Chem Path Flashcards

0
Q

Define avidity

A

Function of strength and number of binding sites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Define affinity

A

Strength of association

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define immunoassay

A

Any analytical method which uses Abs as reagents, the results from which assist in diagnostic interpretation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an homogenous assay

A

Signal changes when Ab and Ag bind. Therefore no separation step is required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is an heterogenous assay

A

Requires separation of bound and unreacted molecules to determine/assess result

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the three types of assay and an eg of each

A

Immunometric assay - ELISA, IFMA, IRMA
Equivalence precipitation - gel diffusion
Immunoassay (competitive) - RIA, FIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does one produce polyclonal antisera?

A

Inject animal with Ag (possibly needs to be bound to haptogen to increase immunogenicity)
Gives rise to mixed/polyclonal population = greater affinity than monoclonal Abs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How does one produce monoclonal Abs?

A

Inject animal with Ag.
Isolate one plasma cell and fuse that cell to a tumour cell.
Screen hybridoma and allow clonal expansion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Advantage of monoclonal Ab

A

Highly specific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Disadvantage of monoclonal Ab

A

Lower affinity

Not truly representative of analytes with multiple molecular forms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why characterize Abs?

A

Determine diagnostic performance of test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What factors are assessed when characterizing Abs

A

Affinity
No. of binding sites
Specificity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do we characterize Abs practically

A
Titre (affinity and concentration using dilution curve)
Scatchard analysis (higher the affinity constant [K] better the sensitivity, also looks at no of binding sites)
Cross reaction studies (use structurally related molecules)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Methods of Ab purification

A
Ig precipitation
Ion-exchange chromatography
Affinity chromatography 
Ab fragments
Protein A/G chromatography
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Types of label

A
Enzyme linked
Flourophores
Chemiluminescense
Radioisotopes
Particle precipitatates 
Etc etc
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Eg of a homogenous assay

A

EMIT

Enzyme-multiplied immunoassay technique

16
Q

What is turbidimetry

A

Measure of loss of intensity of transmitted light due to the scattering effect of particles in a solution

17
Q

What is Nephelometry

A

The measure of scattered light at a given angle to the transmitted light

18
Q

Eggs of substances that can cause assay interference

A

Human anti mouse Ab
Complement
Rheumatoid factor

19
Q

What is the hook effect

A

Production of artefactually low results from samples that have very high level of Ag.
Most commonly found in immunometric assays

20
Q

What is only prerequisite for analyte in capillary GC

A

Analyte must be volatile

21
Q

Pros of GC-MS

A

Reliable and reproducible
Wide range of analytes
Technically straight forward

22
Q

Cons of GC-MS

A

Some analytes require time consuming extraction etc

Cost (equipment, training, libraries, isotopes)

23
Q

What is Trinder’s reagent

A

Contains mercuric chloride and HCl to precipitate proteins

24
Five causes of FH
``` LDLR mutation ApoB mutation PCSK9 gof Phytosterolaemia (ABCG5G8) ARH def ```
25
What does ApoE bind to
LRP LDLR Heparin sulphate proteoglycans
26
How to diagnose dysBlipoproteinaemia
Ultracentrifuge Broad B band on gel electrophoresis Sequence gene ApoE concentration
27
How do abn ApoE become hyperlipidaemic
Overproduction (diabetes, nephrotic, obesity, renal disease, pregnancy, alcohol) Underexcretion (hypothyroid, post menopausal, low HL activity, autoantibodies)
28
How to quantify compounds in GC-MS
Semiquantitation - ratio between peak of interest and know internal standard (serial) Isotope dilution MS - known [] of pure isotope
29
What to do if sample is too large or hydrophilic to be volatilised
Derivitisation - dry under inert gas, then volition to form TMS esters
30
How does one identify compounds in MS
Libraries Ion chromatograms Deconvolution software
31
Five causes of FH
``` LDLR mutation ApoB mutation PCSK9 gof Phytosterolaemia (ABCG5G8) ARH def ```
32
What does ApoE bind to
LRP LDLR Heparin sulphate proteoglycans
33
How to diagnose dysBlipoproteinaemia
Ultracentrifuge Broad B band on gel electrophoresis Sequence gene ApoE concentration
34
How do abn ApoE become hyperlipidaemic
Overproduction (diabetes, nephrotic, obesity, renal disease, pregnancy, alcohol) Underexcretion (hypothyroid, post menopausal, low HL activity, autoantibodies)
35
How to quantify compounds in GC-MS
Semiquantitation - ratio between peak of interest and know internal standard (serial) Isotope dilution MS - known [] of pure isotope
36
Diagnosis of dysbetalipoproteinaemia
- ultracentrifugation for VLDL and demonstration of B-VLDL - ultracentrifugation for VLDL, cholesterol enriched - remnants (IDL) on no denaturing acrylamide electrophoresis - broad b band on agarose electrophoresis - apoE conc