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Immunology Lab Tests
Diagnostic tests
18
Medical
Graduate
08/30/2009

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Cards

Term
What cells are considered peripheral blood mononuclear cells (PBMCs)? What chemical solution has the same specific gravity as PBMCs?
Definition

T cells, B cells, NK cells, monocytes

 

Ficoll-Hypaque solution (used to separate PBMCs from blood)

Term
What is the purpose of the lymphocyte proliferation assay?
Definition
To detect if lymphocytes will react and clonally expand to an antigen. Test for increased radioactivity (from thymidine)
Term
What is the purpose of the ELISPOT assay?
Definition
Detect number of T cells/B cells that are secreting cytokine/antibody
Term
Chromium (51-Cr) is used as a marker to detect what?
Definition
CTL-mediated cytotoxicity - how effective they are at killing the target cells marked with Cr.
Term
What are some in vivo immune responses where in vitro lymphocyte proliferation assays can be used as a model?
Definition

1) Delayed type hypersensitivity (DTH)

- Memory cells after initial exposure to antigen

 

2) Transplant rejection

- expose recipient's lympoctes with MHCs from donor (mixed lymphocyte response)

 


Term
In flow cytometry, what does side scatter measure? forward scatter?
Definition

side scatter = complexity (granules)

 

forward scatter = size

Term
What is the purpose of flow cytometry?
Definition
To determine the types of markers and receptors on the surface of a cell
Term
What do you call the results of flow cytometry when only one fluorescent marker is used? what about when two or more markers are used?
Definition

One marker - results seen as histogram

 

two or more marker - scattergram

Term
What is a normal CD4/CD8 ratio?
Definition
0.9 to 3.0 or higher
Term
What does a precipitin reaction look for? what percentage of antibody to antigen must there be for optimum reaction?
Definition

A precipitin reaction looks for a lattice of antibody-antigen (immune complex) forming a precipitate.  For this reaction, antigen is in soluble form.

 

There should be equivalent concentrations of antigen and antibody to form a precipitate.

Term
What are some applications of antigen-antibody reactions?
Definition
  • Blood typing
  • Coombs direct/indirect test (Rh factor)
  • Measure rheumatoid factor
  • C reactive peptide
  • antibodies to treponema pallidum
Term
What are some applications for ELISA?
Definition
measure antibodies to virus (ie HIV or hepatitis)
Term
What is the purpose of immunofluorescence/immunohistochemistry? What is one of its applications?
Definition

Purpose: look at exact location and type of cell in situ

 

Applications: study proteins in cancers.

Term
For a positive western-blot of HIV, what markers must be detected?
Definition
p24 and either gp41, gp120 or gp160
Term
True or false. A positive ELISA for HIV antibodies is confirmation for diagnosis of HIV.
Definition

False.

 

a positive ELISA must be followed with a western-blot to confirm.

Term
What is FACS and for what diseases can it be diagnostic?
Definition

Fluorescence-Activated Cell Sorting

- Uses flow cytometry identify cell with cell markers

- provides relative and absolute counts of cell types in blood

 

Dx: infections, neutropenia, leukopenia, or other immunodeficiencies

Term
How can you measure B-cell funcion in vivo and in vitro?
Definition

In vivo:

- serum Ig levels

- specific antibody titers

 

In vitro:

- mitogen-induced Ab production

Term
How can you measure T-cell funcion in vivo and in vitro?
Definition

In vivo:

- DTH response to skin test

 

In vitro:

- T-cell proliferation in response to mitogen (i.e. phytohemagglutinin, PHA)

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