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RADIOIMMUNOASSAY
Radioimmunoassay was developed by yellow & berson to measure insulin in human plasma. The technique has been used extensively to measure small amount of proteins & hormones in fluid. Advances in these techniques have largely been responsible for great strides made in last 10-15 years in endocrinology research. However because of rather cumbersome technique, need of special lab, instruments& trained persons & risk of radioactive rays exposure, These techniques have not found much place in busy diagnostic microbiological laboratory.

Two following basic techniques are used:

  1. Competitive RIA
  2. Excess reagent RIA

Competitive RIA

 

This technique is of common use. It is performed as follows:

A constant amount of antibody (known) to the antigen to be assayed is added to a series of tubes. A small amount of Radio labeled antigen plus increasing amounts of unlabelled antigen are then added to the tubes. After a period of incubation , the antibody bound ( labeled & unlabelled) antigen is separated from the free or unbound antigen by one of the several methods such as precipitation by 50% saturated  ammonium sulfate, or by anti-globulin. The amount of radioactivity of precipitate (bound  labelled antigen) and of supernatant ( free labelled antigen) are determined.

A graph is plotted to shoe relationship of amount of unlabelled antigen added to the ratio of bound& free labelled antigen. From this curve the concentration of unknown antigen in test sample can be determined by determining the ratio of bound & free labelled antigen in test procedure performed by adding test sample to the tube containing antibody & labelled antigen in amounts used for preparing graph.

This technique has been used to measure levels of many antigens, drugs, hormones etc in human body fluids.

Excess reagent RIA

In excess reagent technique the antibody is usually labelled and used in excess concentration. Analyte is measured by determining the radioactivity in the conjugate, Which is separated as described in competitive RIA.

 

 

 

Solid Phase RIA

Polystyrene microlitre plates or beads are used as solid phase. Wells or beads are coated with specific antibodies to the antigen to be assayed. These are treated with specific antibodies to the antigen to be assayed. These are treated with test sample and then with radio labelled antibodies in known but excess amount. The absorbed radioactivity is measured & compared  with similar activity in similar test with negative control. samples with residual counts 2.1 times or greater than that on negative control are considered positive. Similarly known antibodies can be detected by using antigen coated wells

DETECTION OF ANTIBODIES BY Solid Phase RIA

  1. Competitive binding RIA

The solid phase is coated with known antigen & then treated with mixture of test sample & known amount of labelled antibody. The radioactivity of bound labelled antibody is determined. It is inversely proportional to the amount of antibody in the test sample.

  1. Blocking or Inhibition RIA

In this method the test sample is first incubated with known quantity of antigen, then the mixture is transferred to solid phase coated with antibodies & treated with labelled antibodies. The amount of labelled antibodies will be less if the test sample contains less antibodies compared with negative control. a reduction in counts of 40% or more is considered as positive.

 

  1. Detection of specific IgM

The solid phase is first coated with anti- IgM, Then treated with test serum, Than known antigen & finally with radio labelled antibody. The absorbed radioactivity is proportional to the specific IgM in the serum.

RADIOIMMUNOFOCUS ASSAY

This technique is used to assay viral antigen in tissue cultures. The virus is grown in suitable cell lines or other tissue culture preparations. The infected Monolayer are treated with labelled antibodies. The absorbed antibodies are are measured by measuring radioactivity in monolayers which is proportional to the amount of the antigen.

R.I.A. in diagnostic microbiology lab is being used mainly for detection of virus antigen or antibodies for diagnosis of certain viral disease of virus e.g., hepatitis, Herpes virus infection, early detection of antigen when present in very low concentration.

 

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