IMMUNOLOGICAL TECHNIQUES
Antigen-antibody reactions are most easily studied in vitro using preparations of antigens
and antisera. Reactions of antigens and antibodies are highly spe-cific. An
antigen will react only with antibodies elicited by itself or by a closely
related antigen. Because of the high specificity, reactions between antigens
and antibodies are suitable for identifying one by using the other. However,
cross-reactions between related antigens can occur, and these can limit the
use-fulness of the test. The study of antigen-antibody reactions in vitro is called serology, and is
important in clinical diagnostic microbiology.
Immunodiagnostic tests use an antigen-antibody reaction to detect
and identify a specific antigen or antibody associated with a disease-causing
organism. The antigen-antibody reaction itself is very specific. Consequently,
if the correct antibodies can be obtained, immunodiagnostic techniques have the
advantage of being able to identify the presence of a specific pathogen
directly in the specimens and also can be used to detect the specific
antibodies produced as a result of the immune response of the host to the
organism. The primary com-ponent in the test is the antibody. The specificity,
and to some extent the sensitivity, of the assay depends on the quality of the
antibodies used in the reagents.
Antibodies are formed by clonal selection as explained. A large
pool of B lymphocytes (B cells) display immunoglobulin (Ig) molecules on their
surface. These Ig serve as receptors for a specific antigen, so that each B
cell can respond to only one antigen or a closely related group of antigens. An
antigen interacts with the B lymphocyte that shows the best “fit” by virtue of
its Ig surface receptor. The antigen binds to this receptor, and the B cell is
stimulated to divide and form a clone. Such selected B cells soon become plasma
cells and secrete antibody. Since each person can make 107-108 differ-ent antibody
molecules, there is an antigen-binding site on a B cell to fit almost any
antigenic determinant.
Antibodies are immunoglobulins that reacts specifically with the
antigen that stimulated their production. Antibodies that arise in an animal in
response to a single antigen are heterogeneous because they are formed by
several different clones of cells; i.e., they are polyclonal antibodies.
Antibodies that arise from a single clone of cells, e.g., in a plasma cell
tumor (myeloma), are homogeneous; i.e., they are monoclonal antibodies.
Monoclonal antibodies can be made by fusing a myeloma cell with an antibody-producing
lymphocyte. Such hybrido-mas produce virtually unlimited quantities of
monoclonal antibodies in vitro.
Monoclonal antibodies excel in the identification of antigens because
cross-reacting antibodies are absent thus they are highly specific.
There are two basic methods for identification of unknown organisms
by using sera containing various known antibodies; one is agglutination for
particulate antigens and another is precipitation for soluble antigens. Other
immunoassay methods include, fluorescent antibody technique (FAT),
enzyme-linked immunosorbent assay (ELISA) and Western blot analysis.
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