Difference between revisions of "ELISA testing"

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(New page: ELISA ==Introduction== The Enzyme Linked Immunosorbent Assay (ELISA) is an immunoassay commonly used to detect the presence of an antigen or antibody in a sample. It is a powerful tool i...)
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ELISA
 +
 
==Introduction==
 
==Introduction==
−
[[Image:ELISA.jpg|thumb|right|150px|Double Antibody Sandwich ELISA]]
+
 
−
The Enzyme Linked Immunosorbent Assay (ELISA) is an immunoassay commonly used to detect the presence of an antigen or antibody in a sample. It is a powerful tool in clinical immunology and can be used to determine whether an individual has been exposed to a specified pathogen. Utilising the principle of antigen-antibody interaction, the test allows easy visualisation of results and, since its introduction in 1971, has quickly replaced radioimmunoassays for diagnostic purposes.
+
The Enzyme Linked Immunosorbent Assay (ELISA) is an immunoassay commonly used to detect the presence of an antigen or antibody in a sample. It is a powerful tool in clinical immunology and can be used to determine whether an individual is positive for a specified pathogen, so is often the first test used in disease diagnosis. Utilizing the principle of antigen-antibody interaction, the test allows easy visualisation of results and, since its introduction in 1971, has quickly replaced radioimmunoassays for diagnostic purposes.
  
 
*There are two basic types of ELISA:
 
*There are two basic types of ELISA:
 
**'''Homogenous'''- completed in one step, all reagents added simultaneously. Primarily used to detect small molecules such as digoxin and gentamicin  
 
**'''Homogenous'''- completed in one step, all reagents added simultaneously. Primarily used to detect small molecules such as digoxin and gentamicin  
−
**'''Heterogenous'''- various reagents added sequentially, primarily used to detect microbial antigens and antibodies
+
**'''Hetereogenous'''- various reagents added sequentially, primarily used to detect microbial antigens and antibodies
  
 
This article describes the '''heterogenous''' type
 
This article describes the '''heterogenous''' type
  
 
==Applications==
 
==Applications==
−
*Detection and identification of disease agents, e.g. type and subtype
+
*Detection and indentification of disease agents, e.g. type and subtype
 +
*Quantification of disease agent, e.g. estimation of parasite load
 
*Identification of specific antibodies, e.g. used in serodiagnosis for epidemiological studies
 
*Identification of specific antibodies, e.g. used in serodiagnosis for epidemiological studies
−
*Quantification of specific antibody isotypes, e.g. [[IgM]]/[[IgG]] ratio
+
*Quanitification of specific antibody isotypes, e.g. IgM/IgG ratio
  
 
==Techniques==
 
==Techniques==
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*The addition of the chosen sample and reagents
 
*The addition of the chosen sample and reagents
 
*Incubation and washing
 
*Incubation and washing
−
*The addition of enzyme-labeled antigen/antibody
+
*The addition of enzyme-labelled antigen/antibody
 
*The addition of a specific substrate
 
*The addition of a specific substrate
  
 
'''Competitive VS Non-competitive'''
 
'''Competitive VS Non-competitive'''
−
*As their name implies, competitive assays measure the competition between a pre-titrated (fixed amount) of labeled antigen and an unknown quantity of sample antigen in their affinity to an antibody. The process can be reversed to measure the competition between labeled and unlabeled antibody.
+
*As their name implies, competitive assays measure the competition between a pre-titrated (fixed amount) of labelled antigen and unknown quantity of sample antigen in their affinity to an antibody. The process can be reversed to measure the competition between labelled and unlabelled antibody.
 
*Competitive techniques:
 
*Competitive techniques:
 
**Easier to quantify
 
**Easier to quantify
 
**Less likely to be influenced by contaminants
 
**Less likely to be influenced by contaminants
−
**However they are more demanding with regard to the accuracy of the reagents and the purity of the labeled ligand
+
**However they are more demanding with regard to the accuracy of the reagents and the purity of the labelled ligand
 
*Non-competitive assays:
 
*Non-competitive assays:
 
**Errors in dispensing reagents have little effect on the result
 
**Errors in dispensing reagents have little effect on the result
 
**Therefore they are easier to control and yield accurate results
 
**Therefore they are easier to control and yield accurate results
 
**However they are easily influenced by cross reactions and non-specific binding
 
**However they are easily influenced by cross reactions and non-specific binding
−
 
−
'''Solid VS Fluid-phase'''
 
−
[[Image:800px-Microtiter plate.jpg|thumb|right|150px|96-well microtiter plate, Copyright Jeffrey M. Vinocur 2006]]
 
−
 
−
An important consideration is the medium in which the assay is carried out, largely dependent on what is being tested:
 
−
*Fluid-phase (''in solution'')
 
−
**Main advantage is that the behaviour of molecules in solution is easier to predict
 
−
*Solid-phase (''surface of protein-binding material, e.g. plastic'')
 
−
**Easier to perform and more sensitive
 
−
**The most widely used solid-phase is the 96-well microtiter plater, manufactured as PVC flexible plates or polystyrene rigid plates
 
−
 
−
 
−
----
 
  
 
===Non-competitive ELISA===
 
===Non-competitive ELISA===
−
[[Image:Sandwich elisa.png|thumb|right|100px|The sandwich ELISA - Copyright J M Vincour]]
 
 
'''Double Antibody Sandwich''' (for antigen detection)
 
'''Double Antibody Sandwich''' (for antigen detection)
 
# Antibody is adsorbed onto solid phase
 
# Antibody is adsorbed onto solid phase
 
# Wash
 
# Wash
−
# Sample serum is added- specific antigen binds to antibody
+
# Sample is added- specific antigen binds to antibody
 
# Wash
 
# Wash
−
# Enzyme-labeled specific antibody is added- attaches to bound antigen
+
# Enzyme-labelled specific antibody is added- attaches to bound antigen
 
# Wash
 
# Wash
−
# Enzyme substrate is added (with dye for visualisation)
+
# Enzyme substrate is added
−
''visualised product = amount of antigen in the serum''
+
''visualised product = amount of antigen in the sample''
  
 
'''Antibody Class Capture Assay''' (for antibody detection)
 
'''Antibody Class Capture Assay''' (for antibody detection)
 
# Class-specific antiglobulin is adsorbed onto solid phase
 
# Class-specific antiglobulin is adsorbed onto solid phase
 
# Wash
 
# Wash
−
# Sample serum is added- class-specific antibody in the serum binds to antiglobulin
+
# Sample is added- class-specific antibody in the sample binds to antiglobulin
 
# Wash
 
# Wash
−
# Antigen is added - attaches to specific antibody  
+
# Antigen is added- attaches to specific antibody  
 
# Wash
 
# Wash
−
# Enzyme-labeled antibody is added
+
# Enzyme-labelled antibody is added
 
# Wash
 
# Wash
 
# Enzyme substrate is added
 
# Enzyme substrate is added
−
''visualised product = amount of specific antibody in serum''
+
''visualised product = amount of specific antibody in sample''
  
 
'''Indirect Method''' (for antibody detection)
 
'''Indirect Method''' (for antibody detection)
−
# Specific antigen (i.e. not from sample) is adsorbed onto solid phase
+
# Antigen is adsorbed onto solid phase
 
# Wash
 
# Wash
−
# Serum is added- any specific antibody present in sample binds to antigen
+
# Sample is added- any specific antibody present in sample binds to antigen
 
# Wash
 
# Wash
−
# Enzyme-labeled antiglobulin is added- attaches to antibody
+
# Enzyme-labelled antiglobulin is added- attaches to antibody
 
# Wash
 
# Wash
 
# Enzyme substrate is added
 
# Enzyme substrate is added
−
''visualised product = amount of antibody in the serum''
+
''visualised product = amount of antibody in the sample''
  
 
===Competitive ELISA===
 
===Competitive ELISA===
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# Antigen is adsorbed onto solid phase
 
# Antigen is adsorbed onto solid phase
 
# Wash
 
# Wash
−
# Enzyme-labeled antibody (pre-titrated- optimal colour development) and serum are added
+
# Enzyme-labelled antibody (pre-titrated- optimal colour development) and sample are added
 
# Wash
 
# Wash
 
# Enzyme substrate is added
 
# Enzyme substrate is added
−
''visualised product = amount of antigen in serum sample''
+
''visualised product = amount of enzyme-labelled antibody''
  
 
'''Direct Antigen Competition''' (for antigen detection)
 
'''Direct Antigen Competition''' (for antigen detection)
 
# Antigen is adsorbed onto solid phase
 
# Antigen is adsorbed onto solid phase
 
# Wash
 
# Wash
−
# Antigen in serum is incubated with enzyme-labelled antibody (again pre-titrated): this is directed against the antigen on the solid phase
+
# Antigen in sample is incubated with enzyme-labelled antibody (again pre-titrated): this is directed against the antigen on the solid phase
 
# Wash
 
# Wash
 
# Enzyme substrate is added
 
# Enzyme substrate is added
 
''visualised product = amount of enzyme-labelled antigen''
 
''visualised product = amount of enzyme-labelled antigen''
−
 
−
 
−
{{review}}
 
−
<br><br>
 
−
{{Jim Bee 2007}}
 
−
[[Category:Immunological Testing]]
 
−
[[Category:Image Review]]
 

Revision as of 15:03, 21 August 2008

ELISA

Introduction

The Enzyme Linked Immunosorbent Assay (ELISA) is an immunoassay commonly used to detect the presence of an antigen or antibody in a sample. It is a powerful tool in clinical immunology and can be used to determine whether an individual is positive for a specified pathogen, so is often the first test used in disease diagnosis. Utilizing the principle of antigen-antibody interaction, the test allows easy visualisation of results and, since its introduction in 1971, has quickly replaced radioimmunoassays for diagnostic purposes.

  • There are two basic types of ELISA:
    • Homogenous- completed in one step, all reagents added simultaneously. Primarily used to detect small molecules such as digoxin and gentamicin
    • Hetereogenous- various reagents added sequentially, primarily used to detect microbial antigens and antibodies

This article describes the heterogenous type

Applications

  • Detection and indentification of disease agents, e.g. type and subtype
  • Quantification of disease agent, e.g. estimation of parasite load
  • Identification of specific antibodies, e.g. used in serodiagnosis for epidemiological studies
  • Quanitification of specific antibody isotypes, e.g. IgM/IgG ratio

Techniques

There are many methods of ELISA, but each assay involves these basic steps:

  • The adsorption of antibody/antigen to solid phase (the medium)
  • The addition of the chosen sample and reagents
  • Incubation and washing
  • The addition of enzyme-labelled antigen/antibody
  • The addition of a specific substrate

Competitive VS Non-competitive

  • As their name implies, competitive assays measure the competition between a pre-titrated (fixed amount) of labelled antigen and unknown quantity of sample antigen in their affinity to an antibody. The process can be reversed to measure the competition between labelled and unlabelled antibody.
  • Competitive techniques:
    • Easier to quantify
    • Less likely to be influenced by contaminants
    • However they are more demanding with regard to the accuracy of the reagents and the purity of the labelled ligand
  • Non-competitive assays:
    • Errors in dispensing reagents have little effect on the result
    • Therefore they are easier to control and yield accurate results
    • However they are easily influenced by cross reactions and non-specific binding

Non-competitive ELISA

Double Antibody Sandwich (for antigen detection)

  1. Antibody is adsorbed onto solid phase
  2. Wash
  3. Sample is added- specific antigen binds to antibody
  4. Wash
  5. Enzyme-labelled specific antibody is added- attaches to bound antigen
  6. Wash
  7. Enzyme substrate is added

visualised product = amount of antigen in the sample

Antibody Class Capture Assay (for antibody detection)

  1. Class-specific antiglobulin is adsorbed onto solid phase
  2. Wash
  3. Sample is added- class-specific antibody in the sample binds to antiglobulin
  4. Wash
  5. Antigen is added- attaches to specific antibody
  6. Wash
  7. Enzyme-labelled antibody is added
  8. Wash
  9. Enzyme substrate is added

visualised product = amount of specific antibody in sample

Indirect Method (for antibody detection)

  1. Antigen is adsorbed onto solid phase
  2. Wash
  3. Sample is added- any specific antibody present in sample binds to antigen
  4. Wash
  5. Enzyme-labelled antiglobulin is added- attaches to antibody
  6. Wash
  7. Enzyme substrate is added

visualised product = amount of antibody in the sample

Competitive ELISA

Direct Antibody Competition (for antibody detection)

  1. Antigen is adsorbed onto solid phase
  2. Wash
  3. Enzyme-labelled antibody (pre-titrated- optimal colour development) and sample are added
  4. Wash
  5. Enzyme substrate is added

visualised product = amount of enzyme-labelled antibody

Direct Antigen Competition (for antigen detection)

  1. Antigen is adsorbed onto solid phase
  2. Wash
  3. Antigen in sample is incubated with enzyme-labelled antibody (again pre-titrated): this is directed against the antigen on the solid phase
  4. Wash
  5. Enzyme substrate is added

visualised product = amount of enzyme-labelled antigen

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