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45 Cards in this Set

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Precipitation


vs.


Agglutination



Interaction

Interaction between Ab and Ag


vs.


Interaction between Ab and particulate Ag



Location and observation

large, insoluble complex in a solution


vs.


Large aggregates or clumps

Agglutination



Ags must be?

Particulate or on a cell surface

Ouchterlony



Procedure

Ag and Ab are placed in agarose well

Ouchterlongy



Method

Double diffusion

Ouchterlongy



What is being compared?

Reactivity between?

2 Ags and 1 Abs


1 Ags and 2 Abs

Ouchterlongy



It is used to identify?

unknown



Ag


or


Ab



in?

Pt. sample

Ouchterlongy



3 patterns of precipitation

Identity


Nonidentity


partial Identitiy

ocuhterlongy



__________


Nonidentity


Partial identitiy

Identity



Definition

Ags are recognized as identical by Ab

Ouchterlongy



Identity


Ags are recognized as identical by Ab



Observation

2 rxn fuse together to form an arc

Ouchterlongy



Identity


Example: Ab 1 + Ag 1 (known reagent) + Pt serum (unknown)



Meaning

Pt serum contains Ag1



Observation

Arch

Ouchterlongy



Non-identity



Def.

Ags are recognized as nonidentical

Ouchterlongy


Non-identity



Observation

X


Pt line cross over each other



Result from?

2 separate rxn

Ouchterlongy


Non-identity



Ag1 (known reagent)


Pt serum


Ab1 and Ab2



Conclusion

Pt serum contains Ag 2


and


no Ag1

Ouchterlongy



Partial identity



Definition

Ags are


partially identical


and


share some of the epitopes



Related concept

Cross-reactivity

Ouchterlongy



Cross reactivity

Ab reacts with an Ag that is structurally similar to the original Ag



Notes

Ab reacts an Ag that is structurally similar to the original ag that induced production of aB

Ouchterlongy



Partial identity



Observation

Fusion of 2 lines with a spur



What does this spur point to?

Least reacting


or


simpler ag

Ouchterlongy



Partial identity



Ag1: A and B


Pt serum (Ag2): A and C


Ab A and B



Conclusion

Spur to the Pt serum



It has A but not B



See slide

11

Quantitative ouchterlony



How titer is determined?

Last well with precipitation



What about the well with no precipitation?

N

Latex Agglutination



How many types there are?

2



List

passive


Reverse passive agglutintonation

Latex agglutination



______________


Reverse passive agglutination

Passive agglutination



What is being detected?

Ab in Pt. sample

Latex agglutination



Passive agglutination



Detects Ab in Pt. sample



procedure

1. Pt. serum + Latex with Ag


2. Mix


3. incubate


4. Observation, what is being observed?

Agglutination: clumping of latex beads

Latex agglutination



Passive agglutination



How the Ag is attached to the latex bead?

Passively

Latex agglutination



Passive agglutination



Interpretation of results

+ Ab:


- Ab:

+ Ab: agglutination


- Ab: no agglutination

Latex agglutination



passive agglutination


______________

Reverse passive agglutination



What is being detected?

Ag in pt. sample

Latex agglutination



Reverse passive agglutination



Ag is being detected



Procedure

1. Pt serum + latex with ab


2. Incubate


3. Mix


4. Observation, what is being observed?

Agglutination

Latex agglutination



Reverse passive agglutination



Interpretation of results

+ Ag:


- Ag:

+ Ag: agglutination


- Ag: No agglutination

Passive vs. reverse passive agglutination



What is being detected?

Ab


vs.


Ag

Passive vs. reverse passive agglutination



What is passively attached to the latex beads?

Ag


vs.


Ab

Hemagglutination



Def.

Agglutination of RBCs



How many types there are?

2

2 types of hemagglutination

Active hemagglutination


Passive hemagglutination



Aka

Direct


Indirect hemagglutination

2 types of hemagglutination



__________


passive hemagglutination

active hemagglutination



aka


What is being detected?

Presence of an Ab directed against a RBC ag (found naturally)

Active hemagglutination



Procedure

1. Pt serum (________ and _____)+ RBC (____)


2. Incubate


3. Look for hemagglutination

Pt. serum (serial dilution and Anti-RBC?)



Ag

Active hemagglutination



Interpretation of results

+ Ab:


- Ab:

+ Ab: agglutination


- AB: N

Active hemagglutination



Titer?

Last tube that has agglutination

Application of active hemagglutination



Examples

Infectious mononucleosis


- Heterophile


- Cold agglutinins



Review: what is being detected in active?

presence of an Ab directed against a RBC Ag (Found naturally)

Passive (indirect) hemagglutination



Characteristic

RBC serves as inert carrier of Ag

Passive (indirect) hemagglutination



RBC serves as inert carrier of Ag



Do Ags spontaneously adhere to RBC?

Y, example?



and



N, Solution?

Y: polysaccharides




N: chemically attached (tannic acid)

Passive hemagglutination



Procedures

1. Pt serum (___ and ____) + RBC-Ag


2. Incubate


3. Look for agglutination

Ab to Ag?


serial dilutions

Passive hemagglutination



Interpretation of results

+ Ab:


- Ab:

+Ab: agglutination


-Ab: N

Passive hemagglutination



Titer

Last tube with agglutination

Types of error in Agglutination rxns

FP


FN

Types of error in agglutination rxns



___


FN

FP



Cause

Drying out of reagents

FP in agglutination rxns



Drying out of agglutinations



Cause

2



List

Improper pipetting


Delayed reading

Agglutinations rxns



FN



Cause

Vigorous shaking of __________ and _______

test tubes


microtiter plate

Agglutination rxns



FN



Cause: Vigorous shaking of test tubes or micropipette plate



Effects

Disruption of complex formation