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Noncompetitive binding assay or Sandwich methods: The most commonly used ELISA assay
format is the sandwich assay. This type of assay is called a sandwich assay because the analyte to
be measured is bound between two antibodies the capture antibody and the detection antibody.
The sandwich format is used because it is sensitive.
Antigen measuring system [Titre wells coated with antibodies; Enzyme labelled antibodies]
Antibody measuring system [Titre wells coated with antigens; Enzyme labelled antiantibodies]
Competitive binding assay: In this method, the antigen is labeled instead of the antibody.
Unlabeled antigen and the labeled antigen compete for binding to the capture antibody, hence
"competition. The more antigen in the sample, the less antibody will be able to bind to the antigen
in the well and a decrease in signal indicates the presence of the antigen in the sample. Competitive
assays are often used when the antigen is small and has only one epitope, or antibody binding site.
[Titre wells coated with antibodies; Enzyme labelled antigens]
ELISA Methodology
ELISA methods can be designated according to the way in which analytes are captured and
detected.
Capture
Antigen capture ELISA analyte is captured by the solid phase or microplate
Antibody capture ELISA an analyte is captured by an antibody attached to the solid phase or
microplate
Detection
Direct ELISA (enzyme conjugate binds directly to the antigen)
Indirect ELISA (enzyme conjugate binds indirectly to the antigen)
Principle of ELISA
To detect antigen, purified antibody specific for that antigen is linked chemically to an enzyme.
The samples to be tested are coated onto the surface of plastic wells to which they bind
nonspecifically; residual sticky sites on the plastic are blocked by adding irrelevant proteins.
The labeled antibody is then added to the wells under conditions where nonspecific binding is
prevented, so that only binding to that antigen causes the labeled antibody to be retained on the
surface.
Unbound labeled antibody is removed from all wells by washing, and the substrate solution is
added. Bound antibody is detected by an enzyme-dependent color-change reaction.
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After a set interval, the reaction is stopped and the concentration of colored product formed is
measured in a spectrophotometer. The intensity of color is proportional to the concentration of
bound antigen.
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antigen molecules that were bound previously, creating an antibody-antigen-antibody
"sandwich".
• After washing away any unbound conjugate, the substrate solution is added.
• After a set interval, the reaction is stopped and the concentration of colored product formed
is measured in a spectrophotometer. The intensity of color is proportional to the
concentration of bound antigen.
PLATE READER
Machine which measures color density in plate well.
A specific wave-length of light is chosen (depending upon the color you expect to capture).
Light is cast from the bottom of the well through the sample.
No color change wells absorb very little light; wells with color change absorb more light; this is
the optical density or OD.
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Antigen measuring system
Direct Double Antibody Sandwich (DAS)
• Titre wells coated with suitable antibody
• Add sample containing antigen
• Incubate till antigen antibody reaction is complete
• Wash to remove unbound antigen
• Add antibody labeled with Enzyme and incubate till antigen binds labeled antibody
• Wash to remove unbound labeled antibody
• Add substrate & incubate to produce color after enzyme and substrate interaction
• Measure color and color is proportional to antigen in patient sample
Secondary antibody
Primary antibody
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Antibody measuring system
• Titre wells coated with suitable antigen
• Add sample containing antibody and incubate till antigen antibody reaction is complete
• Wash to remove unbound antibody
• Add antiantibody labelled with Enzyme and incubate till labelled antiantibodies binds
antigen-antibody complex
• Wash to remove unbound labelled antiantibody
• Add substrate & incubate to produce color after enzyme and substrate interaction
• Measure color and color is proportional to antigen in patient sample
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Applications of ELISA
• Analysis of hormones, vitamins, metabolites, diagnostic markers eg. ACTH, FSH, T3, T4,
Glucagon, Insulin, Testosterone, vitamin B12, prostaglandins, glucocorticoids
• Therapeutic drug monitoring Barbiturates, morphine, digoxin,
• Diagnostic procedures for detecting infection HIV, Hepatitis A, B etc
• Detection of peptides and other molecules in various diseases
Endocrine diseases: hyperinsulinemia, diabetes, hyperparatyroidism
Tumor antigens (p53 tumor suppressor, PSA, a-foetoprotein)
Antibodies against viral proteins (AIDS, hepatitis)
• Therapeutic:
Neutralizing antibodies: Anti-ErbB2 for breast & ovarian cancer, Anti-CD20 for B-cell non-
Hodgkin's lymphoma
Antisera & antidotes (viruses & venoms)
• Drug discovery: Identification of therapeutic targets (phage display)
• Detecting allergens in food and house dust
• Measuring toxins in contaminated food
Advantages of ELISA
• Sensitive: nanogram levels or lower
• Reproducible
• Minimal reagents
• Qualitative & Quantitative
Qualitative eg. HIV testing
Quantitative assays Eg Ther. Drug Monitoring
• Greater scope : Wells can be coated with Antigens or Antibodies
• Suitable for automation high speed
• No radiation hazards