Enzyme Immunoassays Overview
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Questions and Answers

In a heterogeneous enzyme immunoassay, what is the purpose of the second labeled antibody?

  • To bind to the antigen, providing a signal for detection (correct)
  • To break down the antigen and release its components
  • To remove any unbound antibodies from the sample
  • To bind to the solid phase and act as a capture antibody
  • In a sandwich immunoassay, the antigen must have multiple epitopes for the assay to function properly.

    True (A)

    What is the main advantage of homogeneous enzyme immunoassays compared to heterogeneous assays?

    Homogeneous enzyme immunoassays are simpler and faster, requiring no washing steps.

    The amount of color, fluorescence, or luminescence detected in an immunoassay is directly proportional to the amount of ______ in the specimen.

    <p>antibody</p> Signup and view all the answers

    Match the terms with their corresponding descriptions:

    <p>Heterogeneous enzyme immunoassays = Involve washing and separation steps Homogeneous enzyme immunoassays = Do not require washing or separation steps Sandwich immunoassay = Uses capture antibodies to bind the antigen Immunochromatography = Combines all steps into one Capture assays = Bind antigens to a solid phase Rapid immunoassays = Membrane-based and easy to perform</p> Signup and view all the answers

    Which of the following is NOT a commonly used enzyme in enzyme immunoassays?

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

    Enzyme-labeled antigen competes with unlabeled patient antigen in both competitive and non-competitive EIA.

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

    What type of spectroscopy can be used to measure changes in enzyme immunoassays?

    <p>spectroscopy</p> Signup and view all the answers

    In competitive EIA, enzyme-labeled antigen competes with unlabeled patient antigen for a limited number of binding sites on ______ molecules attached to a solid phase.

    <p>antibody</p> Signup and view all the answers

    Which of the following is NOT a benefit of using enzymes as labels for immunoassays?

    <p>Requires specialized, expensive equipment for measurement (D)</p> Signup and view all the answers

    Non-competitive EIA is also known as an indirect ELISA.

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

    Match the type of EIA with its description.

    <p>Competitive EIA = Enzyme-labeled antigen competes with unlabeled patient antigen for binding sites Non-competitive EIA = Enzyme-labeled reagent binds after the initial antigen-antibody reaction Direct EIA = Enzyme-labeled antibody directly binds to antigen Indirect EIA = Enzyme-labeled secondary antibody binds to primary antibody bound to antigen</p> Signup and view all the answers

    In a lateral flow assay, the ______ is applied at one end of the strip and migrates toward the distal end.

    <p>analyte</p> Signup and view all the answers

    What is the purpose of the absorbent pad in a lateral flow assay?

    <p>To maintain a constant capillary flow rate (D)</p> Signup and view all the answers

    In a lateral flow assay, the detection zone is located at the proximal end of the strip, where the sample is applied.

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

    What is the purpose of labeling antibodies with fluorescent compounds?

    <p>Fluorescent labeling allows for the visualization of antibody-antigen interactions under a fluorescent microscope.</p> Signup and view all the answers

    Match the following fluorescent compounds with their respective colors:

    <p>Fluorescein = Green Tetramethylrhodamine = Red</p> Signup and view all the answers

    What is the primary purpose of competitive immunoassays?

    <p>To indirectly measure the concentration of a target antigen by using a labeled reactant (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of fluorescein?

    <p>Emits blue light (D)</p> Signup and view all the answers

    Competitive immunoassays are generally more sensitive than non-competitive immunoassays.

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

    What are the two main categories of immunoassays based on the separation requirement for bound and unbound reactants?

    <p>Heterogeneous and Homogeneous</p> Signup and view all the answers

    Immunofluorescence assays can be categorized into two main types: direct immunofluorescence and indirect immunofluorescence.

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

    In direct immunofluorescence, the ______ is directly labeled with a fluorescent tag.

    <p>antibody</p> Signup and view all the answers

    In non-competitive immunoassays, a ______ is passively absorbed to a solid phase to capture the patient antigen.

    <p>capture antibody</p> Signup and view all the answers

    What type of label was used in the first developed immunoassay, pioneered by Yalow and Berson?

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

    Match the following terms with their descriptions.

    <p>Competitive immunoassays = All reactants are mixed simultaneously, labeled antigen competes for binding sites with patient antigen, the amount of bound label is inversely proportional to the concentration of patient antigen. Non-competitive immunoassays = Capture antibody is absorbed onto a solid phase, patient antigen binds to capture antibody, labeled antibody binds to captured patient antigen, the amount of bound label is directly proportional to the concentration of patient antigen. Heterogeneous immunoassays = Require a separation step to remove free analyte from the bound analyte. Homogeneous immunoassays = Do not require a separation step.</p> Signup and view all the answers

    In non-competitive immunoassays, the amount of bound label is inversely proportional to the concentration of the patient antigen.

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

    What is the function of the labeled reactant in competitive immunoassays?

    <p>The labeled reactant competes with the patient antigen for binding sites on the antibody. The amount of bound label is inversely proportional to the concentration of the patient antigen.</p> Signup and view all the answers

    Which of the following is a major advantage of indirect immunofluorescence over direct immunofluorescence?

    <p>It is more sensitive and can detect smaller amounts of antigen. (A)</p> Signup and view all the answers

    In the direct immunofluorescence assay, antibodies conjugated with a fluorescent tag directly interact with the antigen on a microscope slide.

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

    What is the name of the technique that measures the change in polarization of fluorescent light emitted from a labeled molecule when it binds to an antibody?

    <p>Fluorescence Polarization Immunoassay (FPIA)</p> Signup and view all the answers

    In FPIA, ______ antigens compete with ______ antigen in the patient sample for a limited number of antibody-binding sites.

    <p>labeled, unlabeled</p> Signup and view all the answers

    Match the following techniques with their respective applications:

    <p>Direct Immunofluorescence = Detecting Legionella pneumophila in a sample Indirect Immunofluorescence = Measuring antibody levels in patient serum Fluorescence Polarization Immunoassay (FPIA) = Quantifying the concentration of a specific antigen in a sample</p> Signup and view all the answers

    Describe the principle of indirect immunofluorescence in a few sentences.

    <p>In indirect immunofluorescence, the patient's serum is incubated with a known antigen on a slide. Then, an anti-human immunoglobulin labeled with a fluorescent tag is added. This antibody binds to the patient's antibodies attached to the antigen. The fluorescence is localized, indicating the presence of the specific antibody in the patient's serum.</p> Signup and view all the answers

    In FPIA, the fluorescence polarization is directly proportional to the concentration of the analyte.

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

    Which of the following techniques is considered more commonly used in clinical laboratories?

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

    Flashcards

    Competitive Immunoassay

    An assay where labeled antigen competes with unlabeled patient antigen for binding sites.

    Non-Competitive Immunoassay

    An assay where a capture antibody is fixed to a solid phase to capture patient antigen.

    Sensitivity of Assays

    Non-competitive immunoassays are more sensitive than competitive ones.

    Homogeneous Immunoassays

    Assays that do not require a separation step between bound and free reactants.

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    Heterogeneous Immunoassays

    Assays that require a physical step to separate bound from free analytes.

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    Radioactive Immunoassay

    The first developed immunoassay using a radioactive label to detect substances.

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    Label Stability

    In immunoassays, the label must remain stable throughout the shelf life.

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    Assay Applications

    Useful for measuring hormones, vitamins, and serum proteins.

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    Solid Phase Antibody

    An antibody bound to a solid substrate in assays.

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    Enzyme Substrate Addition

    The step where a substrate is added to measure enzyme activity corresponding to antibody presence.

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    Capture Assay

    Assay where antibodies capture antigens, often called sandwich immunoassays.

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    Multiple Epitopes

    Features of antigens recognized by different antibodies within capture assays.

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    Enzymatic Activity

    The amount of color, fluorescence, or luminescence measures antigen quantity in the sample.

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    Homogeneous Enzyme Immunoassays

    Rapid assays without wash steps, used for detecting low-molecular-weight analytes.

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    Rapid Immunoassays

    Membrane-based tests designed for point-of-care or home settings, providing quick results.

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    Immunochromatography

    A type of rapid assay combining multiple test steps into one for simplified testing.

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    125I

    A radioactive label commonly used in immunoassays.

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    Enzymes as catalysts

    Enzymes react with substrates to produce measurable breakdown products.

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    Types of measurable products

    Breakdown products from enzymes can be chromogenic, fluorogenic, or luminescent.

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    Horseradish Peroxidase

    Commonly used enzyme in immunoassays, it produces measurable results.

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    Competitive EIA

    An enzyme immunoassay where labeled antigens compete with unlabeled ones for binding sites.

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    Non-competitive EIA

    An immunoassay where the enzyme-labeled reagent binds after initial binding has occurred.

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    Indirect ELISA

    A type of non-competitive EIA where the reagent binds only after antigen-antibody reactions.

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    Solid phase binding

    In non-competitive EIA, antigens are attached to a solid phase like microtiter plates.

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    Analyte

    The substance being tested on a diagnostic strip.

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    Detection Zone

    The area on the strip where immune complexes are captured and detected.

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    Antigen-Antibody Complex

    The structure formed when an antigen binds to an antibody.

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    Fluorophores

    Molecules that fluoresce when exposed to light.

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    Fluorescein

    A fluorophore that emits green light, used for labeling antibodies.

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    Rhodamine

    A fluorophore emitting red light, commonly used in immunofluorescence.

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    Immunofluorescent Assay

    A test utilizing fluorescent labels on antibodies to locate antigens.

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    Direct Immunofluorescence

    A method where labeled antibodies directly bind to antigens in tissues.

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    Fluorescence Microscope

    A specialized microscope that detects fluorescence in samples.

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    Antigen Visualization Colors

    Antigens seen as bright apple green or orange-yellow under a fluorescence microscope.

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    Fluorescence Polarization Immunoassay (FPIA)

    A technique based on changes in light polarization when antigens bind to antibodies.

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    Competition in FPIA

    Labeled antigens compete with unlabeled antigens for antibody-binding sites in FPIA.

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    Polarization Inversely Proportional

    In FPIA, outcoming polarization is inversely related to the analyte concentration.

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    Sandwich Formation

    In indirect immunofluorescence, the fluorescent anti-human antibody binds to the primary antibody.

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    Study Notes

    Labelling Techniques

    • Labelling techniques are used in immunoassays to detect antigens or antibodies that may be small or present in low concentrations.
    • These techniques use labelled reactants to determine if specific binding has occurred between the antigen and antibody.

    Labelled Immunoassays

    • Designed for antigens and antibodies that may be small in size or present in very low concentrations.
    • Presence of antigens or antibodies is determined indirectly using a labelled reactant to detect binding.

    Formats of Labelled Immunoassays: Competitive Immunoassays

    • All reactants are mixed simultaneously.
    • Labeled antigen competes with unlabeled patient antigen for a limited number of antibody binding sites.
    • The amount of bound label is inversely proportional to the concentration of the labeled antigen. More labeled antigen detected means less patient antigen is present.

    Formats of Labelled Immunoassays: Non-Competitive Immunoassays

    • An antibody (capture antibody) is first passively absorbed to a solid phase (e.g., microtiter plates, nitrocellulose membranes, or plastic beads).
    • Excess antibody is present to capture any patient antigen present.
    • Unknown patient antigen is added and allowed to react with the solid-phase antibody.
    • Unbound antigen is removed by washing, followed by adding a second antibody with a label.

    Formats of Labelled Immunoassays: Non-Competitive Immunoassays - continued

    • In this assay, the amount of label measured is directly proportional to the amount of patient antigen.
    • This type of assay is generally more sensitive than competitive immunoassays.
    • The label must not alter the molecule’s reactivity and should remain stable during the reagent's shelf life.

    Heterogeneous vs Homogeneous

    • Immunoassays are categorized based on whether separating bound and free reactants is necessary.
    • Heterogeneous assays require a separate step to physically separate bound from free analyte.
    • Homogeneous assays do not require this separation step, they are less sensitive.

    Radioimmunoassay (RIA)

    • First developed immunoassay. Pioneered by Yalow and Berson in the 1950s.
    • Useful for hormones, vitamins, and serum proteins.
    • Uses radioactive substance as a label. Radioactive elements decay spontaneously, emitting matter and energy.
    • Iodine-125 (125I) is a commonly used radioactive label.

    Enzyme Immunoassay (EIA)

    • Enzymes are used as labels (e.g., Horseradish Peroxidase, Alkaline phosphatase, and β-D-galactosidase).
    • Enzymes react with substrates to produce breakdown products.
    • These products may be chromogenic (colour-producing), fluorogenic (producing fluorescence), or luminescent (emitting light).
    • Commonly used in clinical lab. due to sensitivity, low cost, specificity and simplicity.

    Formats of EIA - Competitive EIA

    • The first enzyme immunoassays were competitive assays based on the principles of RIA.
    • Enzyme-labeled antigen competes with unlabeled patient antigen for a limited number of antibody binding sites on a solid phase.
    • Used generally to measuring small, relatively pure antigens like drugs or hormones.

    Formats of EIA - Non-Competitive EIA

    • Most noncompetitive assays are indirect (ELISAs), where the enzyme-labeled reagent doesn't participate in the initial antigen-antibody binding reaction.
    • The enzyme-labeled reagent binds after the initial antigen-antibody reaction.
    • Widely used in clinical labs for its sensitivity, specificity, simplicity, and low cost.
    • Antigen is typically bound to a solid phase (e.g., microtiter plates, nitrocellulose membranes, or magnetic beads).
    • Patient serum or a sample is added and allowed to react, and an enzyme-labeled secondary antibody is added after a wash.

    Formats of EIA - Sandwich/Capture Assay

    • If antibody is bound to a solid phase, these assays are called sandwich immunoassays or capture assays
    • The assay must have multiple epitopes.
    • Excess antibody on solid phase combines with sample to capture present antigen.
    • After incubation, an enzyme-labeled antibody is added that binds to a different epitope.
    • Enzymatic activity is directly proportional to the amount of antigen in the sample and can detect multiple determinants such as antibodies, cytokines, proteins, tumour markers, and microorganisms (especially viruses).

    Homogenous EIA

    • Homogeneous enzyme immunoassays are generally less sensitive.
    • No washing or separation steps are needed.
    • Rapid, simple, and easy to automate.
    • Primarily used for determining low-molecular-weight analytes in serum or urine (e.g., hormones, therapeutic drugs, and drugs of abuse),

    Fluorescent Immunoassay (FIA)

    • Fluorescent tags or labels on antibodies are used to localize antigen in cells or tissues when bound to antigen
    • Detected under UV light using a fluorescent microscope
    • Direct or indirect techniques exist.

    Formats of FIA - Direct Immunofluorescence

    • Unlabeled fluorescent-tagged antibody is used
    • Directly binds to unknown antigen fixed on a slide to create a visible fluorescent signal (green, orange-yellow) which shows up as bright objects against the dark background.

    Formats of FIA - Indirect Immunofluorescence

    • Patient serum is first incubated with a known antigen on a slide
    • Then washed, followed by fluorescently conjugated anti-human immunoglobulin.
    • This creates a fluorescence sandwich, with fluorescence localization directly proportional to antibody presence.

    Fluorescence Polarization Immunoassay (FPIA)

    • Based on changes in polarization of fluorescence emitted from a labelled molecule upon antibody binding.
    • Labeled antigens compete with unlabeled antigen in the sample for antibody binding sites.
    • More antigen present means less fluorescence polarization detected.

    Chemiluminescent Immunoassays (CLIA)

    • Another method to visualize antigen-antibody combination.
    • Involves an oxidation reaction that produces excited molecules. Molecules then decay back to their original state, emitting light.
    • Luminol, acridinium esters, ruthenium derivatives, or nitrophenyl oxalates are commonly used in these assays.

    Rapid Immunoassays

    • Membrane-based, easy to perform, and reproducible.
    • Designed for point-of-care or home testing but can be modified for increased clinical sensitivity/semiquantification.
    • Immunochromatography combines the steps into a single one-step method.

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    This quiz explores key concepts related to enzyme immunoassays, including their mechanisms, advantages, and specific components involved. Questions cover various types of immunoassays and the roles of different reagents and techniques used in these assays. Test your knowledge on this vital topic in laboratory practices and diagnostics.

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