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Flashcards in Immunological And Molecular Diagnostics Deck (39)
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What can serology be used for?

Evaluation of immune status/function
- exposure to infection
- response to vax
- diagnosing immune-mediated disease


What does immunoassay involve?

Using labelled ABs as detection reagents
- ID presence of a pathogen
- measurement of biomarkers
- Immunophenotyping


WHat two types of sample may be submitted for immunodiagnostics?

> Blood
- clotted sample for serum
- citrate/heparin anticoagulant for cells
> Tissue biopsy
- Lymphoid tissue
- lesion


What are serological markers of the innate immune system?

Acute phase proteins
- C reactive proteins
- Serum amyloid A
- Fibrinogen
- Haptoglobin


What are the serological markers of the adaptive immune system?

- Antibodies
- Cytokines


What are the 2 uses of measuring serum antibody? In what situations are these used?

> Total Ig
- FPT foals
- Specific Ig deficiency sybdromes
-Mono/polyclonal gammopathy
> Ag specific Ig
- exposure to pathogens (eg. EIA, BVDV)
- Vax response (eg. rabies for PETS)
- Dx Ab-mediated hypersensitivity (allergy and autoimmunity)


What age is FPT blood test carried out in foals?



What is the smallest serum protein?



What makes up the majority of the rest of the spectrum of serum proteins?

Gamma globulins = Immunoglobulins (mainly)


Give 3 common ways of measuring Ag specific AB

- IFAT (immunoflouroescent AB test)
- VN assay


Give 4 less common ways of measuring Ag specific AB

- CFT (Complement fixation test)
- HI (Haemaglutination inhibition)
- MAT (Microscopic agglutination test)
- AGID (Agar gel immunodiffusion)


How soon after vax should rabies serology be carried out? When else may a similar protocol be used?

> 3-4 weeks
> WSAVA strongly recommend serology in dogs 3-4 weeks post 1* course of normal vax


How long may the plateaux phase of AB production last?

Variable - weeks/months/yeasr


When should ELISA testing for Ag be carried out? Ab?

Ag 5d post infection


What may be carried out following a positive elisa?

Antibody titre - dilute solution and repeat ELISA until result is positive. Smaller the number (ie. ^ dilution) the more Abs are present in original sample


How does IFA differ from ELISA?

Fluorescent marker rather than enzymes


Outline how VNAs are carried out

- Infect cells with virus -> cytopathic effects seen
- Add serum to cells prior to virus infection -> look for cytopathic effect


How do the results from a VN differ in information cf. ELISA?

- VN indicates biologically active, functional AB
- Presence of Ab on ELISA does not mean it is protective


How can T-cell responses be evaluated? Give an example.

> Measure cytokine production released by T cells to encourage proliferation of fellow T cells (can only be carried out on live cells immediately after sample collection)
> eg. bovine TB gamma IFN test
- heparinised blood sample sent to AHVLA
- culture cells with mycobacterial Ag (PPD purified protein derivative)
- measure IFN-g production by ELISA


How does the bovine IFNg test compare to the tuberculin skin test?

IFNg more sensitive but less specific than skin test


How are immunodiagnostics used for allergy?

> Serology based
- measurement of allergen specific IgE
> Intra-dermal
- Immediate IgE mediated *usually used for this*
- Delayed T cell mediated


What trademarked immunoassay test is specific for IgE?



What other Igs may be produced in an allergic reaction? Are these of clinical significance?

IgG can be produced with NO clinical signs


How long should intradermal type 4 sensitivity tests be left before checking result?

72 hours -> 1 week


Outline the tuberculin intra dermal test. Why are 2 types of PPD injected?

- Measure skin thickness, inject AVIAN and BOVINE PPD, measure skin thickness 72hrs later
- Avian strain of TB doesn't cause clinical problems but can cross react in test -> look to check the bovine bump is ^ than avian to confirm immunity


In which species is autoimmune disease most common? Which tests are available for autoimmune disease?

- Coombs test for IMHA
- ANA test for SLE
- Specific Ab serology eg. AChR Abs in myasthenia gravis; TGAA in hypothyroidism


What tests can be used to identify pathogens or biomarkers in a sample?

> biological fluid
- Sandwich ELISA
- Immunofluorescence
> tissue
- Immunofluorescence
- immunohistochemistry


What is immunohistochemistry?

ELISA on a slide instead of in a liquid well
- tissue section on slide, enzyme labelled Ab against cell surface marker


What tissue sample can BVDV be detected in?

Immunohistochemistry of ear notch biopsy (automatically biopsied when ear pierced)


How are PI BVDV calves treated?