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

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V. Methods for Evaluation <strong>of</strong> the Immune Response to Infectious Agents<br />

167<br />

FIGURE 6-10 (a) Schematic demonstrating<br />

direct and indirect ELISA. Direct ELISA measures<br />

antigen-specific antibody; indirect ELISA measures<br />

antigen. (b) Photograph <strong>of</strong> 96 well ELISA<br />

plate: darkest color indicates most positive reaction.<br />

Quantitation is performed by measuring optical<br />

density <strong>of</strong> well contents.<br />

(a)<br />

Direct<br />

Indirect<br />

(b)<br />

chain-specific antisera as detection reagents. The appearance<br />

<strong>of</strong> both direct and indirect ELISA in which intense color<br />

equates with a positive result is shown in Figure 6-10b . A<br />

less commonly used configuration <strong>of</strong> ELISA is the competitive<br />

ELISA. This type <strong>of</strong> ELISA can be constructed to detect<br />

either antigen or antibody. It utilizes an enzyme-labeled<br />

ligand (antigen or antibody), which then competes with its<br />

unlabeled counterpart in the patient’s serum. Such an assay<br />

shows color (higher O.D.) when the sample is negative.<br />

Thus, it is important for those interpreting ELISA to fully<br />

understand what constitutes a negative and a positive sample.<br />

The use <strong>of</strong> appropriate controls makes this <strong>of</strong> minor concern.<br />

H . Immunohistochemistry/<br />

Immunoperoxidase Techniques<br />

Just as immun<strong>of</strong>luorescence can be used to evaluate serum<br />

antibodies or antigen present in tissue or on cells, the technique<br />

<strong>of</strong> enzyme immunoassay is also applied to tissue<br />

sections for identification <strong>of</strong> cell populations and demonstration<br />

<strong>of</strong> antigens in tissues. Immunoperoxidase detection<br />

<strong>of</strong> antigens has the advantage that the tissue sections<br />

can be examined with a standard microscope, whereas<br />

the immun<strong>of</strong>luorescence-based testing requires utilization<br />

<strong>of</strong> mercury lamps, dichroic mirrors, and special filters for<br />

excitation <strong>of</strong> the fluorochrome and for visualization <strong>of</strong> the<br />

emitted fluorescence. For immunoperoxidase evaluation <strong>of</strong><br />

tissue antigens, an enzyme tagged antiserum is used to bind<br />

the antigen, then the substrate for the enzyme is added. The<br />

substrate is chosen so that it changes color when hydrolyzed<br />

by the enzyme. Thus, a colored product is deposited<br />

permanently in the tissue. In general, direct immun<strong>of</strong>luorescence<br />

and immunohistochemistry can be used for the<br />

same type <strong>of</strong> determinations. Figure 6-11 shows a canine<br />

lung section infected with canine distemper virus using<br />

immunoperoxidase staining with anti-canine distemper<br />

virus (CDV) antibody.<br />

I . Western Blot Analysis<br />

Western blot immunoassay is performed when it is desirable<br />

to determine which antigens in a mixture are binding<br />

with antibodies in test sera. It has great value when it is<br />

necessary to discriminate between antibodies produced in<br />

response to vaccination and those produced as a result <strong>of</strong><br />

infection. If a subunit vaccine is used, this technique can<br />

be successfully applied. Some <strong>of</strong> the newer “ designer ” vaccines<br />

use only one or two protective epitopes to immunize.

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