5. n & cf (reuploaded)

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    Neutralization and Complement

    FixationMa. Jennifer R. Tiburcio, MSMT

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    Neutralization

    Antigenic activity is stopped (Neutralized) by

    its specific antibody

    Antibody renders the antigenic

    microorganisms non-infective

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    Types of Neutralization

    Toxin Neutralization

    Animal Protection Test

    Antistreptolysin O titer

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    Neutralization

    Virus Neutralization

    In vivo test

    In ovo test

    Pock reduction test

    In tissue culture

    Plaque reduction test

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    Toxin Neutralization

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    Streptolysin O reagent

    patients serum (suspected of being infected with Beta streptococci)

    Anti-Streptolysin O Antibodies

    antigen will be neutralized

    no hemolysis (ASO titer)

    indicator cells

    with without

    antigen will not be neutralized

    hemolysis

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    1 2 3 4 5 6 7 8 9 10 11 12

    1:10 1:1001:500

    0.2 1 0.8 0.6 0.4 0.3 1 0.8 0.6 0.4 - -

    0.8 0 0.2 0.4 0.6 0.7 0 0.2 0.4 0.6 1.5 1

    0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 - 0.5

    0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5

    50 100 125 166 250 333 500 625 833 1250 Control

    Incubate for 15 minutes at 37oC

    Incubate for 45 minutes at 37oC (shake the suspension after 20 minutes)

    Serum

    dilution

    buffer

    Streptolysin O

    Erythrocyte

    Antistreptolysin O

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    Virus Neutralization

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    In vivo test

    Ag is of viral origin

    Uses live animals and very similar to animal

    protection test

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    In ovo test

    Same as in vivo test

    Differ in the host used

    Embryonated eggs are employed for theinoculation of virus and Ab mixture

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    Pock Reduction Test

    Pock reducing virus - titrated to produce a

    determinable number of pocks during a

    specific length of time in embryonated eggs

    and test serum prior to innoculation

    reduction in the number of pocks produced

    Indicator of the quantity of Ab present

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    In Tissue Culture

    Most viruses maybe cultured in one or more

    cell lines grown in monolayers on the surface

    of a test tube walls

    Cytopathogenic effect (CPE)

    Ab titer recorded as reciprocal of the serum

    dilution that will completely prevent the virus

    from altering the cell culture

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    Plaque Reduction Test

    Same as pock reduction testexcept done in

    tissue culture

    Reduction in plaque is proportional to the

    number of Ab present

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    Complement Fixation

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    Complement Fixation

    Detects the presence of complement fixing Ab

    (IgM and IgG) against soluble Ag

    Bacteriolytic System

    Hemolytic or Indicator System

    2 systems involved

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    Bacteriolytic System

    Ag and Ab (one of which is known) plus a

    pretitrated complement, incubated at 37

    degrees centigrade

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    Hemolytic or Indicator System

    Sensitized sheep RBC (coated with

    complement fixing anti-sheep RBC)

    Detects the presence of free or unattached

    complement which will lyse the sheep RBC

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    Positive complement fixation

    Principle:

    Ag and Ab (one of which is known) plus a

    fixed amount of pretitrated complement. If

    the Ag and Ab are specific for each other

    they will combine, the combination will take

    up (fix) the added complement

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    Positive Complement Fixation

    Soluble Ag

    Ab in patientsserum

    complement

    AgAbC

    complex

    Sensitized Redcells

    No lysis

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    Negative Complement fixation

    Principle:

    Addition of red cells sensitized with specific

    hemolysin. If complement has been fixed by the

    AgAb complex, none will be available for lysis ofthe sensitized red cells. If Ag and Ab are nor

    specific, one of them is lacking, complement

    remains free to attached to the sensitized red cell

    and lyse them

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    Negative Complement Fixation

    Soluble Ag

    (no Ab)

    Patients SerumComplement Free C

    Sensitized Red cells

    (hemolysin binds &

    activates C)

    lysis

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    Complement Fixation Testing

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