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Questions and Answers
In a heterogeneous enzyme immunoassay, what is the purpose of the second labeled antibody?
In a heterogeneous enzyme immunoassay, what is the purpose of the second labeled antibody?
In a sandwich immunoassay, the antigen must have multiple epitopes for the assay to function properly.
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?
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.
The amount of color, fluorescence, or luminescence detected in an immunoassay is directly proportional to the amount of ______ in the specimen.
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Match the terms with their corresponding descriptions:
Match the terms with their corresponding descriptions:
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Which of the following is NOT a commonly used enzyme in enzyme immunoassays?
Which of the following is NOT a commonly used enzyme in enzyme immunoassays?
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Enzyme-labeled antigen competes with unlabeled patient antigen in both competitive and non-competitive EIA.
Enzyme-labeled antigen competes with unlabeled patient antigen in both competitive and non-competitive EIA.
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What type of spectroscopy can be used to measure changes in enzyme immunoassays?
What type of spectroscopy can be used to measure changes in enzyme immunoassays?
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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.
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.
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Which of the following is NOT a benefit of using enzymes as labels for immunoassays?
Which of the following is NOT a benefit of using enzymes as labels for immunoassays?
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Non-competitive EIA is also known as an indirect ELISA.
Non-competitive EIA is also known as an indirect ELISA.
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Match the type of EIA with its description.
Match the type of EIA with its description.
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In a lateral flow assay, the ______ is applied at one end of the strip and migrates toward the distal end.
In a lateral flow assay, the ______ is applied at one end of the strip and migrates toward the distal end.
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What is the purpose of the absorbent pad in a lateral flow assay?
What is the purpose of the absorbent pad in a lateral flow assay?
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In a lateral flow assay, the detection zone is located at the proximal end of the strip, where the sample is applied.
In a lateral flow assay, the detection zone is located at the proximal end of the strip, where the sample is applied.
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What is the purpose of labeling antibodies with fluorescent compounds?
What is the purpose of labeling antibodies with fluorescent compounds?
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Match the following fluorescent compounds with their respective colors:
Match the following fluorescent compounds with their respective colors:
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What is the primary purpose of competitive immunoassays?
What is the primary purpose of competitive immunoassays?
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Which of the following is NOT a characteristic of fluorescein?
Which of the following is NOT a characteristic of fluorescein?
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Competitive immunoassays are generally more sensitive than non-competitive immunoassays.
Competitive immunoassays are generally more sensitive than non-competitive immunoassays.
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What are the two main categories of immunoassays based on the separation requirement for bound and unbound reactants?
What are the two main categories of immunoassays based on the separation requirement for bound and unbound reactants?
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Immunofluorescence assays can be categorized into two main types: direct immunofluorescence and indirect immunofluorescence.
Immunofluorescence assays can be categorized into two main types: direct immunofluorescence and indirect immunofluorescence.
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In direct immunofluorescence, the ______ is directly labeled with a fluorescent tag.
In direct immunofluorescence, the ______ is directly labeled with a fluorescent tag.
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In non-competitive immunoassays, a ______ is passively absorbed to a solid phase to capture the patient antigen.
In non-competitive immunoassays, a ______ is passively absorbed to a solid phase to capture the patient antigen.
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What type of label was used in the first developed immunoassay, pioneered by Yalow and Berson?
What type of label was used in the first developed immunoassay, pioneered by Yalow and Berson?
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Match the following terms with their descriptions.
Match the following terms with their descriptions.
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In non-competitive immunoassays, the amount of bound label is inversely proportional to the concentration of the patient antigen.
In non-competitive immunoassays, the amount of bound label is inversely proportional to the concentration of the patient antigen.
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What is the function of the labeled reactant in competitive immunoassays?
What is the function of the labeled reactant in competitive immunoassays?
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Which of the following is a major advantage of indirect immunofluorescence over direct immunofluorescence?
Which of the following is a major advantage of indirect immunofluorescence over direct immunofluorescence?
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In the direct immunofluorescence assay, antibodies conjugated with a fluorescent tag directly interact with the antigen on a microscope slide.
In the direct immunofluorescence assay, antibodies conjugated with a fluorescent tag directly interact with the antigen on a microscope slide.
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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?
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?
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In FPIA, ______ antigens compete with ______ antigen in the patient sample for a limited number of antibody-binding sites.
In FPIA, ______ antigens compete with ______ antigen in the patient sample for a limited number of antibody-binding sites.
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Match the following techniques with their respective applications:
Match the following techniques with their respective applications:
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Describe the principle of indirect immunofluorescence in a few sentences.
Describe the principle of indirect immunofluorescence in a few sentences.
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In FPIA, the fluorescence polarization is directly proportional to the concentration of the analyte.
In FPIA, the fluorescence polarization is directly proportional to the concentration of the analyte.
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Which of the following techniques is considered more commonly used in clinical laboratories?
Which of the following techniques is considered more commonly used in clinical laboratories?
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Flashcards
Competitive Immunoassay
Competitive Immunoassay
An assay where labeled antigen competes with unlabeled patient antigen for binding sites.
Non-Competitive Immunoassay
Non-Competitive Immunoassay
An assay where a capture antibody is fixed to a solid phase to capture patient antigen.
Sensitivity of Assays
Sensitivity of Assays
Non-competitive immunoassays are more sensitive than competitive ones.
Homogeneous Immunoassays
Homogeneous Immunoassays
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Heterogeneous Immunoassays
Heterogeneous Immunoassays
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Radioactive Immunoassay
Radioactive Immunoassay
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Label Stability
Label Stability
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Assay Applications
Assay Applications
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Solid Phase Antibody
Solid Phase Antibody
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Enzyme Substrate Addition
Enzyme Substrate Addition
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Capture Assay
Capture Assay
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Multiple Epitopes
Multiple Epitopes
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Enzymatic Activity
Enzymatic Activity
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Homogeneous Enzyme Immunoassays
Homogeneous Enzyme Immunoassays
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Rapid Immunoassays
Rapid Immunoassays
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Immunochromatography
Immunochromatography
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125I
125I
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Enzymes as catalysts
Enzymes as catalysts
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Types of measurable products
Types of measurable products
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Horseradish Peroxidase
Horseradish Peroxidase
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Competitive EIA
Competitive EIA
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Non-competitive EIA
Non-competitive EIA
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Indirect ELISA
Indirect ELISA
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Solid phase binding
Solid phase binding
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Analyte
Analyte
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Detection Zone
Detection Zone
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Antigen-Antibody Complex
Antigen-Antibody Complex
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Fluorophores
Fluorophores
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Fluorescein
Fluorescein
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Rhodamine
Rhodamine
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Immunofluorescent Assay
Immunofluorescent Assay
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Direct Immunofluorescence
Direct Immunofluorescence
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Fluorescence Microscope
Fluorescence Microscope
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Antigen Visualization Colors
Antigen Visualization Colors
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Fluorescence Polarization Immunoassay (FPIA)
Fluorescence Polarization Immunoassay (FPIA)
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Competition in FPIA
Competition in FPIA
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Polarization Inversely Proportional
Polarization Inversely Proportional
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Sandwich Formation
Sandwich Formation
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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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Description
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.