Agglutination Tests Overview

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Questions and Answers

What is agglutination?

  • The breakdown of cells
  • The clumping of antigen-bearing cells (correct)
  • The formation of antibodies
  • The separation of serum components

Which particles can be used in agglutination?

  • Proteins, fats, antibodies
  • Latex, RBCs, bacterial cells (correct)
  • DNA, lipids, RBCs
  • Carbohydrates, lipids, DNA

What is an advantage of agglutination tests?

  • Requires expensive equipment
  • Requires extensive training to perform
  • Results are always quantitative
  • Easy to carry out with pre-packaged kits (correct)

What type of agglutination occurs with naturally occurring antigens on the carrier?

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

Which test converts a precipitating test into an agglutination test?

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

What is the definition of titer in agglutination tests?

<p>The highest dilution of serum showing agglutination (D)</p> Signup and view all the answers

What hormone is detected in pregnancy tests using agglutination?

<p>Human chorionic gonadotropin (hCG) (D)</p> Signup and view all the answers

What is the main feature of reverse passive agglutination for C-reactive protein (CRP) detection?

<p>Antibodies are attached to latex particles (C)</p> Signup and view all the answers

What is a limitation of coagglutination compared to latex agglutination?

<p>May not be as sensitive for detecting small amounts of antigen (B)</p> Signup and view all the answers

Which substance reacts with reagin in flocculation tests for syphilis?

<p>Cardiolipin, lecithin, cholesterol (A)</p> Signup and view all the answers

Which agglutination test uses charcoal to allow visible observation?

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

What is a precipitation serological test?

<p>A test where soluble antigen and antibody form a visible precipitate (C)</p> Signup and view all the answers

What is the optimal condition for precipitation reactions?

<p>Equivalence between antigen and antibody (C)</p> Signup and view all the answers

Which method involves placing an antigen sample in a well in agar?

<p>Radial immunodiffusion (D)</p> Signup and view all the answers

Which technique measures light scattered by antigen-antibody complexes?

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

Which proteins can be measured by nephlometry?

<p>C3, C4, albumin, immunoglobulins (B)</p> Signup and view all the answers

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Study Notes

Agglutination Tests

  • Definition: Agglutination is the clumping of antigen-bearing cells or particles due to the binding of antibodies.
  • Components: Latex particles, red blood cells (RBCs), and bacterial cells can be used as carriers in agglutination.
  • Advantages:
    • Easy to perform using pre-packaged kits.
  • Types:
    • Direct Agglutination: Antigens naturally occur on the carrier.
    • Passive Agglutination: Antigens are artificially attached to the carrier.
    • Reverse Passive Agglutination: Antibodies are attached to the carrier.
  • Titer: The highest dilution of serum that still exhibits agglutination is called the titer.
  • Widal Test: An example of an agglutination test used to detect anti-typhoid antibodies.
  • Applications:
    • Pregnancy Tests: Detect human chorionic gonadotropin (hCG) hormone.
    • Rheumatoid Factor Detection: Latex particles are used.
    • C-Reactive Protein (CRP) Detection: Antibodies are attached to latex particles.
  • Coagglutination: Uses antibodies bound to particles to enhance visibility.
  • Limitations of Coagglutination:
    • May not be as sensitive as latex agglutination.
    • May require specialized equipment.
  • Factors Influencing Agglutination:
    • pH
    • Protein Concentration
    • Temperature
    • Time

Precipitation Serological Tests

  • Definition: Soluble antigen and antibody react to form a visible precipitate.
  • Optimal Condition: Equivalence between antigen and antibody concentration.
  • Antibodies: Antibodies that cause precipitation are called precipitins.
  • Ouchterlony Method: Antigen sample is placed in a well in agar, allowing precipitation to occur.
  • Radial Immunodiffusion: Antigen diffuses radially from a well in agar, forming a precipitin ring.
  • Methods for Quantifying Antigen Concentration:
    • Radial Immunodiffusion: Precipitin ring size reflects antigen concentration.
    • Rocket Immunodiffusion: Antigen moves through agar under an electrical field, forming a rocket shape.
  • Nephelometry: Measures light scattered by antigen-antibody complexes.
  • Turbidimetry: Measures light transmitted through a solution containing precipitate.
  • Counterimmunoelectrophoresis: Electric current speeds up the diffusion of antigen and antibody to form a precipitate.

Techniques for Measuring Protein Concentration

  • Turbidimetry and Nephelometry:
    • Advantage - Fully automated techniques for large quantities of samples.
  • Proteins Measurable by Nephelometry: C3, C4, albumin, immunoglobulins.

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