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SGU Immuno Post MT: Immunodiagnostics
SGU Immuno Post MT: Immunodiagnostics
32
Medical
Professional
01/14/2013

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Term
Immuno precipitation and Immuno agglutination are what type of interaction ?
Definition
Seconday interaction
Term
What is antibody affinity ?
Definition
this is binding strength between a single antibody binding site with a single epitope from the antigen
Term
What is avidity ?
Definition
Is the combined total synergistic binding strength of
the antibody to multiple binding sites present on a single
antigen
Term
What is the epitope ?
Definition
the antigenic determinant (part of the antigen) to which the single Fab fragment binds
Term
Cross-reactivity of Abs is what ?
Definition
Antibodies produced against one antigen may react with epitopes from unrelated antigens
Term
What is precipitation ?
Definition
status change where soluble reagents move
into an insoluble 3D structure (lattice)
Term
Antigen must be multivalent and what for precipitation to occur and for agglutination to occur ?
Definition
soluble for precipitation reaction or
particle for agglutination reaction
Term
Precipitation curve depends on what ?
Definition
Depends on antibody : antigen concentration
Term
The 3 zones in a precipitation curve ?
Definition
Zone of Antibody Excess
Zone of Equivalence
Zone of Antigen Excess
Term
Insoluble immune complexes formed in what zone ?
Definition
Zone of Equivalence
Term
Soluble immune complexes are formed in what zone ?
Definition
Zone of antigen excess
Term
Another name for Double Diffusion in Two Dimensions test ?
Definition
Ouchterlony
Term
Ouchterlony pattern where Antibody precipitates with identical epitopes on both antigens ?
Definition
Identity
Term
Ouchterlony pattern where Unique precipitation patterns point to non-identical epitopes recognized by the same Ab (X like image) ?
Definition
Non-identity
Term
Ouchterlony pattern where some, but not all, epitopes are shared between both antigens ?
Definition
Partial identity
Term
Example of a Flocculation (precipitation) test and an indirect agglutination test for syphilis testing?
Definition
VDRL test that uses cardiolipin antigen to test for syphilis
Term
What is agglutination ?
Definition
crosslinking of "particulate" antigens with
antibodies
Term
Only two differences b/w agglutination and precipitation ?
Definition
1) agglutinogens are not soluble particle
2) there is no phase change of the agglutinogens during aggregation process
Term
What is zeta potential ?
Definition
Is the repulsive force b/w RBCs measured in microvolts.
A problem for hemagglutination rxns.
Zeta potential impedes the
agglutination process when
bivalent antibodies are used,
such as IgG
Term
Coombs test is used for what hypersensitivity rxns ?
Definition
Type 2
Term
What is Direct Coombs test ?
Definition
IgG antibodies are already bound to the red blood cells from the serum of the patient.
Term
What is Indirect Coombs test ?
Definition
The erythrocytes are added as an
additional first step in the indirect test.
The second step is addition of anti-human IgG antibodies (Coombs serum) and
observing agglutination reaction
Term
What disease is preventable by treatment with anti-RhD
immunoglobulin (Rho(D) Ig)?
Definition
Hemolytic disease of newborn (Erythroblastosis Fetalis)
Term
What is ELISA test ?
Definition
ELISA - solid phase immunoassay – 96 multiwell plate.

Enzyme based colorimetric technique is used for detection
of either the antibody or the antigen.

The analysis is done by measuring the optical density (OD).
Term
What are the most frequently used reagents in commercial ELISA kits ?
Definition
Monoclonal Abs

Also polyclonal "serum" can be used as capture antibodies in Sandwich ELISA
Term
What test can be used in SLE and Sjogren's Syndrome ?
Definition
ANA Test (Anti-nuclear antibodies test)
Term
ANA test is similar to what other testing methodoligies ?
Definition
ELISA
Agglutination
Immunofluorescence testing
Term
If CH50 test low or absent, and AH50 is normal, then defect is in ?
Definition
Classical complement pathway
Term
If both CH50 and AH50 tests are low or absent, defect is in ?
Definition
Terminal complement pathway
Term
(True or False) CH 50 test can only detect severe or total complement deficiencies , not defects in individual factors ?
Definition
True
Term
Rh Immunoglobulin belongs to which antibody class ?
Definition
IgG
Term
If person has poison ivy dermatitis, what cells found earliest in the skin lesion ?
Definition
T lymphocytes, b/c poison ivy dermatitis is a Type 4 hypersensitivity
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