Diagnostic application of antigen antibody reaction

Agglutination reactions involve particulate antigens i. Agglutination reactions are very sensitive, readable and available in several varieties. This test is carried out in plastic microtiter plates that have several small shallow wells. Each well acts as small test tube Fig. Previously this test was done in test tubes. This is the measure of titer or concentration of serum antibody. In a positive reaction, agglutination occurs, and sufficient antibodies are present in the serum to link the antigen together.

This results in formation of antibody-antigen mat which sinks to bottom of well A. However, in the negative reaction, agglutination does not occur and insufficient antibodies are present to cause the linking of antigens. The particulate antigens roll down the sloping sides of the well, and form a pellet at the bottom. In this example the antigen titer is only 80 since the well with a 1: 80 concentration is the most dilute concentration that gives a positive reaction.

Infectious Diseases

It may also be demonstrated that before illness, blood of persons does not have any antibody, whereas titer develops significantly with the progress of disease. This change in titer is called servotiter. This type of diagnostic tests are very rapid particularly for the detection of streptococci. If the antigens are adsorbed onto particles e. RBCs, latex beads, bentomile clay , soluble antigens can respond to agglutination test. Antibody reacts with the soluble antigen adhering to the particles. Therefore, the particles agglutinate with each other as these do in the direct agglutination tests.

Diagnostic Immunology

Haemagglutination is the phenomenon of clumping of RBCs. When the RBCs are agglutinated by certain viruses such as those causing mumps, measles, influenza, etc. In the serum of a person, certain antibodies act against the antigens of these viruses , the antibodies neutralize them after reaction. The haemagglutination test is widely used for the diagnosis of a number of viruses including those as above.

A group of 20 or more serum protein is collectively known as complement. During reaction, the complement binds to antigen-antibody complex and is used up or fixed. This process of complement fixation may be used to measure even very small amount of antibody that does not produce a visible reaction such as precipitation or agglutination. Therefore, it is necessary to use indicator system.

9 Important Antigen-Antibody Reactions | Microbiology

This method is used in diagnosis of diseases such as leptospirosis, mycoplasmal pneumonia, Q fever, polio, rubella, histoplasmosis, coccidiodomycosis and streptococcal infections. The heated serum is diluted and then added to known amount of specific antigen and complement Fig.

The test antigen may correspond to the diseases. For example, if a patient is suffering from a disease caused by streptococci the test antigen would be the streptococcal antigen. This mixture is again incubated for about 30 minutes. At this point, no antigen-antibody reaction occurs. In stage 2, the complement fixed by antigen-antibody reaction is detected by an indication system.

This system consists of sheep RBCs containing specific antibodies attached to their surfaces. When these are added to complement, haemolysis of RBCs occurs that impart changes in colour of the mixture.


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This shows that the complements have not been fixed during the first stage; therefore, these become available to cause haemolysis Fig. This indicates that the patient has no streptococcal pneumonia. However, if the guinea pig complements are destroyed, they will not be able to cause the lysis of RBCs. On the other hand, if the complements are fixed by antigen- antibody reaction during the first stage, these will not be available to cause haemolysis during the second stage. This indicates that the patient has the infection of streptococci.

The neutralization reactions are the reactions of antigen- antibody that involve the elimination of harmful effects of bacterial exotoxins or a virus by specific antibodies. These neutralizing substances i. This specific antibody is produced by a host cell in response to a bacterial exotoxin or corresponding toxoid inactivated toxin. The antitoxin reacts with exotoxin and neutralizes it. These antitoxins can be artificially induced in animals such as horses. Thus, the antitoxin of animal sources in turn can be injected into human which provides a passive immunity against a toxin present in human body produced by the pathogens causing diphtheria, tetanus, etc.

Immunoassays for Disease

Neutralization test is very useful in diagnosis of viral infections in humans. After introduction of a virus, antibodies are produced in response and bind to receptor sites present on the viral surfaces. After binding of antibodies, viral particles fail to reach to the cells. Thereafter, the virus is destroyed.

Artificially, the virus is capable of destroying their cell-damaging effect in cell culture or embryonic eggs can be used to determine the presence of antibodies against them. However, when serum contains antibodies against a particular virus, the antibodies will not allow the virus to infect the cell in cell culture; consequently the cells will not be damaged. Schick test measures the level of immune system of a person to the infection of diphtheria.

Antibodies and Antigens for Research and Diagnostic Assay Development

When testing the status of immunity, a small amount of diphtheria exotoxin is inoculated in the skin of a person. Depending on ability and quantity of antitoxin, positive or negative responses develop. If serum antitoxin in body would be in sufficient amount to neutralize the exotoxin, no visible reaction will occur.


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In control, when serum antitoxin is in insufficient amount the exotoxin will damage the tissues at the site where incision was made, and will produce a swollen and reddish area which is converted into brown within 4 or 5 days. This shows that the immune response is not present to a satisfactory level. It is such a technique which is highly sensitive and can measure even the less concentration i.

In , for the first time this technique was developed by S. Berson and R. Yalow when they were engaged in determining the concentration of insulin and anti-insulin complexes in diabetics. Thereafter, Berson died, and significance of this technique was realised. In , Yalow was awarded a Nobel Prize. The antigen labelled with I is mixed with such a concentration of antibody that can just saturate the antibody.

The two types of antigens now compete for available sites of the antibody. Upon gradually increasing concentration of un-labelled antigen, the labelled antigen could be displaced from the binding sites available on antibody. The labelled antigens are made free in the solution.

The amount of labelled antigen in solution is measured, and the concentration of un-labelled antigen can be determined. In solid phase RIA, either antigen or antibody is immobilized on a solid phase matrix. It is simple and easy in handling as compared to liquid phase RIA. The nodes with more than 19 links were considered as hubs. As previously noted, the comparisons among networks show that there are significant differences in their connection intensities. Table 4 shows the number of links that are missing in each node and the nodes with which each node lost its links.

The greatest amount of disconnections by node in the three groups is given in Table 3. It is also important to note that node 11 is the most disconnected 19 lost links in BBP with respect to the network of H Table 4. There are also some nodes that do not lose any links among networks while some are conserved in the three groups of women nodes , , , No disease exists in isolation [ 33 ]. That is, given the functional interdependencies among the molecular components in a human cell, a disease is rarely a consequence of an abnormality in a single gene, but reflects the perturbations of the complex intracellular network [ 34 ].

Cancer contains many manifestations of networks at various levels of organization, including the genetic [ 35 , 36 ], cellular [ 37 , 38 ], and phenotypic [ 39 ].

Antigen antibody systems

The emerging tools of network medicine offer a platform to explore systematically not only the molecular complexity of a particular disease, leading to the identification of disease modules and pathways, but also the molecular relationships between apparently distinct pathological phenotypes [ 34 ]. Our results are compatible with the hypothesis of there being a complex immunological network interconnecting the IgG antibody producing clones against at least protein antigens nodes differing in their molecular weights MW.

This lack of differences among networks could be explained by the shared protein motifs or immunological cross-reactivity, in a manner in which the number of nodes tend to equality and differences become not statistically significant. That is, the differences found in breast pathology BBP and BC , and particularly in BC, may be due to the connectivity of the network rather than to the number of nodes in each network. But there were not only differences in the network connectivity among groups, the number of the most connected nodes hubs decreases with the disease, since the diminishing of the nodes having 19 to 24 links were more pronounced in the groups of women having some pathology Fig.

As such, the loss of connectivity in the BC group is probably the consequence of the loss of connectivity of the hubs, as has been seen in other networks [ 39 , 40 ]. More importantly, by way of the disconnection analysis performed among networks, it was possible to identify the lost node in the BC group node 24 , which is the most connected hub in the H network. This striking result makes node 24 a potentially therapeutic target.

The number of missed links in each node are ordered by their magnitude from the highest to the lowest. Also it is possible to visualize the links missed in each node. Bolded and underlined are the most connected Nodes ranked from 1 to Conceived and designed the experiments: C. Wrote the paper: C. Larralde TRG. Recruited and diagnosed the participants: C.

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