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These are naturally occurring molecules. It reacts with suitable substrates to produce products
ENZYMES
ENZYMES produces these products
Chromogenic, Fluorogenic, Luminescent
Cheap, readily available and has a long shelf life
Can be used quantitatively or qualitatively
Enzyme labels
Typical enzymes used:
Horseradish peroxidase
G-6PD
Alkaline phosphate
B-D-Galactosidase
Most common enzyme label
Horseradish peroxidase
Has the highest turn-over rate or conversion of substrate
Alkaline Phosphatase
Heterogenous Enzyme Immunoassay
Competitive EIA
Noncompetitive EIA
Capture assay
Competitive EIA is also known as
Competitive Enzyme-Linked Immunosorbent Assay (ELISA)
Enzyme activity is inversely proportional to the concentration of the test substance
COMPETITIVE EIA
NONCOMPETITIVE EIA is Often referred to as
indirect ELISA
Indirect ELISA is one of the most frequently used immunoassays in the clinical
laboratory due to its
sensitivity,
specificity,
simplicity, and
low cost
It measures Ab production to infectious agents that are difficult to isolate and used as an autoantibody testing
NONCOMPETITIVE EIA
NONCOMPETITIVE EIA is Preferred screening test for detecting antibody to
HIV & Hepatitis A and C
Principle: Based on the principle of change in enzyme activity as specific Ag-Ab combination occurs.
HOMOGENEOUS ENZYME IMMUNOASSAY
Enzyme activity is DIRECTLY proportional to the amount of Ag in the
sample
CAPTURE ASSAYS: IMMUNOLOGICAL SANDWICH
CAPTURE ASSAYS: IMMUNOLOGICAL SANDWICH is often called
Sandwich immunoassays or capture assays
Capture assays are best suited to antigens that have multiple
determinants, such as
antibodies,
polypeptide hormones,
proteins,
tumor markers,
and microorganisms, especially viruses.
Enzyme concentration is directly in proportion to the concentration of
patient antigen or hapten present in the test solution
HOMOGENEOUS ENZYME IMMUNOASSAY
HOMOGENEOUS ENZYME IMMUNOASSAY Chief uses
Determination of low MW analytes
Hormones and therapeutic drugs
Drugs of abuse in both serum and urine