Radioimmunoassay (RIA) &
Enzyme Linked Immunosorbent
Assay (ELISA)
     By Jazira Tumusiime
    BMLS, MMLS student
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Radioimmunoassay (RIA)
 When radioisotopes instead of enzymes are used as labels to
  be conjugated with antigens or antibodies, the technique of
  detection of the antigen–antibody complex is called as
  radioimmunoassay (RIA).
 RIA was first described in 1960 for measurement of
  endogenous plasma insulin by Solomon Berson and Rosalyn
  Yalow of the Veterans Administration Hospital in New York.
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Radioimmunoassay (RIA)-2
 The classical RIA methods are based on the principle of competitive
  binding.
 In this method, unlabeled antigen competes with radiolabeled
  antigen for binding to antibody with the appropriate specificity.
 Thus, when mixtures of radiolabeled and unlabeled antigen are
  incubated with the corresponding antibody, the amount of free (not
  bound to antibody) radiolabeled antigen is directly proportional to
  the quantity of unlabeled antigen in the mixture.
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Principle of Radioimmunoassay
  Principle: Uses an immune reaction
   [Antigen – Antibody reaction] to
   estimate a ligand
    Ag + Ag* + Ab  AgAb + Ag*Ab + Ag + Ab*
    Unbound Ag* and Ag washed out
    Radioactivity of bound residue measured
    Ligand conc is inversely related to
     radioactivity
    [Ag : ligand to be measured ; Ag*
      radiolabelled ligand]                    4
Advantages & Disadvantages of RIA
 Advantages
  Highly specific: Immune reactions are specific
  High sensitivity : Immune reactions are sensitive
 Disadvantages
  Radiation hazards: Uses radio-labelled reagents
  Requires specially trained persons
  Labs require special license to handle radioactive material
  Requires special arrangements for
     • Requisition, storage of radioactive material
     • radioactive waste disposal.
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Requirements for RIA
1. Preparation & characterisation of the Antigen [Ligand
   to be analysed]
2. Radiolabelling of the Antigen
3. Preparation of the Specific Antibody
4. Development of Assay System
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Preparation & Radiolabelling of the Antigen
 Antigens prepared by..
   Synthesis of the molecule
   Isolation from natural sources
 Radiolabelling [Tagging procedure]
    3 H 14 C 125 I are used as radioactive tags
   Antigens are tagged to 3 H 14 C 125I
   Tagging should NOT affect Antigenic specificity & Antigenic activity
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Development of the Assay System
 A crucial step is the separation of unbound
  antibodies.
 This is achieved by binding the antibodies to
  the microtitre well surface [Solid phase RIA]
 Antigens(in the sample) bind to the fixed
  antibodies remain stuck to the inner surface
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Assay Procedure
 Add known amounts of the test sample + labelled antibody into the
  microtitre wells
 Incubate  allow the reaction to reach completion
 Decant & wash contents of the well  removes all unbound antigens
 Radioactivity remaining in the Microtitre wells measured by a Counter
  [GM counter , Scintillation counter etc]
 Intensity of radioactivity is inversely correlated with the conc of antigens
  in the test sample
 Sensitive to very low conc of antigens
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Enzyme Linked Immunosorbent Assay
(ELISA)
 Enzyme immunoassays (EIAs) can be used for detection of either antigens or
  antibodies in serum and other body fluids of the patient.
 In EIA techniques, antigen or antibody labeled with enzymes are used.
 Alkaline phosphatase, horseradish peroxidase, and galactosidase are the
  enzymes used in the EIA tests.
 The commonly used EIAs are enzyme-linked immunosorbent assays (ELISAs).
 The ELISA technique was first conceptualized and developed by Peter
  Perlmann and Eva Engvall at Stockholm University, Sweden.                 11
Enzyme Linked Immunosorbent Assay (ELISA)-2
 These assays involve the use of an immunosorbent specific to either the
  antigen or antibody.
 Following the antigen– antibody reaction, chromogenic substrate specific to
  the enzyme (o- phenyldiamine dihydrochloride for peroxidase, p-nitrophenyl phosphate for
  alkaline phosphatase, etc.) is added.
 The reaction is detected by reading the optical density.
 Usually, a standard curve based on known concentrations of antigen or
  antibody is prepared from which the unknown quantities are calculated.
 There are different types of ELISAs available for the detection and quantitation
  of either the antigen or antibodies in serum and other body fluids.
These include:
   indirect ELISA,
   sandwich ELISA,
   competitive ELISA,
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Enzyme Linked Immunosorbent Assay-3
 Principle:
   Uses an immune reaction like RIA
   Differs from RIA in detection method
   Detection based on
     • Enzyme catalysed reaction OR
     • Fluorescent probe
     • NOT radioactivity [great advantage!]
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Advantages of ELISA
 Sensitive:
 Reproducible
 Minimal reagents
 Qualitative & Quantitative
   Qualitative  Eg HIV testing (Pos or neg)
   quantitative assays  Eg Ther. Drug Monitoring
 Greater scope : Wells can be coated with Antigens OR Antibodies
 Suitable for automation high speed
 NO radiation hazards
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Types of ELISA
1. Non-competitive binding assay or Sandwich method
   Antigen measuring system [Titrewells coated with antibodies ; Enzyme labelled
    antibodies]
   Antibody measuring system [Titrewells coated with antigens ; Enzyme labelled
    antiantibodies]
2. Competitive binding assay [Titrewells coated with antibodies ; Enzyme
   labelled antigens]
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Noncompetitive or Sandwich Assay
 Antigen measuring system
  Titre wells coated with suitable antibody
  Add patient sample containing the antigen
  Incubate: till antigen antibody reaction is complete
  Wash remove unbound antigen
  Add Antibody labelled with Enzyme
  Incubate till antigen binds labelled antibody
  Wash  remove unbound labelled antibody
  Add substrate ; incubate
  Enzyme + Substrate  Product  measure colour
  Colour proportional to antigen in patient sample
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Noncompetitive or Sandwich Assay
 Antibody measuring system
  Titre wells coated with suitable antigen
  Add patient sample containing the antibody
  Incubate: till antigen antibody reaction is complete
  Wash remove unbound antibody
  Add Antiantibody labelled with Enzyme
  Incubate till labelled antiantibodies binds antigen-antibody complex
  Wash  remove unbound labelled antiantibody
  Add substrate ; incubate
  Enzyme + Substrate  Product  measure colour
  Colour proportional to antibody in patient sample
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Competitive binding assay
 Titrewells coated with antibodies
 Known quantities of patient sample containing antigen + antigen
  labelled with enzyme
 Incubate: till antigen antibody reaction is complete
 Wash remove unbound antigens
 Add substrate ; incubate
 Enzyme + Substrate  Product  measure colour
 Colour inversely related to antigen in patient sample
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Enzyme labels
 Enzyme labels should have high specific reactivity
 Should be easily coupled to ligands & the labelled complex must be
  stable
 The reactivity should be retained after linking of the enzyme to the
  antigen/antibody
 The chosen enzymes should not be normally present in the patient
  samples
 Examples of enzyme labels
   Horse radish peroxidase, Alkaline phosphatase, Glucose oxidase
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Applications of Immunoassays [RIA & ELISA]
 Analysis of hormones, vitamins, metabolites, diagnostic markers
   Eg. ACTH, FSH, T3, T4, Glucagon, Insulin, Testosterone, vitamin B12,
    prostaglandins, glucocorticoids,
 Therapeutic drug monitoring:
   Barbiturates, morphine, digoxin,
 Diagnostic procedures for detecting infection
   HIV, Hepatitis A, B etc
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Applications of Immunoassays [RIA & ELISA]
 Serum Antibody Concentrations
 Detecting potential food allergens
   (milk, peanuts, walnuts, almonds and eggs)
 Disease outbreaks- tracking the spread
     of disease e.g. HIV, bird flu, common, colds, cholera, STD etc
 Detections of antigens
     e.g. pregnancy hormones, drug allergen, GMO, mad cow disease
 Detection of antibodies in blood sample for past exposure to disease
    e.g. Lyme Disease, trichinosis, HIV, bird flu
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Assignment
Write out the principle and procedures of the
 following;
  Widal test
   Brucella agglutination test
   Pregnancy test
   Rheumatoid factor test
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