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ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division [email protected]

ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division [email protected]

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Page 1: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ELISA AND RELATED TECHNOLOGIES

CORE MODULE 1 : Laboratory Methods and Instrumentation

Dr Brian Jones, Clinical Immunology [email protected]

Page 2: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ENZYME-LINKED IMMUNOSORBENT ASSAY

• valuable tools for use in clinical labs• can measure antibodies or antigens• inexpensive, rapid, quantitative, specific• sensitive (pg/ml)• expensive equipment not required (but helps!)• can be automated

Page 3: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

BASIC FORMAT

Solid phase = 96 / 384-well microplate

Page 4: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Analyte = antibody Analyte = antigen

Incubate, wash

1. Coat solid phase withantigen when analysing antibody

antibody when analysing antigen

Page 5: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

2. Block free binding sites. Incubate. Wash.

Analyte = antibody Analyte = antigen

Page 6: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

3. Add sample. Incubate. Wash

Analyte = antibody Analyte = antigen

Page 7: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

4. Add conjugate. Incubate. Wash.

Analyte = antibody Analyte = antigen

E E E E

Page 8: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

5. Add substrate

6. Incubate, stop, measure colour change

Colourless

ENZYME

OD

CONCENTRATION

Page 9: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COATING THE PLATE

• protein-binding 96 (384)-well polystyrene plate eg Immulon-2 (Dynatech)

• buffer = 0.1M Na2CO3/NaHCO3 pH 9.6 0.1M tris-HCl pH 7.6 0.01M PBS pH 7.3 etc.

• antigen or antibody at 0.5 - 20 g/ml

• 100 l/well, 4oC overnight

Page 10: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

WASHING THE PLATE

• buffer + 0.05% Tween 20

• 200 l/well

• 3 - 6 washes with 1 minute soak

• automated washer or• “flood and flick” (biohazard) or• multichannel pipette for dispensing, manifold connected to vacuum pump (for safe disposal of wash fluid)

Page 11: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

BLOCKING THE PLATE

• 0.25% - 2% bovine serum albumin 2% non-fat dried milk 5 - 10% foetal calf serum in buffer + 0.05% Tween 20

• 100 l/well, 37oC, > 60 min

• Wash x3 with buffer-Tween 20

Page 12: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

SAMPLE• Dilute in buffer-Tween 20

• include known positive and negative samples

• standards……. recombinant protein international standard antibody double-dilute from 10 pg/ml - 10 ng/ml

• 100 l/well, duplicates

• 2 - 4 hours 20/37oC or overnight 4oC

• 3 - 6 washes with buffer-Tween 20

Page 13: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

CONJUGATE• For assays of (human) antibodies use : anti-(human) Ig-enzyme IgG / A / M / E / subclass-specific • For assays of antigens use enzyme-conjugated antibody:

against a different epitope to the one recognized by capture antibody

often monoclonal capture antibody polyclonal detection antibody

Page 14: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

AMPLIFICATION

E

Directly conjugated developingantibody may give weak signal

Page 15: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

amplify with

unlabelled (rabbit) anti-(human) Ig followed by

anti-(rabbit) Ig-enzyme

EE

Page 16: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

or

Biotin-labelled anti-Ig followed by

streptavidin-enzyme

E-S B S-E

ES

Page 17: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

SUBSTRATESSee Sigma catalogue for list of conjugates and substrates

Orthophenylene diamine Tetramethyl hydrochloride (OPD) benzidine (TMP)

Horse radish peroxidase (HRP) Orange, 490 nm Yellow, 450 nm Spectrophotometer

Page 18: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Paranitrophenyl phosphate (PNP) Methyl umbelliferol phosphate

Alkaline phosphatase

Yellow, 405 nm Methyl umbelliferone Spectrophotometer

365 nm 445 nm Fluorimeter

Page 19: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

INDIRECT ELISA TO DETECT SPECIFIC ANTIBODIES

• screening hybridoma supernatants• detecting clinically important antibodies - autoantibodies - anti-pathogens - anti-allergens

1. Antigen

Page 20: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

INDIRECT ELISA TO DETECT SPECIFIC ANTIBODIES

2. Sample (human) antibody

1. Antigen

Page 21: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

INDIRECT ELISA TO DETECT SPECIFIC ANTIBODIES

E E E

3. Anti-(human) Ig-enzyme

2. Sample (human) antibody

1. Antigen

Page 22: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

INDIRECT ELISA TO DETECT SPECIFIC ANTIBODIES

E E E4. Substrate

3. Anti-(human) Ig-enzyme

2. Sample (human) antibody

1. Antigen

Page 23: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIGEN-CAPTURE ELISA TO DETECT SPECIFIC ANTIBODIES

Useful when pure antigen not available or antigen coats poorly

1. Specific antibody

Page 24: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIGEN-CAPTURE ELISA TO DETECT SPECIFIC ANTIBODIES

2. Impure antigen eg tissue homogenate

1. Specific antibody

Page 25: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIGEN-CAPTURE ELISA TO DETECT SPECIFIC ANTIBODIES

3. Wash pure antigen

2. Impure antigen

1. Specific antibody

Page 26: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIGEN-CAPTURE ELISA TO DETECT SPECIFIC ANTIBODIES

4. Sample (human antibody)

3. Wash pure antigen

2. Impure antigen

1. Specific antibody

Page 27: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIGEN-CAPTURE ELISA TO DETECT SPECIFIC ANTIBODIES

E E5. Anti-human Ig-enzyme

4. Sample (human antibody)

3. Wash pure antigen

2. Impure antigen

1. Specific antibody

Page 28: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIGEN-CAPTURE ELISA TO DETECT SPECIFIC ANTIBODIES

6. Substrate

5. Anti-human Ig-enzyme

4. Sample (human antibody)

3. Wash pure antigen

2. Impure antigen

1. Specific antibody

Page 29: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIBODY SANDWICH ELISA TO DETECT ANTIGENS

eg. hormones drugs tumour antigens cytokines

1. Anti-analyte

Page 30: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIBODY SANDWICH ELISA TO DETECT ANTIGENS

1. Anti-analyte

2. Sample

Page 31: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIBODY SANDWICH ELISA TO DETECT ANTIGENS

1. Anti-analyte

2. Sample

3. Anti-analyte-enzyme

E E

Page 32: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIBODY SANDWICH ELISA TO DETECT ANTIGENS

1. Anti-analyte

2. Sample

3. Or: anti-analyte-biotin followed by streptavidin-enzyme

E-S B S-E

ES

E S E-S B S-E

Page 33: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ANTIBODY SANDWICH ELISA TO DETECT ANTIGENS

1. Anti-analyte

2. Sample

4. Substrate

3. Or: anti-analyte-biotin followed by streptavidin-enzyme

Page 34: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

1. Analyte

(antigen-coated plate)

Page 35: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

2. Anti-analyte-E + sample

1. Analyte

Low [analyte] High [analyte]

E E E

E EE

EE

E

E

Page 36: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

3. Wash

2. Anti-analyte-E + sample

1. Analyte

Low [analyte] High [analyte]

E E E

E

Page 37: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

3. Wash

2. Anti-analyte-E + sample

1. Analyte

Low [analyte] High [analyte]

4. Substrate

Page 38: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

1. Anti-analyte

(antibody-coated plate)

Page 39: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

2. Analyte-E + sample

1. Anti-analyte

Low [analyte] High [analyte]

Page 40: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

3. Wash

2. Analyte-E + sample

1. Anti-analyte

Low [analyte] High [analyte]

E E E E E E E

Page 41: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

COMPETITION ELISA TO DETECT ANTIGENS

3. Wash

2. Analyte-E + sample

1. Analyte

Low [analyte] High [analyte]

4. Substrate

Page 42: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

MICROPARTICLE ENZYME IMMUNOASSAY (ABBOTT AxSYM)

Automated measurement down to 1 ng/mlEg. tumour markers (AFP, CEA, PSA, CA15.3) immune activation marker 2M IgE

Page 43: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

AP

Microparticlecoated withanti-analyte

Sample/Control/Standard

Anti-analyte- alkaline- phosphatase

Automated mixing fluorimetryincubation reference curve washing calculation

Methyl umbelliferol phosphate

Methyl umbelliferone

365 nmmercuryarc lamp

445 nmfluorimeter

AP

Glass fibre matrix

Page 44: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

ALLERGEN-SPECIFIC IgE: Pharmacia UNICAP system

Anti-IgE--galactosidase

Sample

“CAP” = allergen-coated cellulose disc

E E E

Substrate = methyl umbelliferyl- -galactoside

Methyl umbelliferone

365nm 445 nm

Page 45: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

12 1

2

HEALTH

CANCER VIRUSES

MYCOBACTERIAHELMINTHS

ASTHMA, ALLERGYLUPUS

RHEUMATOID ARTHRITISMULTIPLE SCLEROSIS UVEITISDIABETES

IL2IL12IFNTNF

IL4 IL5 IL6 IL10

CMI(AB)

Type 1 Type 2

AB(CMI)

CYTOKINES

Page 46: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Detection of cytokines by ELISA

• Plasma or supernatant of cultured mononuclear cells + activator

• Coat plate with anti-CK (Pharmingen) 0.5 g/ml in bicarbonate buffer, 4o overnight

• Wash x 2 with PBS-T

• Block with PBS + 10% FCS, 2 hours RT

• Wash x2 with PBS-T

Page 47: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

• Add standards (recombinant CK 10 pg-10 ng /ml), controls and samples • 4o overnight

• Wash x3 with PBS-T

• Add biotinylated anti-CK (Pharmingen) 0.5 g/ml

• RT 60 minutes

• Wash x6 with PBS-T

• Add streptavidin-peroxidase

• RT 30 min

Page 48: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

• Wash x8 with PBS-T

• Add OPD substrate

• 15 min RT, dark

• Stop with N H2SO4

• Read A490

2

1

0

[rCK]

Page 49: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

MICROARRAYEg. Novagen ProteoPlex

Std 1

Std 3 Std 4

Std 2

Std 6

#2

#4

#6

#8

#10

Std 5

#1

#3

#5

#7

#9

IL1

IL2

IL5

IL7

IL10

IL16

gmCSF

TNF

IL1

IL4

IL6

IL8

IL12

IL18

IFN

TGF

Quadruplicate capture anti-cytokine antibody spotsOverlay with standards, samples. Incubate, washAdd fluorophore-detection antibody. Incubate, washScan

Page 50: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

S

I

G

N

A

L

[CK]

Page 51: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Std 1

Std 3 Std 4

Std 2

Std 6

#2

#4

#6

#8

#10

Std 5

#1

#3

#5

#7

#9

IL1

IL2

IL5

IL7

IL10

IL16

gmCSF

TNF

IL1

IL4

IL6

IL8

IL12

IL18

IFN

TGF

Page 52: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

CYTOMETRIC BEAD ASSAYS

Mixture of beads with(a) Anti-cytokine capture antibody (b) Individual fluorescence properties

IL1

IL2

IL5

IL7

IL10

IL16

gmCSF

TNF

IL1

IL4

IL6

IL8

IL12

IL18

IFN

TGF

Page 53: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Add sample

IL1

IL2

IL5

IL7

IL10

IL16

gmCSF

TNF

IL1

IL4

IL6

IL8

IL12

IL18

IFN

TGF

Page 54: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Add fluorochrome-labelled detection antibody

Page 55: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Flow cytometry

IL1

IL4

IL6

IL8

IL12

IL18

IFN

TGF

Page 56: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

DETECTION OF CYTOKINE-SECRETING CELLS BY

ELISPOT ASSAY

Czerkinsky et al, 1983; Sedgwick & Holt, 1983J. Immunol. Methods

Page 57: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Capture anti-CK antibody

96-well culture plate with nitrocellulose bottom

Page 58: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

PBM + stimulus, 22-24 hr

Page 59: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

WASH

Page 60: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Add biotin-labelled detection anti-CK. 90 min. Wash

B B B

Page 61: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Add streptavidin-alkaline phosphatase. 60 min. Wash

S-AP S-AP S-APB B B

Page 62: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Colourless, soluble BCIP-NBT

insoluble blue product

S-AP S-AP S-APB B B

Page 63: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk
Page 64: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

Unstimulated PBM

PHA, Con A, anti-CD3, antigen, alloantigen (T-cells)

LPS, SAC (monocytes)

Type 1 cytokines (CMI, proinflammatory) - IFN, IL2, IL12, TNF

Type 2 cytokines (antibody, anti-inflammatory) - IL4, IL6, IL10

Page 65: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

CK ELISPOTS - NORMAL RANGES (n = 60)(CK-secreting cells/106 PBM)

IFN IL2 IL4 IL10 IL12 IL6 TNF

unstim 0 0 0 0-6300

0-42 0-70000

0-88000

PHA 450-3500

3000-6900

850-5000

2100-11600

144-1068

19000-105000

27000-108000

Con A 2000-10900

1300-6500

340-4300

SAC 2600-9700

79- 558

19000-92000

19000-97000

Page 66: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

CASE STUDY: POTENTIAL OF CYTOKINE PROFILING IN CLINICAL PRACTICE

• 48 year old woman with frequent life-long respiratory and intestinal infections

• Cytokine profile : IL6, TNF, IL10, IFN, IL12, normal IL4

• rIL12 in vitro normalized IFN

• rIFN in vitro normalized IL12

• Anti-IL10 in vitro normalized IFN and IL12

• Treatment with rIFN, rIL12, anti-IL10 not possible

• Thymosin-1 normal IL6, IFN, IL4; near-normal IL12, TNF; IL10

Page 67: ELISA AND RELATED TECHNOLOGIES CORE MODULE 1 : Laboratory Methods and Instrumentation Dr Brian Jones, Clinical Immunology Division bmjones@ha.org.hk

DEMONSTRATION

Room 508/511, Clinical Pathology Building

ELISA washer, readerUNICAP systemAxSYMELISPOTS