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Manual of basic techniques for a health laboratory - libdoc.who.int

Manual of basic techniques for a health laboratory - libdoc.who.int

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11. Immunological and serological <strong>techniques</strong> 329promote production <strong>of</strong> antibodies. In humans there are five major classes <strong>of</strong>antibodies or immunoglobulins: IgG, IgM, IgA, IgE and IgD.These proteins differ in their electrophoretic mobility, relative molecular mass,antigenic structure, sedimentation coefficient, shape and other properties. Allthe immunoglobulins have a structure composed <strong>of</strong> four polypeptide chainswith two long or heavy (H) chains and two short or light (L) chains (Fig.11.1).Within these H and L chains there are regions known as constant regions,where amino acid sequences are very similar, and variable regions (usually atthe ends <strong>of</strong> the chains), where amino acid sequences are highly variable. Thevariable regions give the different antibodies their specificity.H chainFig. 11.1 Structure <strong>of</strong>immunoglobulinsL chain11.1.2 AntigensAntigens are molecules (usually proteins) that can elicit an immune response.Antigens have sites on them known as antigenic determinants which can be recognizedby antibodies. Antigens may have several determinants <strong>of</strong> differentconfiguration or several <strong>of</strong> the same configuration such that antibodies <strong>of</strong> the samekind or <strong>of</strong> several different kinds can bind to these sites.Several properties can influence the immunogenicity <strong>of</strong> an antigen; these are brieflydiscussed below.Recognition <strong>of</strong> the antigen as a <strong>for</strong>eign substanceThe most important property <strong>of</strong> an antigen is that which allows the body to recognizethe substance as <strong>for</strong>eign. An individual’s immune system is normally capable<strong>of</strong> distinguishing substances belonging to the body from those that do not (selffrom non-self). Certain conditions incapacitate the self-tolerance mechanism andthe system starts to react against itself.Relative molecular massThe relative molecular mass or size <strong>of</strong> an antigen also affects its immunogenicity.As a general rule, large molecules make good antigens (i.e. they are effective ingenerating an immune response), provided they are <strong>for</strong>eign to the body. Smallmolecules are usually poor antigens.ComplexityThe more complex the molecule, the better the immune response to the antigen.Complex proteins make “better” antigens than repeating polymers <strong>of</strong> lipids, carbohydratesand nucleic acids.StabilityIt is essential <strong>for</strong> the antigen to be stable <strong>for</strong> it to be recognized by the immunesystem.DegradabilityThe substance must be degradable. In order to initiate an immune response theimmune system must be able to process the substance.Route <strong>of</strong> antigen administration and dosageAntigens must be administered correctly. Some substances elicit an immune responseif administered subcutaneously, but not if administered <strong>int</strong>ravenously. The

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