You are on page 1of 63

MT309 Lec Immunology and

Serology
Antigen-Antibody Reactions

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Objectives:
At the end of the discussion, students are able to:
1. List the types of intermolecular interactions between
antigen and antibody.
2. Explain the principle of protein separation using
electrophoresis.
3. Discuss the principles of the agglutination reaction and
list the factors that affect the reaction.
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Antigen-Antibody interactions
Characterized as:
• Non-covalent interaction (similar to “lock and key” fit of
enzyme-substrate)
• Does not lead to irreversible alteration of Ag or Ab
• exact and specific interaction has led to many
immunological assays used to:
» detect Ag or Ab
» diagnose disease
» measure magnitude of humoral immune response

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Ag-Ab interactions
Bonds:
• Hydrogen
• Ionic
• Hydrophobic interactions
• Van der Waals forces

Each bond is weak; many are


strong
To “hold” they must be close →
requiring high amounts of
complementarity

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Binding of the epitope in the
antigen binding site
GOOD FIT POOR FIT
antibody combining site

antigen determinant

high attraction high repulsion


low repulsion low attraction
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Affinity

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Avidity

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Levels of Ab-Ag interactions
Primary Reactions Secondary Reactions
• Immunofluorescence • Precipitation
• Radioimmunoassay • Agglutination
• Enzyme immunoassay • Flocculation
• Chemiluminescence • Neutralization
• Complement Fixation

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
SEROLOGIC
PRINCIPLES
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Reagents:

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
SEROLOGIC PRINCIPLES

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
SEROLOGIC PRINCIPLES

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
NAMING ANTIBODIES
AGGLUTININS Antibodies that aggregate cellular antigens
PRECIPITINS Antibodies that form precipitates with soluble antigens

ANTITOXINS Antibodies that neutralize toxins


LYSINS Antibodies that cause dissolution of cell membrane
o Hemolysins Cause the destruction of RBC in the presence of the
complement
o Bacteriolysins Cause destruction of cells of gram negative bacteria under
certain conditions
o Cytolysins Cause destruction of other cell types (tumor cells) under
appropriate condition in the presence of the complement

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
SEROLOGIC PRINCIPLES

A. Agglutination
B. Precipitation
C. Electrophoresis
D. Labelled Immunoassays
E. Neutralization
F. Complement Fixation
G. Cellular Assays
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
AGGLUTINATION
METHODS

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Agglutination
AGGLUTINATION Assays demonstrate the
presence of antigen-antibody reactions by
the visible aggregation of antigen-antibody
complexes.
1.Latex Agglutination
2.Direct Bacterial Agglutination
3.Hemagglutination Tests
4.Agglutination Inhibition Assays

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
AGGLUTINATION
• Principle
– Particulate antigen + antibody →clumping
– Lattice formation (antigen binds with Fab sites of 2
antibodies forming bridges between antigens)

Sensitization Lattice Formation


Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Direct Agglutination
L
L
L
L

L L
Antigens Latex-bound
(in sample) Antibodies
(in reagent)

AGGLUTINATION
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Direct Bacterial Agglutination

Bacterial Surface Antibodies


Antigens
Nephelometry

AGGLUTINATION
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Latex Agglutination

L L
L L
L
L L L

Antigens Antibodies
Bound to latex (in sample)
(in reagent)

AGGLUTINATION
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Latex Agglutination

AGGLUTINATION
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Passive Agglutination

(in sample)

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Reverse Passive Agglutination

(in sample)

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Hemagglutination: Direct

RBC RBC RBC L


RBC
L
LRBC
RBC RBC RBC

Antigens Antibodies
(sample) (reagent)

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Hemagglutination: Direct

AGGLUTINATION
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Hemagglutination: Direct

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
AGGLUTINATION

Hemagglutination: Direct

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
AGGLUTINATION INHIBITION
Agglutination Inhibition Assays

POSITIVE: No Agglutination NEGATIVE: Agglutination


Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Agglutination Inhibition Assays

+ YY → Y + → Y +
Antigen
Y
Antibody Ag-Ab Ag-Ab Unbound
Particle
Complex (Indicator) Complex Particle
POSITIVE Result: No Agglutination

X + YY → Y + → Y
No
Y
Antibody Antibody Particle P-Ab
Antigen (Indicator) Complex

NEGATIVE Result: Agglutination


Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Agglutination Inhibition Assays
Y + → Y Y
Y Y Y +Y → Y +Y Y
Y
Antibody Antigen Ag-Ab Indicator Ag-Ab Unbound
(Sample) (Reagent) Complex Complex Indicator
POSITIVE Result: No Agglutination
Y
X + → +Y Y →Y Y
No Antigen Antigen Indicator Indicator
Antibody (reagent) (reagent) - Ag
Complex
NEGATIVE Result: Agglutination
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Hemagglutination Inhibition
V
V
V V
V
+ →
V
Antibody (Sample)

V
+
RBC V RBC


RBC
RBC
+ RBC
RBC

Indicator Cells
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Coagglutination

Bacteria

Bacteria

Bacteria

Antigens Antibodies
(reagent) (sample)

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
PRECIPITATION
METHODS

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
PRECIPITATION

Principle
-Soluble antigen + antibody (in proper
proportions) → visible precipitate

-Lattice formation (antigen binds with Fab sites


of 2 antibodies)

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
PRECIPITIN CURVE

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Flocculation Test

P P P P
P
P P P

Antigens Antibodies
(in reagent) (in sample)

FLOCCULATION

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Flocculation Tests

FLOCCULATION
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Single Linear Diffusion

Known Antibody fixed in agar


+
Unknown Antigen (overlaid)

= Precipitin lines

Read before it reaches the maximum :


6-12 hours
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Single Radial Diffusion

Known Antibody fixed in agar


+
Unknown Antigen (well cut in agar plate)

= Precipitin ring

Read at maximum size: 24-48 hours

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Radial Immunodiffusion (Mancini)
• Method Ab in gel
– Ab in gel Ag Ag Ag Ag

– Ag in a well
• Interpretation
– Diameter of ring is
proportional to the

Diameter2
concentration
• Quantitative
– Ig levels
Ag Concentration

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Ouchterlony Immunodiffusion

Smooth arc of Two precipitation Precipitation lines


precipitation line line cross each other meet forming a spur
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Ouchterlony Immunodiffusion

Smooth arc of Precipitation lines Two precipitation


precipitation line meet forming a spur line cross each other
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
PRECIPITATION

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
ELECTROPHORESIS

Radial Immunodiffusion

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
ELECTROPHORESIS

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Electrophoresis

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Electrophoresis

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
ELECTROPHORESIS

IMMUNOELECTROPHORESIS
Gel diffusion + electrophoresis

Size = concentration
Contour of arc = may indicate monoclonal
gammopathy
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Immunoelectrophoresis
• Method
– Ags are separated by electrophoresis
– Ab is placed in trough cut in the agar
+ -
Ag Ag

Ab

Ag

Ab
• Interpretation
– Precipitin arc represent individual antigens
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
ELECTROPHORESIS
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
ELECTROPHORESIS

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
IMMUNOFIXATION
ELECTROPHORESIS

Separate proteins from


serum + antisera →
precipitation → wash
→stain

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
ELECTROPHORESIS
IMMUNOFIXATION ELECTROPHORESIS
Protein electrophoresis + immunoprecipitation

Normal Pattern
Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
ELECTROPHORESIS
IMMUNOFIXATION ELECTROPHORESIS

Monoclonal IgM and Kappa chain in serum


Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Electroimmunodiffusion

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Countercurrent immunelectrophoresis

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©
Rocket/Laurel electrophoresis

Prepared by: Nhoelyn E. Burcao RMT, MSMT© Prepared by: Nhoelyn E. Burcao RMT, MSMT©

You might also like