2. Immuno-Assay
Immuno- it refers to the response that cause
body to generate antibodies.
Assay- refers to test.
Immunoassay is a test that use immuno-
complexing when antigen and antibodies are
brought together.
4. Competitive assay
Unlabelled antigen in the test sample is
measured by its ability to compete with
labelled antigen in the immuno-assay.
In this assay, less labelled antigen measured
means more of the (test sample) unlabelled
antigen is present.
5.
6. Non-Competitive Assay
This type gives the highest level of sensitivity and
specificity.
These are normally used to measure critical
analytes such as hepatitis and cardiac markers.
The measurement of the labelled anti-bodies is
directly proportional to the amount of antigen
7.
8. Homogeneous And Heterogenous
Assay
The assay which requires separation of bound
Ab-Ag* complexes are referred as
Heterogenous immuno-assay.
The assay which do not require separations
are Homogenous immuno-assay.
Homogenous assays are generally applied to
the measurement of small analytes such as
Ab used as therapeutic drugs.
10. History
RIA was introduced by two
endocrinologists S. A.
Berson and Roslyn Yalow
(1960) determining level of
insulin- anti insulin
complexes in diabetics.
It represented first method
to detect in-vitro hormone
level in blood.
Rosalyn Yalow became
first lady to win a Nobel
Prize with her work on
RadioImmuno Assay.
11. Principle
Radio-Immuno Assay (RIA) involves competitive
binding of radio-labeled antigen and unlabeled
antigen to a high-affinity antibody.
it involves separation of protein (from mixture)
using specificity of Ag-Ab and quantification using
radioactivity.
12. The antigen is generally
labelled with a gamma-
emitting isotope such as
125I, but beta-emitting
isotopes such as tritium (3
H) are also routinely used
as labels.
This radiation is measured
by beta or gamma counters.
13. Technique
The mixture is prepared of:
Radioactive antigen
Antibodies against that antigen
Known amount of unlabeled (cold) antigen is
added to the samples of the mixture. These
competes for binding to the sites of the
antibodies.
14. At increasing concentrations of unlabeled
antigen, increasing amount of radioactive
antigen is displaced from the antibody
molecule.
The antibody- bound antigen is separated
from the free antigen from the supernatant
fluid and radioactivity of each is measured.
17. Requirements of RIA
Preparation and characterization of antigen
(ligand to be analysed).
Radiolabelling of antigen.
Preparation of specific antibody.
Development of assay system.
18. Preparation & Radiolabeling Of
Ag
Antigen preparation by:
Molecule synthesis
Natural source
Radiolabeling (Tagging procedure)
3H, 14C, 123I are used as radio active tags
Anitgens are tagged to 3H, 14C, 123I .
(Tagging should not affect the specificity and
activity of the Antigen).
19. Preparation of specific
Antibody
Antigen injected intra dermally to rabbits or
guinea pigs antibody production.
Antibodies recovered from the serum.
20. Development of Assay System
Crucial step is separation of unbound
antigens.
Antibodies bind to the micro-titer well surface
(Solid surface RIA).
Antigens bound to the fixed antibodies remain
stuck to the inner surface.
Decanting & washing the wells remove
unbound antigens.
Other techniques of separations:
centrifugation, precipitation and
electrophoresis.
21. Assay Procedure
Known amount of the test sample + labelled
antigen in micro-titer well plate
incubation
Decant and wash contents of the well
Measure the radioactivity remaining in the wells
(GM counter, Scintillation counter, etc)
Intensity of radioactivity is inversely proportional to
the concentration of antigen in test sample.
22. Advantages of RIA
Highly specific: Immune reactions are highly
specific.
High sensitivity: Immune reactions are sensitive.
Possible to detect “picograms” of antigen.
Sepharose beads used in RIA are reusable.
23. Disadvantages
Radiation hazards: uses radio-labelled reagents.
Requires specially trained person.
Lab requires special license to handle radioactive
material.
Require special arrangements for:
Requisition.
Storage of radioactive material.
Radioactive waste disposals.
Both 131I and 125I emit gamma radiations which that
requires special counting equipments
The body concentrates iodine atoms (radioactive or
not) in the thyroid gland where they are incorporated
into thyroxine (T4).
24. Applications of RIA
Analysis of hormones, vitamins, metabolites,
diagnostics markers
Eg. ACTH, FSH, T3, T4, Glucagon, Insulin,
Testosterone, vitamin B12, prostaglandins,
glucocorticoids.
Therapeutic drug monitoring:
Barbiturates, morphine, digoxin.
Diagnostic procedure for detecting infection:
HIV, Hepatitis A, B, etc.
25. RIA has become a major tool in clinical
laboratories where it is used to assay:
Plasma levels of-
Most of hormones,
Digitoxin and digoxin in patients receiving these drugs,
Certain abused drugs.
Presence of Hepatitis B surface antigen (HBsAG)
in donated blood.
Anti-DNA antibodies in systemic lupus
erythematosus (SLE).
26. In Endocrinology:
Insulin, HCG, Vasopressin
Detect Endocrine Disorders
Physiology of Endocrine Function
In Pharmacology:
Morphine
Detect drug abuse or drug poisoning
Study of drug kinetics
27. Epidemiology:
Hepatitis B
Clinical Immunology:
Antibodies for Inhalant Allergens
Allergy diagnosis
Oncology:
Carcinoembryonic Antigen
Early cancer detection and diagnosis
28. Narcotic drug detection.
Tracking of leukemia virus.
Diagnosis and treatment of peptic ulcers.
Research of neurotransmitters.
Detecting allergens present in food and house
dust
RAST (Radio AllergoSorbent Test) to detect specific
IgE antibodies to suspected or known allergens. IgE
antibody associated with type I allergic response:
Pollen ( fine to coarse powder containing
microgamatophytes of seeds).
The amount of radioactivity is directly proportional
to serum IgE for the allergen.