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Questions and Answers
What is a precipitation reaction in immunology?
It is the combination of soluble antigen with soluble antibody, producing visible insoluble complexes.
Define affinity in the context of antibody-antigen interactions.
Affinity refers to the initial force of attraction between a single Fab site on an antibody and a corresponding antigen epitope.
What does avidity signify in antigen-antibody binding?
Avidity represents the sum of all attractive forces between an antigen and an antibody, indicating the overall strength of their binding.
Explain the Law of Mass Action in relation to antigen-antibody reactions.
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What could be the consequence of applying current in the wrong direction during electrophoresis?
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Describe the Pro-zone phenomenon in precipitation reactions.
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What happens during the Post-zone phenomenon?
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How does the incorrect pH of the buffer affect the electrophoresis process?
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What is the Zone of Equivalence in the context of precipitation reactions?
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Differentiate between single and double diffusion in immunodiffusion methods.
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Explain the significance of the sensitization phase in the agglutination process.
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What is turbidity and how is it measured in a fluid medium?
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What factors influence lattice formation during agglutination?
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What is the method used to count particles in PACIA?
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How does agglutination affect the counting of particles in the PACIA method?
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What size are the latex particles used in the PACIA reaction?
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List two causes of false positives in agglutination tests.
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What effect can a delay in testing have on agglutination results?
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Explain the significance of under centrifugation in agglutination tests.
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What phenomenon might occur if there is excessive antigen present in a sample?
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Identify one reason why adequate washing of cells is important in agglutination tests.
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What is the principle behind nephelometry?
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What range of angles do nephelometers typically measure?
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Which immunoglobulins can be quantified using rate nephelometry?
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What is passive immunodiffusion?
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In Oudin single diffusion, how does precipitation occur?
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Describe the procedure of radial immunodiffusion.
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What factors affect the rate of diffusion in passive immunodiffusion?
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What happens at the zone of equivalence in radial immunodiffusion?
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What is the significance of protein A in Staphylococcus aureus?
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Explain the principle behind agglutination inhibition reactions.
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What role do red blood cells (RBCs) play in hemagglutination inhibition tests?
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Differentiate between the direct and indirect antiglobulin tests.
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What are the applications of the Coomb's test?
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Describe the source of polyclonal antibodies in AHG preparation.
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What is the classic example of an agglutination inhibition reaction?
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How do viruses trigger spontaneous agglutination of RBCs?
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Study Notes
Precipitation Reactions
- Involves the combination of soluble antigens with soluble antibodies to form visible, insoluble complexes.
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Affinity refers to the initial force of attraction between a single Fab site on an antibody molecule and a single epitope on the corresponding antigen.
- Attraction results from various bonds: Ionic, hydrophobic, hydrophilic, and Van der Waals forces.
- Avidity is the sum of all attractive forces between an antigen and an antibody, representing the overall strength of the antigen-antibody binding.
- Law of Mass Action: All antigen-antibody binding is reversible and governed by the law of mass action, where free reactants are in equilibrium with bound reactants.
Precipitation Curve
- Three zones of antigen-antibody ratios exist, impacting precipitation reaction results:
- Pro-zone: Antibody excess can lead to false negative reactions. Remedy: Perform dilution.
- Post-zone: Antigen excess leads to false negatives. Remedy: Repeat the test after a week.
- Zone of equivalence: Optimum precipitation with an equal number of multivalent sites of antigen and antibody.
Types of Precipitation Reactions
Precipitation in a Fluid Medium
- Turbidimetry: Measures the turbidity (cloudiness) of a solution by determining light reduction caused by reflection, absorption, or scattering. Measurement units are absorbance, reflecting the ratio of incident to transmitted light.
- Nephelometry: Measures scattered light at a specific angle from the incident beam as it passes through a suspension. Light scattering is proportional to the solution's concentration.
Precipitation by Passive Immunodiffusion
- No electrical current is used to accelerate this process.
- Support medium: Agar, agarose, and gel.
- Diffusion rate depends on particle size, temperature, gel viscosity, and hydration.
- Oudin Single Diffusion: Antibody is incorporated into agarose within a test tube. Antigen is layered on top, causing precipitation as antigen moves down the tube, proportional to the antigen concentration.
- Radial Immunodiffusion: Antibody is uniformly distributed within the support gel. Antigen is placed in a well. Precipitation occurs as antigen diffuses outward, forming a stable lattice network in the zone of equivalence.
Agglutination
- A process where particulate antigens, such as cells, aggregate to form larger complexes when a specific antibody is present.
Steps of Agglutination
- Sensitization Phase: Initial antigen-antibody combination through single antigenic determinants on the particle surface.
- Lattice Formation: Represents the sum of interactions between the antibody and multiple antigenic determinants on a particle. Depends on environmental conditions and relative antigen and antibody concentrations.
Types of Agglutination Reactions
- Direct Agglutination: Antigen is directly bound to a particle. Useful for identifying antigens or antibodies.
- Passive Agglutination: Antigen or antibody is attached to an inert carrier particle (e.g., latex beads). Enhanced sensitivity and broader applications.
- Reverse Passive Agglutination: Antibody is attached to particles, while the antigen is free in the sample. Rapid diagnosis, often used in clinical laboratories.
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Agglutination Inhibition: Based on competition between particulate and soluble antigens for limited antibody-combining sites. Lack of agglutination indicates a positive reaction.
- Hemagglutination Inhibition: RBCs are the indicator particles. Used to detect antibodies for viruses like rubella, mumps, measles, influenza, and others.
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Antiglobulin-mediated Agglutination (Coomb's Test or AHG): Detects non-agglutinating antibodies by coupling with a second antibody.
- Direct Antiglobulin Test (DAT): Investigates in vivo RBC sensitization (e.g., hemolytic disease of the newborn, autoimmune hemolytic anemia).
- Indirect Antiglobulin Test (IAT): Investigates in vitro RBC sensitization (e.g., cross-matching, antibody detection, identification, and phenotyping).
Errors in Agglutination
- False Positives: Can occur due to over-centrifugation, contaminated glassware, autoagglutination, saline storage in glass bottles, cross-reactivity, rheumatoid factor, heterophile antibodies, and delayed reading.
- False Negatives: Can occur due to under-centrifugation, inadequate washing, inactive reagents, delay in testing, prozone/post-zone phenomenon, incorrect incubation temperatures, insufficient incubation time, failure to add antiglobulin reagent, etc.
Sources of Error in Electrophoresis
- Incorrect current direction, pH of buffer, electrophoresis time, concentration of antigen and antibody, and amount of current applied can all lead to inaccurate results.
Characteristics of Different Precipitation Methods:
- Oudin's Test: Single diffusion, Single Dimension.
- Oakley and Fulthrope (Modified Oudin): Double diffusion, Single Dimension.
- Rocket Immunoelectrophoresis: Single diffusion, Single Dimension.
- Radial Immunodiffusion: Single diffusion, Double Dimension.
- Ouchterlony: Double diffusion, Double Dimension.
- Countercurrent Immunoelectrophoresis: Double diffusion, Single Dimension.
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Description
Explore the fundamentals of precipitation reactions, where soluble antigens combine with antibodies to form visible complexes. Understand key concepts like affinity, avidity, and the law of mass action, alongside the significance of the precipitation curve in interpreting reaction results.