Adaptive Immunity: B-Cell Mediated Immunity III

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Questions and Answers

What is the primary purpose of using immunoassays?

  • To identify bacterial structures
  • To visualize cellular distribution
  • To enhance enzyme reactions in cells
  • To detect and quantify a specific antigen (correct)

Which immunoassay method is typically used for the rapid detection of substances and is similar to a pregnancy test?

  • Enzyme-linked immunosorbent assay (ELISA)
  • Lateral flow assays (correct)
  • Western blot
  • Flow cytometry

Which of the following is NOT a method of immunoassay?

  • Western blot
  • LaTeX bead agglutination
  • Polymerase Chain Reaction (PCR) (correct)
  • Precipitation / flocculation

What role does the Fc receptor for IgA primarily play in the immune system?

<p>Enhances phagocytosis of IgA-coated pathogens (C)</p> Signup and view all the answers

Which of the following is a common method used in immunophenotyping?

<p>Flow cytometry (D)</p> Signup and view all the answers

What is the primary function of neutralizing antibodies?

<p>Prevent the attachment of antigens to body cells (D)</p> Signup and view all the answers

Which type of antibody is primarily responsible for irreversibly binding to toxins in the blood and tissues?

<p>IgG (A)</p> Signup and view all the answers

Which of the following antibodies helps prevent the attachment of microbes at mucosal surfaces?

<p>Dimeric IgA (A)</p> Signup and view all the answers

Why are high affinity binding sites important for neutralizing antibodies?

<p>They ensure effective neutralization of antigens (B)</p> Signup and view all the answers

What characteristic of IgM antibodies makes them considered weakly neutralizing?

<p>Their high avidity with low affinity (C)</p> Signup and view all the answers

What is a specific example of a neutralizing antibody and its function?

<p>anti-hemagglutinin antibodies prevent binding of influenza virus (D)</p> Signup and view all the answers

How do neutralizing antibodies interact with microbial toxins?

<p>They bind irreversibly to toxins in blood and tissues (A)</p> Signup and view all the answers

Which type of antibody is less effective in neutralization due to weak affinity?

<p>IgM (C)</p> Signup and view all the answers

What role do erythrocytes (RBCs) play in the removal of immune complexes?

<p>They express CR1, which helps remove C3b-tagged immune complexes. (A)</p> Signup and view all the answers

Which cells are involved in the elimination of circulating immune complexes in the kidney?

<p>Mesangial cells and podocytes (D)</p> Signup and view all the answers

What activates eosinophils in the context of anti-parasite defense mechanisms?

<p>Interaction with IgE-coated parasites (B)</p> Signup and view all the answers

How do circulating immune complexes potentially damage blood vessels?

<p>Through complement-mediated damage to tissues (A)</p> Signup and view all the answers

Which mechanism is primarily involved in allergies and asthma?

<p>Degranulation of mast cells upon antigen binding (D)</p> Signup and view all the answers

What is the consequence of not removing circulating immune complexes from blood?

<p>Aggregation and deposition in tissues (C)</p> Signup and view all the answers

What triggers degranulation in mast cells during an allergic reaction?

<p>Antigen binding to IgE on mast cell surface (B)</p> Signup and view all the answers

Which factor primarily facilitates the clearance of immune complexes from the bloodstream?

<p>Engagement of C3b on immune complexes by phagocytes (D)</p> Signup and view all the answers

What is the role of anti-F protein antibodies in relation to Streptococcus pyogenes?

<p>They limit binding of Streptococcus pyogenes to fibronectin. (D)</p> Signup and view all the answers

Which class of antibodies is required to activate the classical pathway of complement via antigen-antibody complexes?

<p>IgM (C)</p> Signup and view all the answers

Which IgG subclasses are known for exposing the C1q binding site even without antigen binding?

<p>IgG1 and IgG3 (A)</p> Signup and view all the answers

What happens when C1q attaches to pentameric IgM?

<p>It binds at multiple points to each IgM molecule. (B)</p> Signup and view all the answers

Which option best describes the role of C3a and C5a in the immune response?

<p>They recruit inflammatory cells. (B)</p> Signup and view all the answers

What defines the difference between C4A and C4B in their roles?

<p>C4A binds to hydroxyl groups while C4B binds to amino groups. (B)</p> Signup and view all the answers

What is the minimum requirement for IgG to activate C1q?

<p>At least two IgG molecules. (D)</p> Signup and view all the answers

Which statement about haplotypes is true?

<p>A haplotype consists of genes inherited from one parent. (A)</p> Signup and view all the answers

What is a key function of the membrane attack complex (MAC) in the immune response?

<p>It directly destroys the pathogen's membrane. (B)</p> Signup and view all the answers

What is a characteristic of monoclonal antibodies?

<p>They are specific for one type of epitope. (B)</p> Signup and view all the answers

Which of the following types of antibodies is formed from various epitopes?

<p>Polyclonal antibodies (D)</p> Signup and view all the answers

What is the purpose of using fluorescent-labelled antibodies in flow cytometry?

<p>To tag different molecules for cell distinction. (D)</p> Signup and view all the answers

Which advancement represents the evolution of monoclonal antibodies?

<p>Chimeric to fully human (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of monoclonal antibodies?

<p>Heterogeneous in structure (A)</p> Signup and view all the answers

What are chimeric antibodies primarily composed of?

<p>Human and mouse components (D)</p> Signup and view all the answers

Which drug is an example of a therapeutic monoclonal antibody?

<p>Humira (B)</p> Signup and view all the answers

What does immunophenotyping accomplish in the context of flow cytometry?

<p>It distinguishes cells based on surface markers. (C)</p> Signup and view all the answers

Among the following, which is the most advanced type of monoclonal antibody?

<p>Fully human antibodies (B)</p> Signup and view all the answers

Which characteristic defines polyclonal antibodies compared to monoclonal antibodies?

<p>They are a mixture from multiple clonal sources. (A)</p> Signup and view all the answers

Which immune cells primarily respond to inflammatory signals?

<p>Macrophages (C)</p> Signup and view all the answers

What effect does FcɣRIIB1 have on mast cells and B cells?

<p>Inhibits the inflammatory response (C)</p> Signup and view all the answers

What is the role of FcɣRIIA variants in the context of IgG2?

<p>They increase the risk of severe infections when homozygous for R131 (A)</p> Signup and view all the answers

How does the binding of C-reactive protein (CRP) influence the immune response?

<p>It enhances the degradation of Streptococcus pneumoniae (D)</p> Signup and view all the answers

What type of receptor is FcɣRIII and its main function?

<p>An activating receptor mediating cell cytotoxicity (D)</p> Signup and view all the answers

Which cells use FcɣRIII to exert their function?

<p>Natural Killer (NK) cells (A)</p> Signup and view all the answers

What is the affinity level of FcαRI for monomeric IgA?

<p>Medium affinity receptor (D)</p> Signup and view all the answers

What characteristic is shared between FcɣRI and FcɣRII?

<p>Both bind C-reactive protein (A)</p> Signup and view all the answers

What function do ITAM domains serve in the context of Fc receptors?

<p>They promote cell signaling upon receptor activation (D)</p> Signup and view all the answers

What is a primary consequence of the strong activation of complement by IgG2?

<p>Weak complement activation (D)</p> Signup and view all the answers

Flashcards

Phagocytosis

A type of immune response that involves the ingestion of pathogens by immune cells called phagocytes.

Antigen recognition

The ability to recognize and bind to specific antigens, typically found on the surface of pathogens.

IgA

A type of antibody that binds to pathogens and enhances their phagocytosis by immune cells.

Immunoassays

Techniques that use antibodies to detect and quantify antigens in a sample.

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Latex bead agglutination

A type of immunoassay that uses latex beads coated with antibodies to detect antigens.

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Neutralizing Antibodies

Antibodies that block the attachment of antigens to body cells. These antigens can include microbes, microbial toxins, or animal venoms.

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High-affinity Binding Sites

Neutralizing antibodies must have strong binding sites to effectively 'neutralize' the antigen.

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Avidity of IgM

Neutralizing antibodies like IgM bind weakly due to their multimeric structure.

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IgG and Toxin Neutralization

IgG antibodies bind irreversibly to toxins in the blood and tissues, effectively neutralizing them.

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Monomeric IgA and Toxin Neutralization

Monomeric IgA also plays a role in neutralizing toxins in the blood and tissues.

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Dimeric IgA and Mucosal Surfaces

Dimeric IgA prevents microbes from attaching to mucosal surfaces, which are the linings of our internal organs.

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Anti-hemagglutinin Antibodies

Antibodies that prevent the influenza virus from attaching to the respiratory epithelium.

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Importance of Neutralizing Antibodies

Neutralizing antibodies are essential for protecting us from a variety of harmful invaders.

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Monoclonal Antibody

A type of antibody that targets a specific epitope on an antigen.

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Polyclonal Antibody

A type of antibody that targets multiple epitopes on an antigen.

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Hybridoma Technology

The process of producing monoclonal antibodies by fusing a B cell with a myeloma cell.

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Flow Cytometry

A technique that uses fluorescently labelled antibodies to identify and differentiate cells based on their surface molecules.

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Humanization of Antibodies

The process of creating monoclonal antibodies with humanized regions to minimize immune rejection.

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Orthoclone OKT3

A monoclonal antibody that binds to a specific epitope on the CD3 receptor of T cells, used to suppress immune responses.

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Rituxan

A monoclonal antibody that binds to the CD20 antigen found on B cells, used to treat certain types of cancer.

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Herceptin

A monoclonal antibody that binds to the HER2 receptor on cancer cells, used to treat breast cancer.

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Humira

A monoclonal antibody that binds to the TNF-alpha cytokine, used to treat inflammatory diseases.

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Yervoy

A monoclonal antibody that binds to the CTLA-4 receptor on T cells, used to treat melanoma.

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Strep Throat and F Protein

Streptococcus pyogenes with different F protein variants can cause strep throat.

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Blocking Bacterial Attachment

Antibodies targeting the F protein can prevent Streptococcus pyogenes from binding to fibronectin on respiratory epithelial cells.

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Classical Pathway Activation

The classical pathway of complement activation is triggered by antigen-antibody complexes.

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IgM and Complement

Pentameric IgM antibodies are very efficient at activating complement because they have multiple C1q binding sites.

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IgG and Complement

IgG3 and IgG1 antibodies can activate complement even without antigen binding. However, they need to bind to at least two IgG molecules on the surface of the antigen.

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C3b Opsonization

C3b fragments attach to pathogens and mark them for phagocytosis by immune cells.

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Membrane Attack Complex

The membrane attack complex (MAC) forms pores in bacterial membranes, leading to lysis.

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Chemoattractants

C3a and C5a are chemoattractants that recruit inflammatory cells like neutrophils and monocytes to the site of infection.

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C4 Haplotypes

C4A and C4B are two forms of the C4 protein. Variations in these proteins due to different gene variants can affect complement activity.

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Haplotype Variations

Individuals with a haplotype missing C4A or C4B may have a reduced complement activity.

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What are immune complexes and how are they formed?

Immune complexes form when antibodies bind to soluble antigens like toxins or pathogen fragments. This activates complement, tagging the complex with C3b.

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How are immune complexes eliminated from the circulation?

Immune complexes are normally cleared from the bloodstream by phagocytes with Fc and C' receptors. Erythrocytes, with their abundance and CR1, also help mop up immune complexes.

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What happens if immune complexes aren't removed effectively?

If immune complexes aren't cleared efficiently, they can accumulate and deposit in the basement membranes of small blood vessels, particularly in the kidney.

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What are the consequences of immune complex deposition in the kidneys?

The accumulation of immune complexes in the kidney can lead to complement-mediated damage to blood vessels and surrounding tissues.

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Where does IgE bind and what cells does it activate?

IgE antibodies bind to high-affinity FcεRI receptors on mast cells in tissues, basophils in blood, and activated eosinophils on mucosal surfaces.

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What happens when IgE-bound mast cells encounter their specific allergen?

Upon encountering their specific allergen, IgE-bound mast cells degranulate, releasing histamine and other inflammatory mediators, contributing to allergic reactions.

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What role do eosinophils play in anti-parasite defense?

Eosinophils can bind to both IgE- and IgG-coated parasites, playing a role in anti-parasite defense mechanisms.

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How do podocytes contribute to immune complex clearance?

Podocytes in the kidney express CR1, allowing them to eliminate immune complexes and contribute to tissue repair.

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Macrophages

A type of immune cell that plays a crucial role in engulfing and destroying pathogens. They are a key component of the innate immune response and help trigger inflammation.

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Neutrophils

Another type of white blood cell that is especially effective at fighting bacterial infections. They are short-lived and release chemicals that help destroy pathogens, contributing to inflammation.

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Eosinophils

A type of white blood cell involved in fighting parasitic infections and allergic reactions. They release chemicals that can damage parasites and contribute to inflammatory responses.

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FcɣRIIB1

A receptor found on immune cells like B cells and mast cells. It helps to dampen the inflammatory response triggered by certain antibodies, acting as a brake on the immune system.

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FcɣRIIA

This receptor plays a crucial role in directly activating immune cells through binding to antibodies. It is especially good at binding IgG2.

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FcɣRIIA Variant R131

A genetic variation in the FcɣRIIA receptor that makes it less effective at binding IgG2. This variation is associated with an increased risk of serious infections with Neisseria meningitidis.

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FcɣRIIA Variant H131

A specific type of FcɣRIIA receptor that has a histidine amino acid at position 131, allowing it to effectively bind IgG2 and activate immune cells.

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FcɣRIII

This receptor is found on cells like macrophages, neutrophils, and eosinophils. It activates antibody-dependent cell-mediated cytotoxicity (ADCC), a process where immune cells kill infected or cancerous cells.

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FcαRI

A receptor found on macrophages, neutrophils, and other immune cells that specifically binds to IgA antibodies, particularly the monomeric form.

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Study Notes

Adaptive Immunity: B-Cell Mediated Immunity III

  • Antibodies are soluble proteins produced by plasma cells.
  • They are found in blood, lymph, and mucosal surfaces.
  • Antibodies bind to extracellular pathogens/antigens.
  • Antibodies directly disable pathogens/antigens and mark them for destruction by complement and/or phagocytes.
  • Each antibody is specific, binding to one antigen or a small number of very similar antigens.

Typical Antibody Structure

  • Antibodies have four polypeptide chains: two heavy and two light chains.
  • Disulfide bonds link the chains.
  • Light chains are either κ or λ.
  • The N-terminus is at the top of the structure.
  • The C-terminus is on the bottom.
  • Antigen-binding sites are formed by the variable regions (VL + VH) of the light and heavy chains, respectively.
  • The variable region's amino acid sequence determines antibody diversity and specificity.
  • The hinge region is flexible, allowing for diverse antigen-binding abilities.
  • Proteolytic cleavage can separate the antibody into Fab (two antigen-binding fragments) and Fc (crystallizable) fragments.
  • Fc fragments are crucial for cell-receptor (FcR) binding and complement activation.

Immunoglobulin Domains

  • Immunoglobulin domains are compact, stable, folded structures.
  • They consist of approximately 100-110 amino acids.
  • Two β-sheets connect via loops.
  • Disulfide bonds and hydrophobic interactions stabilize the folding.

Variable Domains

  • Variable domains have hypervariable regions (HVs) that contribute to antigen-binding specificity.
  • Three HVs (complementarity-determining regions, CDRs) per light chain variable (VL) and heavy chain variable (VH) domain.
  • These form the antibody's antigen-binding site.
  • Framework regions (FRs) are structurally stable regions in the V domains.

Epitope (Antigenic Determinant)

  • Epitopes are parts of an antigen that an antibody binds to.
  • Antigens can be multivalent, having multiple epitopes, or multiple copies of the same epitope.
  • Epitopes can be linear (contiguous amino acids) or discontinuous (noncontiguous amino acids).

Antigen-Binding Site Shapes

  • Antibody binding sites can be pockets (for small, compact epitopes), grooves (for short, linear epitopes), or extended surfaces (for curved, globular epitopes).

Heavy Chain Constant Domains

  • Heavy chains have constant (C) domains (either γ, μ, δ, α, or ε).
  • These domains differ in location of disulfide bonds, carbohydrates, presence/absence of hinge regions and other structural characteristics.
  • Antibodies can be IgG, IgM, IgD, IgA, or IgE, depending on the constant heavy chain region.

Antibody Affinity

  • Affinity is the binding strength between an antibody and an antigen.
  • Antibody affinity increases during the adaptive immune response because of somatic hypermutation.
  • Antibody affinity maturation leads to stronger binding during the immune response.
  • Affinity is determined by non-covalent attractions such as van der Waals forces, hydrophobic interactions, charge interactions, and hydrogen bonds, combined for a total binding affinity.

From BCR to Secreted Antibodies

  • Secreted antibodies are produced from the same heavy-chain genes, with differences in RNA processing.
  • This alternative processing allows for either membrane-bound or secreted antibodies.

IgM

  • IgM is the first antibody class produced and secreted.
  • IgM is found in blood and lymph.
  • IgM has low affinity but high avidity (overall strength of binding to multiple epitopes on an antigen).

Secreted IgM

  • Secreted IgM is a pentamer, containing 10 antigen-binding sites.
  • Large size prevents easy entry to tissues but it has efficient complement activation properties.

IgG

  • IgG is the most abundant blood-borne antibody.
  • IgG has 2 high-affinity antigen-binding sites.
  • IgG easily enters infected tissues.

Antibody Classes & Subclasses

  • Each antibody class has different functions and properties based on the heavy chain constant regions.
  • The tables provided in the notes (from pages 2-5) provide further details.

Dimeric IgA

  • Produced by plasma cells in mucosal-associated lymphoid tissue (MALT).
  • Found in gut, milk, tears, and saliva.
  • Plays a crucial role in maintaining commensal populations, and prevents pathogen entry at mucous membrane locations.

Pentameric IgM & Dimeric IgA (Passive Immunity)

  • Protect against microbes or toxins at mucosal surfaces and in the bloodstream.
  • Maternal IgG crosses the placenta to provide passive immunity to the fetus.
  • Breast milk provides dimeric IgA to newborns via the intestines.

Neutralizing Antibodies

  • Prevent pathogen attachment to body cells.
  • High-affinity binding sites are essential for neutralizing antibodies.

C'-Activating Antibodies

  • Classical complement activation pathway is initiated by antigen-antibody complexes.
  • IgM is a potent activator due to its pentameric structure.
  • Some IgG subclasses (IgG3 and IgG1) can also efficiently activate complement.

Immune Complexes (ICs)

  • Formed when antibodies bind to soluble multivalent antigens.
  • Immune complexes can activate the complement system, leading to their removal by phagocytes.
  • Removal is important to avoid them lodging in the basement membrane of small blood vessels, especially in the kidneys.

Circulating Immune Complexes in Kidney

  • Immune complexes can damage kidney tissue (and other areas) through complement activation and deposition in glomeruli.

Anti-Parasite Defense Mechanisms

  • Eosinophils and basophils play a role directly targeted at parasite destruction and elimination via IgE or IgG coating of the parasite.

Allergies & Asthma

  • Allergens trigger a massive mast cell degranulation response that can lead to allergies and asthma.

Antibody Receptors (Fc Receptors)

  • Fc receptors bind to the Fc region of antibodies.
  • This binding can either activate effector cells or inhibit them in specialized immune situations.
  • Some receptors are involved in antibody transcytosis or transport of antibodies across cells and tissues.

Polymeric Immunoglobulin Receptor (pIgR)

  • Transports IgA and IgM across mucosal epithelial cells.
  • This process is mediated by binding the J-chain on these molecules.
  • The secretory piece of pIgR prevents antibody loss and allows them to function in the mucosal secretions.

FcyRI, FcyRII, and FcyRIII

  • Activating Fc receptors for IgG are associated with cell activation, pathogen uptake & destruction by phagocytes; and antibody-dependent cell-mediated cytotoxicity (ADCC).
  • Inhibiting Fc receptors of the IgG family moderate inflammatory response from effector cells.

Flow Cytometry

  • Differentiates cells based on surface molecules and cytoplasmic structures that are labeled with fluorescent antibodies.
  • Antibodies are used to tag particular cell surface molecules, which are identified and quantified by fluorescence labeling.

Evolution of Monoclonal Antibodies

  • Monoclonal antibodies are produced through hybridoma technology.
  • There are advancements in the development of chimeric, humanized and fully human forms.

Immunoassays

  • Used for detection and quantitation of specific antigens.
  • Immunoassays are based on antibody-antigen reactions.
  • Examples include ELISA, lateral flow assays, and Western blotting.

Polyclonal Antisera vs. Monoclonal Antibodies

  • Polyclonal antisera are mixtures of antibodies, each recognizing different epitopes on an antigen.
  • Monoclonal antibodies are identical, specific for a single epitope.

Monoclonal Antibody Production

  • A process used to produce a single type of antibody for a specific epitope.

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