Immunoassay-summary

 Summary of the advantages and disadvantages of the different immunoassay

Method

Advantages

Disadvantages

Chemiluminescence Immunoassay

 

1. High sensitivity: CLIA is highly sensitive and can detect very low levels of analyte in a sample.

2. Wide dynamic range: CLIA has a wide dynamic range and can detect both high and low concentrations of analyte.

3. Speed: CLIA is a relatively fast technique since it doesn't require an incubation step.

4. Versatility: CLIA can be used with a variety of sample types, including serum, plasma, urine, and saliva.

5. Specificity: CLIA has high specificity and can differentiate between closely related molecules.

 

1. Cost: CLIA requires specialized equipment and reagents, which can be expensive.

2. Complexity: CLIA requires technical expertise and careful optimization to produce reliable results.

3. Interference: Some substances in the sample may interfere with the chemiluminescent reaction, leading to false-positive or false-negative results.

4. Limited multiplexing: CLIA typically only detects one analyte at a time, making it less efficient for screening multiple analytes simultaneously.

5. Environmental concerns: The chemiluminescent compounds used in CLIA can be hazardous to the environment and must be disposed of properly.

Direct ELISA

1.High sensitivity due to the fact that multiple enzyme-conjugated secondary antibodies can bind to the primary antibody

2.Many different primary antibodies can be recognized by a single enzyme-conjugated secondary antibody giving the user the flexibility of using the same enzyme-conjugated secondary antibody in many different ELISA (regardless of the antigen being detected)

3.Best choice when only a single antibody for the antigen of interest is available

1.High background signal may occur because the coating of the antigen of interest to the plate is not specific (i.e., all proteins in the sample will coat the plate)

Indirect ELISA

1.High sensitivity due to the fact that multiple enzyme-conjugated secondary antibodies can bind to the primary antibody

2.Many different primary antibodies can be recognized by a single enzyme-conjugated secondary antibody giving the user the flexibility of using the same enzyme-conjugated secondary antibody in many different ELISA (regardless of the antigen being detected)

3.Best choice when only a single antibody for the antigen of interest is available

1.High background signal may occur because the coating of the antigen of interest to the plate is not specific (i.e., all proteins in the sample will coat the plate)

Sandwich ELISA

1.The use of antigen-specific capture and detection monoclonal antibody increases the sensitivity and specificity of the assay (compared to the indirect ELISA)

2.Best choice for detecting a large protein with multiple epitopes (such as a cytokine)

1.Optimizing the concentrations of the capture and detection monoclonal antibodies can be difficult (especially for non-commercial kits)

Competitive ELISA

1.Impure samples can be used

2.Less sensitivity to reagent dilution effects

3.Ideal for detecting small molecules (such as a hapten)

1.Requires a large amount of highly pure antigen to be used to coat plate

Lateral Flow Immunoassay

1. Rapid and easy-to-use test format, producing results in minutes without requiring specialized equipment or expertise

2. Can be used to detect a wide range of analytes, including small molecules, proteins, and nucleic acids

3. Requires minimal sample preparation, making it suitable for use in resource-limited settings or in the field

4. Portable and disposable format, allowing for the potential for point-of-care testing and remote healthcare applications

5. Low cost per test, making it accessible for widespread use

 

1. May have lower sensitivity and specificity compared to other immunoassay formats, such as ELISA or chemiluminescent assays

2. Limited dynamic range for detecting different levels of analyte concentrations

3. May not be suitable for detecting complex samples, such as those containing multiple analytes or interfering substances

4. Interpretation of results may be subjective and may require interpretation by a trained operator

5. Shelf life may be limited due to potential degradation of reagents over time, especially in high temperature or humid environments.

 

Particle enhanced turbidimetric immunoassay

 

1. High sensitivity and specificity in detecting specific analytes

2. Large dynamic range for detecting a wide range of analyte concentrations

3. Short assay time, allowing for high throughput analysis of large numbers of samples

4. Simple and cost-effective assay design, requiring minimal specialized equipment and expertise

5. No need for washing steps, making it easier to automate and reduce the potential for human error

6. Suitable for use in clinical laboratories, as well as other fields such as food safety and environmental testing

 

1. PETIA is generally limited to detecting small molecules, such as drugs and hormones, rather than larger biomolecules like proteins or antibodies.

2. Some PETIA assays may be prone to interferences from other substances present in the sample, leading to false positive or negative results.

3. PETIA is a non-competitive immunoassay and may not provide information on the concentration of the analyte in the sample.

4. PETIA may be less sensitive than other immunoassay methods, such as ELISA, especially when detecting low levels of analyte in samples.

5. The turbidity of the sample may interfere with the accuracy of the assay, so careful optimization of the assay conditions is necessary.

Immunonephelometry

 

1. High sensitivity and specificity for detecting low levels of antigens or antibodies

2. Rapid and easy-to-use protocol with minimal sample preparation required

3. High throughput capability, allowing for analysis of large numbers of samples in parallel

4. No washing steps required, reducing the potential for human error and making it easier to automate

5. Can be used to detect a wide range of analytes, including small molecules, proteins, and nucleic acids

 

1. May be affected by interference from other substances present in the sample, leading to false positive or negative results

2. May not be suitable for measuring the affinity of antigen-antibody interactions, since the size of the immune complexes detected may not be directly proportional to the affinity of the interaction.

3. Cannot distinguish between different isotypes or subtypes of antibodies

4. Equipment and reagents required for immunonephelometry can be costly

 

Immunohistochemistry

1. Allows for localization and visualization of specific antigens in tissue samples

2. Provides valuable information about protein expression patterns and cellular localization

3. Can be performed on a variety of tissue samples, including formalin-fixed paraffin-embedded (FFPE) tissues

4. High level of specificity and sensitivity for detecting low levels of antigen expression

5. Can be used to differentiate between different types of cells, especially in cancer diagnosis and treatment

6. Can be used as a diagnostic tool in clinical pathology to help guide therapy decisions

1. Requires specialized equipment and expertise, which can be costly

2. Can be challenging to optimize staining conditions for different antibodies and tissue types, leading to variability in results

3. Non-specific background staining can occur, leading to difficulty in interpreting results

4. Antigen retrieval techniques may be required for some antibodies, adding an additional step to the staining protocol

5. IHC is a qualitative technique and does not allow for precise quantification of protein expression levels, unlike other techniques such as Western blotting or ELISA.

6. False positives and false negatives may occur due to antibody cross-reactivity, epitope masking, or poor antigen preservation

7. Interpretation of staining results can be subjective and require specialized training and experience.

Flow cytometry / Fluorescent activated cell sorting

1. High throughput analysis of large cell populations

2. Multiparameter analysis allowing for measurement of multiple parameters simultaneously, including cell surface markers and intracellular signaling molecules

3. Rare cell detection allowing for the identification of rare cell populations

4. Cell sorting enabling the isolation of specific cell populations for downstream analysis

5. High sensitivity and specificity in detecting rare cell populations or molecules

6. Real-time analysis with immediate results

1. Expensive equipment and reagents can be a barrier to use

2. Requires specialized training and expertise

3. Limited by the need for single cell suspensions, which can be challenging for certain cell types or tissues

4. Sensitivity can be affected by background noise or autofluorescence

5. Limited capacity for high resolution imaging

 

 Guidence of GeneMedi's protocol / procedure for the diagnostics application

1. What is Chemiluminescence Immunoassay

1.1 Four types of Chemiluminescence Immunoassay

1.1.1 Chemiluminescence immunoassay

1.1.2 Chemiluminescence enzyme immunoassay

1.1.3 Microparticle chemiluminescence immunoassay

1.1.4 Electrochemiluminescence immunoassay

1.2. Advantages and disadvantages of chemiluminescence immunoassay

1.3 Test Procedure

1.3.1 Sandwich Chemiluminescence immunoassay

1.3.2 Electrochemiluminescence immunoassay

1.3.3 Magnetic particle-based chemiluminescence enzyme immunoassay

2. ELISA (enzyme-linked immunosorbent assay)

2.1 Direct ELISA

2.2 Indirect ELISA

2.3 Competitive ELISA

2.4 Sandwich ELISA

2.5 A summary of the advantages and disadvantages of the different ELISA techniques

3. Lateral Flow Immunoassay

3.1 Types of lateral flow tests

3.1.1Sandwich format

3.1.2 Competitive format

3.1.3 Multiplexed lateral flow assays

3.2 Application of LFIA

3.3 Advantages

3.4 Disadvantages

4. Particle enhanced turbidimetric immunoassay

4.1 Advantages

4.2 Disadvantages

5. Immunonephelometry

5.1 Advantages

5.2 Disadvantages

6. Immunohistochemistry

6.1 Sample Preparation

6.2 Fixation

6.3 Fixation method

6.4 Tissue Sectioning

6.5 Slide preparation

6.6 Deparaffinizationandrehydrationusingstandardmethods

6.7 Antigen retrieval

6.8 Detection

6.9 Immunofluorescence Method

6.10 Enzymatic Method

6.11 Direct Detection

6.12 Indirect Detection

6.13 Affinity Method

6.14 Advantages

6.15 Disadvantages

7. Flow cytometry / Fluorescent activated cell sorting

7.1 Antibody titration protocol using 96 well plates

7.2 Protocol for cell sorting

7.3 Advantages of flow cytometry

7.4 Disadvantages of flow cytometry

8. Octet system

8.1 Advantages

8.2 Disadvantages

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