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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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162<br />

Chapter | 6 <strong>Clinical</strong> Veterinary Immunology<br />

FIGURE 6-1 Single radial immunodiffusion test<br />

for determination <strong>of</strong> IgA levels in serum.<br />

A<br />

Standards 1-5<br />

Various patient’s serum<br />

B<br />

C<br />

1<br />

2 3 4 5 6<br />

(a)<br />

(b)<br />

(c)<br />

FIGURE 6-2 (a) Normal serum immunoelectrophoresis (IEP) showing<br />

IgG, IgM, and IgA. (b) IEP showing lack <strong>of</strong> gamma globulins. (c) IEP<br />

demonstrating an IgA myeloma protein in patient’s serum.<br />

This technique is performed by incubating peripheral blood<br />

lymphocytes with mitogens or specific antigen for several<br />

days. The addition <strong>of</strong> tritiated thymidine or a nonradioactive<br />

dye that incorporates into dividing cells provides a signal<br />

that is commensurate with the degree <strong>of</strong> cell division.<br />

Comparison <strong>of</strong> the stimulated cells with unstimulated cells<br />

from the same animal provides a stimulation index, which<br />

indicates the amount <strong>of</strong> responsiveness inherent in the<br />

cells <strong>of</strong> the patient. Usually the assay is used to determine<br />

whether or not a patient has suppressed or diminished T<br />

cell function in general. In can be used to measure the T<br />

cell response to specific antigen.<br />

Multicolor flow cytometry can be used to demonstrate<br />

the presence <strong>of</strong> T cells making either Th1 or Th2 cytokines.<br />

This technique utilizes surface staining to distinguish CD4<br />

or CD8 T cell populations followed by permeabilization,<br />

incubation with a reagent that prevents newly synthesized<br />

protein from leaving the Golgi apparatus, and staining for<br />

intracellular cytokine using antibodies conjugated with different<br />

fluorochromes.<br />

V . METHODS FOR EVALUATION OF THE<br />

IMMUNE RESPONSE TO INFECTIOUS<br />

AGENTS<br />

A . Agglutination and Passive Agglutination<br />

The antibody response to a specific antigen can be evaluated<br />

by a variety <strong>of</strong> assays. For a particulate antigen, an agglutination<br />

test can be performed. In this test, serum is serially<br />

diluted, and the dilutions are then mixed with an antigen<br />

suspension. The tubes are observed for agglutination. The<br />

titer is the inverse <strong>of</strong> the dilution in the last tube that shows<br />

a positive agglutination response. This is a traditional assay<br />

that is still used for detection <strong>of</strong> antibodies to a variety<br />

<strong>of</strong> bacterial antigens. It is possible to use this method to<br />

evaluate titers for soluble antigens by binding them to latex<br />

particles. Figure 6-3 shows a tube agglutination test used<br />

to measure the titer <strong>of</strong> antibodies against Brucella canis in<br />

canine serum. When a soluble antigen is linked to a particle,<br />

it becomes a passive agglutination test. The microagglutination<br />

test for antibodies to Toxoplasma gondii is<br />

performed this way. Figure 6-4 shows an example <strong>of</strong> the<br />

Toxotest, run in microtiter plate wells. Both <strong>of</strong> these assays

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