Measuring Immune Function
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Questions and Answers

In single radial immunodiffusion, what is the role of the agar medium?

  • It provides a semisolid matrix in which antibodies are embedded to react with diffusing antigens. (correct)
  • It contains the antigens that diffuse outward to react with antibodies.
  • It is used to label antibodies with fluorescent dyes for visualization.
  • It serves as a surface for enzymatic reactions in ELISA.

What is the fundamental difference between direct and indirect immunofluorescence (IF) in terms of what they detect?

  • Direct IF is qualitative, while indirect IF is quantitative.
  • Direct IF uses a secondary antibody, while indirect IF uses a primary antibody.
  • Direct IF detects antigen, and indirect IF detects antibodies. (correct)
  • Direct IF detects complement components, while indirect IF detects immunoglobulins.

In the context of precipitation tests, which term describes the soluble antigen and the antibody involved?

  • Enzyme and substrate
  • Precipitinogen and precipitin (correct)
  • Agglutinogen and agglutinin
  • Fluorochrome and antibody

What is the primary advantage of using ELISA over other serological tests like immunodiffusion?

<p>ELISA offers higher sensitivity and allows for quantitative analysis. (C)</p> Signup and view all the answers

In diagnosing Systemic Lupus Erythematosus (SLE), which immunological technique is most commonly used to detect anti-nuclear antibodies (ANA)?

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

Which of the following methods is best suited for quantifying specific immunoglobulin levels in a patient's serum?

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

Which of the following is measured to assess cellular immunity?

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

A lab technician is tasked with identifying a specific viral antigen in a patient sample using immunofluorescence. Which method should they employ for direct detection?

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

In a double immunodiffusion assay, what does the formation of a precipitation line between the antigen and antibody wells indicate?

<p>The antigen and antibody have a specific binding affinity. (A)</p> Signup and view all the answers

What is the purpose of using fluorochrome-labeled antibodies in flow cytometry?

<p>To identify and quantify leukocyte subpopulations. (C)</p> Signup and view all the answers

Flashcards

Precipitation (Immunodiffusion)

Antigen-antibody reaction with a soluble antigen, where the antigen is a precipitinogen and the antibody is a precipitin.

Clinical applications of Single (Radial) Immunodiffusion

Quantitative assay of immunoglobulins, complement components (C1, C2, C3,..).

Double Immunodiffusion

Antigen and antibody diffuse against each other in agar, forming a precipitate line where they meet; used for diagnosing bacterial, viral, or fungal diseases.

Immunofluorescent (IF) Microscopy

Antigen-antibody reaction using fluorescently labeled antibodies, visualized with a fluorescence microscope.

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Direct IF

Detects antigen using a specific fluorescein-labeled antibody (viral, parasitic, intracellular bacteria, tumor antigens).

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Indirect IF

Detects antibodies in patient serum using secondary anti-human globulin conjugated with fluorescein; used for detecting autoantibodies like ANA in SLE.

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Enzyme-Linked Immunosorbent Assay (ELISA)

Used to demonstrate unknown antigen or antibody; it's a quantitative and highly sensitive assay.

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Clinical application of ELISA: Diagnosis of infectious diseases

Viral infections like HIV, HBV, HCV; bacterial infections like Brucellosis, Syphilis.

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Assessment of Cellular Immunity

Assessment of cellular immunity by measuring phagocyte function and lymphocyte proliferation.

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Flow Cytometry

Leukocytes stained with fluorochrome-labeled antibodies for analysis.

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Study Notes

  • These notes discuss methods for measuring immune function, including precipitation tests, immunofluorescent microscopy, ELISA, and assessing cellular immunity.

Precipitation (Immunodiffusion)

  • Precipitation reactions involve the reaction of soluble antigens with antibodies.
  • In precipitation, the antigen is called precipitinogen and the antibody is called precipitin.
  • Types of precipitation tests include the Ring test and Agar diffusion.

Single (Radial) Immunodiffusion

  • Soluble antigens react with antibodies in a semisolid medium.
  • This leads to the formation of precipitation lines.
  • Used for quantitative assay of immunoglobulins.
  • Useful for quantitative analysis of complement components like C1, C2, and C3.

Double Immunodiffusion

  • Antigens and antibodies diffuse against each other in semisolid agar.
  • Lines of precipitate form where antigen and antibody meet.
  • Used for diagnosing various bacterial, viral, and fungal diseases.

Immunofluorescent (IF) Microscopy

  • Involves an antigen-antibody reaction where antibodies are labeled with a fluorescent dye.
  • The antigen-antibody complex is visualized using a fluorescence microscope.
  • There are two main types of IF: direct and indirect.

Direct IF

  • Used to detect antigens like viral, parasitic, intracellular bacteria (chlamydia), and tumor antigens.
  • This is done using a specific fluorescein-labeled antibody.

Indirect IF

  • Used to detect antibodies in patient serum.
  • Secondary anti-human globulin conjugated with fluorescein is utilized.
  • Applied to detect autoantibodies, such as anti-nuclear antibodies (ANA), in patients with systemic lupus erythematosus (SLE).

Enzyme-Linked Immunosorbent Assay (ELISA)

  • ELISA can demonstrate either an unknown antigen or an unknown antibody.
  • Serves as a quantitative assay and is highly sensitive.
  • Used in the diagnosis of infectious diseases, including viral (HIV, HBV, HCV) and bacterial infections (Brucellosis, Syphilis)
  • Aids in detecting hormones.

Direct ELISA

  • Used to detect antigens.
  • Involves adding an enzyme-conjugated secondary antibody after the antigen binds to the antibody-coated well.
  • Substrate is added for color measurement

Indirect ELISA

  • Used to detect antibodies such as HIV and HCV.
  • A specific antibody is added to antigen-coated wells.
  • Followed by an enzyme-conjugated secondary antibody and substrate for color measurement.

Assessment of Cellular Immunity

  • Cellular immunity is measured by evaluating: phagocyte function and lymphocyte proliferation.
  • Flow cytometry is used, where leukocytes are stained with fluorochrome-labeled antibodies.
  • Aids in calculating the CD4/CD8 ratio in HIV follow-up.

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Description

Overview of methods to measure immune function, including precipitation tests, immunofluorescent microscopy, and ELISA. Covers precipitation reactions, single and double immunodiffusion. Discusses using these methods for diagnosing diseases.

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