gel– Ag in a well
Ag Concentration
Dia
met
er2
AgAgAgAg
Ab in gel
Immunoelectrophoresis• Method
– Ags are separated by electrophoresis
• Interpretation– Precipitin arc represent individual antigens
Ag-+
Ag
Ab
Ag
Ab
– Ab is placed in trough cut in the agar
Immunoelectrophoresis
• Method
• Interpretation
• Qualitative– Relative concentration
Countercurrent electrophoresis• Method
– Ag and Ab migrate toward each other by electrophoresis
– Used only when Ag and Ab have opposite charges
• Qualitative–Rapid
Ag Ab- +
Radioimmuoassays (RIA)Enzyme-Linked Immunosorbent
Assays (ELISA)
Lattice formation not required
Competitive RIA/ELISA for Ag
• Method– Determine amount
of Ab needed to bind to a known amount of labeled Ag
+
Prior to Test
Labeled Ag
+
Test
+Patient’ssample
LabeledAg
+
– Use predetermined amounts of labeled Ag and Ab and add a sample containing unlabeled Ag as a competitor
Competitive RIA/ELISA for Ag • Method cont.
– Determine amount of labeled Ag bound to Ab NH4SO4
anti-Ig • Immobilize the Ab
• Quantitative– Most sensitive test
+ Test
+Patient’ssample
LabeledAg
+
– Concentration determined from a standard curve using known amounts of unlabeled Ag
SolidPhase
SolidPhase
Solid Phase Non-Competitive RIA/ELISA
• Ab detection– Immobilize Ag– Incubate with sample– Add labeled anti-Ig– Amount of labeled Ab
bound is proportional to amount of Ab in the sample
• Quantitative
SolidPhase
AgImmobilized
Ab in Patient’s
sample
LabeledAnti-Ig
Solid Phase Non-Competitive RIA/ELISA
• Ag detection– Immobilize Ab– Incubate with sample– Add labeled antibody– Amount of labeled Ab
bound is proportional to the amount of Ag in the sample
• Quantitative
SolidPhase
Ag
Immobilized
Ag in Patient’s
sample
LabeledAb
Tests for Cell Associated Antigens
Lattice formation not required
Immunofluorescence
• Direct– Ab to tissue Ag is labeled with fluorochrome
Ag
FluorochromeLabeled Ab
Tissue Section
Immunofluorescence
• Indirect– Ab to tissue Ag is
unlabeled– Fluorochrome-labeled anti-
Ig is used to detect binding of the first Ab.
Ag
FluorochromeLabeled Anti-Ig
Tissue Section
UnlabeledAb
• Qualitative to Semi-Quantitative
Immunofluorescence
• Flow Cytometry– Cells in suspension are labeld with fluorescent tag
• Direct or Indirect Fluorescence– Cells analyzed on a flow cytometer
FlowTip
Laser
FLDetector
LightScatter
Detector
Immunofluorescence
• Flow Cytometry cont.– Data displayed
Green Fluorescence Intensity
Nu
mb
er o
f C
ells
Unstained cells
FITC-labeled cells
One Parameter Histogram
Red Fluorescence Intensity
Gre
en F
luor
esce
nce
In
ten
sity
Two Parameter Histogram
Assays Based on Complement
Lattice formation not required
Complement Fixation
– Ag mixed with test serum to be assayed for Ab– Standard amount of complement is added– Erythrocytes coated with Abs is added– Amount of erythrocyte lysis is determined
Ag
Patient’sserum
Ag No Ag
Ag
• Methodology