TP Immunology English 2018 For Student
TP Immunology English 2018 For Student
TP Immunology English 2018 For Student
Dr Salam Nasreddine
The Blood Group Antigens
Dr Salam Nasreddine
Plasma: Serum + coagulant factor.
Ø Blood group antigens are surface markers on the red blood cell
membrane.
Dr Salam Nasreddine
1.1. Blood group (Erythrocyte):
Dr Salam Nasreddine
ABO System
Anti-A and Anti-B are natural antibodies (regular antibodies) : have been defined
as antibodies that are produced without any previous infection, vaccination
Are IgM type (do not cross the placenta).
Antibodies anti A, B and A+B are active at 37°C.
Dr Salam Nasreddine
3. Determination of blood groups
Dr Salam Nasreddine
Ø The production of these antibodies do not exist at birth
Ø These natural antibodies appear in children 6 months
and peak at 5 to 10 years
Dr Salam Nasreddine
Reaction of Beth Vincent Reaction of SIMONIN
Dr Salam Nasreddine
The difference between coagulation, agglutination and precipitation
???
9.3. Difficulties in determining the ABO blood types:
Dr Salam Nasreddine
Red blood cell compatibility :
Blood transfusions – who can receive
blood from whom?
Dr Salam Nasreddine
8. Plasma transfusions
Dr Salam Nasreddine
Rh antigen
• Rh antigens are transmembrane proteins exposed at the surface of red blood cells.
• RBCs that are "Rh positive" express the antigen designated D (RH1).
• Some of us have it, some of us don't.
• If it is present, the blood is RhD positive, if not it's RhD negative.
• Unlike the ABO system, Anti-Rh antibodies of the system are not normally
present in the plasma, but can be produced if an individual with
Rh - is exposed to Rh +
World Distribution
Global
Blood Group
distribution
O+ 38 %
A+ 34 %
B+ 9%
O- 7%
A- 6%
AB + 3%
B- 2%
AB - 1%
Dr Salam Nasreddine
Blood transfusions
• A person with Rh+ blood can receive blood from a person with
Rh- blood without any problems.
• A person with Rh- blood can not receive blood from a person
with Rh+ blood
Dr Salam Nasreddine
RH incompatibility:
Dr Salam Nasreddine
Development of HDN of the
Newborn
• A small quantity of fetal blood leaks across the placenta
into the maternal blood stream.
Dr Salam Nasreddine
Symptoms of hemolytic disease of the newborn:
Ø Each baby may experience symptoms differently
- At birth and during the newborn period, symptoms include a mild anemia
and jaundice, both of which may resolve without treatment
- Neurological damage
- Newborn death
Dr Salam Nasreddine
Treatment of HDN
• If a woman has Rh- and gives birth to a child, or if she
has a miscarriage or abortion, she is given an injection of
anti-Rh antibodies called anti-Rh gamma globulin or
RhoGAM to prevent HDN
Dr Salam Nasreddine
A- Direct Combos Test (DAT): To detect the incomplte antibodies
bound to RBC surface
Ø The Direct Coombs Test is used in the hemolytic disease of the Newborn
(HDN), in transfusion reaction, during anemia.
Dr Salam Nasreddine
ABO BLOOD GROUP
Dr Salam Nasreddine
Slide test for determination of ABO group of RBCs.
Dr Salam Nasreddine
•If the Rh test is negative, add a second drop of anti-IgG and then
read again.
Dr Salam Nasreddine
Tube test for determination of ABO group of RBCs
1 - Wash the blood two or three times (1/4) by physiological salt solution (9 g NaCl in 1 L
of water D): 1ml + 3 ml of blood
2 - Centrifuge 3000 rpm / 5 min
3 - Remove the supernatant (with the aid of a Pasteur pipette) and collect the red blood
cells
4 - Preparation of either 5 to 10% red cell suspension (50μl of blood + 950 μl of
physiological salt solution)
- 5 to 10 % red cell suspension is critical to any agglutination test.
Dr Salam Nasreddine
50 μl
50 μl of blood
+ 950 μl
physiological
salt solution 50 μl 50 μl 50 μl
Anti-A Anti-B Anti-D
Anti-D
Anti-D
Dr Salam Nasreddine
Certain factors may cause false results:
Dr Salam Nasreddine
Isolation of peripheral blood mononuclear cells (PBMC)
Introduction
The mixture of lymphocytes includes T cells, B cell and natural killer (NK) cells.
-Lymphocytes and monocytes: together are referred to as peripheral blood mononuclear cells
(PBMC).
- Blood also contains neutrophils, basophils and eosinophils which are referred to as
polymorphonuclear cells (or granulocytes).
Mast cells
Isolation of peripheral blood mononuclear cells (PBMC)
Principle
- Peripheral blood is a primary source of lymphoid cells for the investigation of the
human immune system.
• Immunoprecepitation (Ouchterlony )
• The principle of serial dilutions
• Equivalence zone.
Dr Salam Nasreddine
Dr Salam Nasreddine
A- Immunoprecipitation:
Dr Salam Nasreddine
Equivalence zone a variable ratio of antigen and antibody which results
in precipitation in which there is no unbound antibody or antigen.
Ouchterlony Immunodiffusion (double diffusion)
- Double diffusion
- Qualitative test
- It is based upon the simultaneous application of Ag
and Ab in separate but adjacent wells of an agar plate.
-There are three basic patterns of precipitation as
shown in the figure below.
Dr Salam Nasreddine
Ouchterlony - A reaction of identity
Dr Salam Nasreddine
Ouchterlony – Non-Identity
Dr Salam Nasreddine
Ouchterlony – Partial Identity
•A reaction of partial identity occurs when two antigens have at least
one common determinant, but where the antiserum contains
antibodies to a determinant in one antigen that is absent from the
other.
Dr Salam Nasreddine
Experimental procedure
- The agarose is dissolved by heating (100°C) while stirring à then cooled to 55°C.
- The warm 1.5% agarose solution is then pipetted on the petri dishes of 5cm diameter,
adding 5ml in each dish.
- The dish is air dried completely.
Dr Salam Nasreddine
2. Preparing the plates
Punch holes of 0.5cm in the agarose dish (6 holes surrounding a central hole)
Dr Salam Nasreddine
3. Deposit solution
- The antibody (anti human IgG: 1mg/ml) is placed in the centre well and the antigens
(human IgG) are placed in the surrounding 6 wells.
Ag
Ag Ag
Ac
Ø Add 20μl anti-human IgG in the central well (0.5 ou 1 Ag Ag
mg/ml) Dr Salam Nasreddine PBS
Place the slide in a humid chamber and incubate overnight at room temperature.
A humid chamber is prepared by covering the bottom of a petri plate with moist paper
towels with PBS or water.
- To prevent excessive drying of the agarose
Staining of Gel:
The dried slides are stained to help distinguish
precipitin lines, to allow the slide to be stored
indefinitely and to make photography easier.
The slide is stained with the protein dye,
Coomassie blue.
Dr Salam Nasreddine
Dilution
C1V1=C2V2 à Dilution=C2/C1=V1/V2
Dilution factor=F=
Cinitialx Dilution = C final Cinitial / final
Ex: dilution ½
Dr Salam Nasreddine à Df= 2 =1/dilution
BIOL 349
Dr Salam Nasreddine
Lap Biol 394
TP-6
- Western Blot
- Dot Blot
Dr Salam Nasreddine
TP- DOT BLOT
Dr Salam Nasreddine
DOT BLOT
Semi-Quantitative Measurement of Proteins by Dot Blotting
Principle:
Dr Salam Nasreddine
Procédure
Procedure:
1. Have nitrocellulose membrane ready (10 cm x 0.5 cm). Draw 8 grids (-1.5 cm apart)
by pencil to indicate the regions you are going to blot (see below).
1 2 3 4 5 6 7 8
2. Prepare in the PBS buffer (0.1 M, pH: 7.2) a solution of the human IgG:
Make 7 serial dilutions (1/2) from the original tube with 1 mg/ml IgG, such that the final
volume will be 50 µL.
Dr Salam Nasreddine
0,015 0,008 mg/ml
Dot 1 2 3 4 5 6 7 8
3. Spot 2 µL of samples onto the nitrocellulose membrane at the center of the grid.
N.B:
Place the drops: from the less concentrated solution to the more concentrated.
Dr Salam Nasreddine
4. Dry the strips by putting them in the oven for 5 minutes at 37° C.
8. Add 1.5 mL/well (by adding 750 µL, two times): of the anti-IgG (labeled with HRP:
peroxidase) solution diluted at 1/500 in PBS-Gelatin.
9. Incubate during 30 minutes at room temperature: to allow IgG and anti-IgG recognition.
Dr Salam Nasreddine
12. Revelation (Colorimetric Detection):
- Add 750µL (2 times) / well of the revelation solution (chromogenic substrate: 4-
chloro-1-naphtol) + H2O2.
- Incubate for 5 to 10 minutes in dark.
- Pour out the solution.
Dr Salam Nasreddine
Colorimetric HRP systems
- 4CN (4-chloro-1-naphtol) are commonly used chromogenic substrates for HRP.
In the presence of H2O2, HRP catalyzes the oxidation of the substrate into a product
that is visible on a blot.
4-chloro-1-naphtol
4-chloro-1-naphtone
Dr Salam Nasreddine
TP-4
Dr Salam Nasreddine
Dr Salam Nasreddine
The E.L.I.S.A. test is an immunoassay.
Dr Salam Nasreddine
ELISA
Enzyme-linked immunosorbent assay (ELISA) depends on an enzyme.
An enzyme conjugated with an antibody or with an antigen reacts with a colorless substrate to
generate a colored reaction product.
Dr Salam Nasreddine
Ø There are many different types of ELISAs:
Dr Salam Nasreddine
Heterogeneous ELISA
Direct ELISA
Enzyme conjugated antibody Enzyme conjugated antigen
Indirect ELISA
Dr Salam Nasreddine
Preparation of immunosorbent (solid phase):
- There are many carriers capable of binding antigen or antibodies.
- This attachment can be made either by simple passive
absorption or by non-covalent bonding.
- The polystyrene plates are most commonly used for this type of non-
covalent binding.
- For good attachment of proteins on polystyrene, you have to play with
four factors:
- The incubation time,
- The concentration of the protein
- The carbonate-bicarbonate buffer (0.1M, pH 9.6).
- Temperature
The polystyrene plates
Dr Salam Nasreddine
Direct ELISA
- An antigen coated to a multiwell plate is detected by an antibody that has been directly
conjugated to an enzyme.
-This can also be reversed, with an antibody coated to the plate and a labeled antigen used
for detection, but the second option is less common.
Dr Salam Nasreddine
Indirect ELISA
- Antigen coated to a polystyrene multiwell plate is detected in two stages or layers.
-First an unlabeled primary antibody, which is specific for the antigen, is applied.
- Next, an enzyme-labeled secondary antibody is bound to the first antibody.
- The secondary antibody is usually an anti-species antibody and is often polyclonal.
- This method has several advantages:
- Increased sensitivity, since more than one labeled antibody is bound per primary
antibody
- Flexibility, since different primary detection antibodies can be used with a single
labeled secondary antibody
- Cost savings, since fewer labeled antibodies are required
Dr Salam Nasreddine
Sandwich ELISA
- Sandwich ELISAs typically require the use of matched antibody pairs, where each
antibody is specific for a different, non-overlapping part (epitope) of the antigen molecule.
- The first antibody, termed the capture antibody, is coated to the polystyrene plate.
- Next, the sample solution is added to the well.
- A second antibody layer, the detection antibody, follows this step in order to measure the
concentration of the sample.
- If the detection antibody is conjugated to an enzyme, then the assay is called
a direct sandwich ELISA. If the detection antibody is unlabeled, then a second detection
antibody will be needed resulting in an indirect sandwich ELISA.
Dr Salam Nasreddine
Sandwich ELISA
Dr Salam Nasreddine
ELISA Results
The ELISA assay yields three different types of data output:
1) Qualitative:
ELISAs can also be used to achieve a yes or no answer indicating whether a particular antigen is
present in a sample, as compared to a blank well containing no antigen or an unrelated control
antigen.
2) Semi-quantitative:
ELISAs can be used to compare the relative levels of antigen in assay samples, since the intensity
of signal will vary directly with antigen concentration.
3) Quantitative:
ELISA data can be interpreted in comparison to a standard curve (a serial dilution of a known,
purified antigen) in order to precisely calculate the concentrations of antigen in various samples.
Dr Salam Nasreddine
.
Standard curve
Dr Salam Nasreddine
Color changes from blue to yellow
Application
Sensitivity
Dr Salam Nasreddine
TP-5
ELISA
Dr Salam Nasreddine
Dr Salam Nasreddine
Steps:
1- Antigen (human Ig or serum) is passively attached to a plastic solid phase by period
of incubation.
- Ig is the 20mg/ml concentration
- Group: initial concentration = 100 µg / ml
- Group: initial concentration = 200 µg / ml
-7 serial dilution of serum-1/5 (in a solution of carbonate and bicarbonate) and one
control tube (without antigen).
Each student
receives two
strips of ELISA
plate.
100 µg /ml Ig
[ Ac ] Dilution
d’AC
100 microg/ml
-
20 1/5
4 1/25
0.8 1/125
0.16 1/625
0.032 1/3125
0.0064 1/15625
- Ss Ac
Dr Salam Nasreddine
3. Wash the membranes 3 times with washing buffer (PBS-Tween 20)
- Wash: to remove the unbound IgG (Tween-20 is a detergent that helps to remove
the unbound proteins).
4. Add 100 µl/well of an anti-IgG (Ab) that is linked covalently to an enzyme peroxidase, in
order to detect Ag.
- Anti-IgG (labeled with HRP: peroxidase) solution diluted at 1/1000 in PBS-
Gelatin.
Dr Salam Nasreddine
11. Plot absorbance vs antiserum dilution using the mean for each set.
12. Estimate the inflection point (calculate the concentration of Abs from standard
curve).
13. Interpolate the titer by drawing a line down to the x-axis
Concentration of serum= DO
at the inflection point (detect
concentration from standard Concentration
curve ) * reverse dilution.
Dr Salam Nasreddine
Ø Out DO> 3
Dr Salam Nasreddine
- ELISA data is typically graphed with optical density vs log
concentration to produce a sigmoidal curve as shown in figure below.
- Known concentrations of antigen are used to produce a standard curve and then this data is
used to measure the concentration of unknown samples by comparison to the linear portion of
the standard curve. This can be done directly on the graph or with curve fitting software which
is typically found on ELISA plate readers.
Sensitivity
Dr Salam Nasreddine
.
Standard curve
Dr Salam Nasreddine
Color changes from blue to yellow
Inflection point: A point where the concavity
changes (from up to down or down to up).
Dr Salam Nasreddine