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Difference between Post/Pro zone

Post zone - excess of antigen



Pro zone - excess of antibody

PoG


BRo

Refrigeration and Centrifugation time for Serial Dilution

30 mins Refrigeration


20 secs Centrifugation

Reagents and other Solutions required for Serial Dilution

0.25mL saline (per tube)


0.25mL antibody A / Anti-A Antisera


0.25mL of 3% RBC Suspension (per tube)

NSS


Aa


RCS

Define Titer

Last tube/dilution with agglutination signifying test's endpoint

Last step before adding the RBC suspension to each tube

Discard 0.25mL from the last tube

Dilution Formula:

Dilution = Amount of Solute / Total Sol'n Volume

Total Volume Formula:

Total Volume = Amount of Solute + Diluent

Dilution Ratio Formula:

Dilution Ratio = Amount of Solute / Total Volume

DR = Sol't / T Vol.

How the get the ratio of dilution per tube?

Multiply the dilution factor to the number of tube as coefficient factor.



Ie.: If first tube is 1/2, then 6th tube is?



1 - 1/2


2 - 1/4


3 - 1/8


4 - 1/16


5 - 1/32


6 - 1/64




n = (1/2)^6




n = 64



DILUTION RATIO = 1/64




Prep of RCS requires what blood sample?

Anti-coagulated blood in a Lav/EDTA Evacuated Tube

Purpose of RCS in Serial Dilution

Indicator of titer via Agglutination

Process of RCS Prep:

1. Centrifuge EDTA blood for 10mins. Discard the plasma.


2. Move remaining RBC to diff. tube; place at least 3/4 NSS into the tube .


3. Apply parafilm and Centrifuge for 1min. Decant the supertanant..


4. After 3rd wash, pour 5mL NSS and 40uL if RCS to create ~5% suspension


* 4mL NSS + 100uL RCS can also be use

Correctly prepped RCS is characterized as:

Tomato Red Appearance

Process that removes unbound antibodies in RCS

RBC Washing

Buffer/Dilutor Solution for semi-quantitative serial dilution:

Glycine Saline Buffer

Gly Salt Bfr

Area in the tube with visible precipitation

Zone of Equivalence

ZoE

Dilution Technique for large quantities of samples

Compound Dilution

Principle of the ABO Blood Typing Test

Hemagglutination Reaction (RBC agglutination)

Materials of Blood Typing

Reagents:


Antibody A antisera


Antibody B antisera


Antibody D antisera (Rhesus Type)



Anti-coagulated Whole Blood Sample (EDTA/Lav Tap)



Slides, Pipettes, Applicator Stick

ABDS



SPA


Source of Error in reading Blood Type test:

Prolonged drying/standing of Blood in slides

Agglutination Reaction in each Blood type (no Rh)

(+) Agglutination occured between Antibody antisera and RBC Antigen



Type A


(+) Anti-A



Type B


(+) Anti-B



Type AB


(+) Anti-A


(+) Anti-B



Type O


(-) Anti-A (-) Anti-B

Blood typing technique that pairs and Unknown blood Type with a known antibody for an antibody-antigen reaction to occur

Forward/Direct Blood Typing

Agglutination processes

1. Sensitization


- rapid and reversible combination of AntiG-AntiB through single antigenic determinants




2. Lattice Formation


- stable formation of AntiG-AntiB complexes in cross-links of multiple antigenic determinants, forming visible aggregates

Factors that affect Agglutination

Epitopes : amount or obscured = less Antibody interaction



Charges of cellular components : Bacterial cells and RBCs may repel each other (both - charge)

IgM vs IgG in agglutination reaction

IgM:


- large, pentamer with more binding sites (epitopes)


- best reacts at 4C to 27C



IgG:


- require physicochemical conditions: soln' ionic strength, pH level, temp.


- best at room temp. (30C to 37C)

Titer techniques with Semiquantitative results can be done in:

Test Tubes or Microtiter Plates

Principle of Serial Dilution through Hemagglutination and its results

Cell Sedimentation Pattern




(-) dark red, smooth button


(+) cells in a jagged pattern with irregular edge

Enhancement Media for IgG Blood Typing

22% Bovine Serum Albumin (30mins)


Low Ionic Strength Solution (10-15mins)


Polyethylene Glycol (not for patients with elevated proteins - ie. Multiple Myeloma)

--% BovSAlb (__mins)



LISSol'n (__ to __ mins)



PoEthGly (Mul. Mye)