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Ex. 28: HIV ELISA, AIDS Diagnostic Tool Human Immunodeficiency Virus (HIV) • First diagnosed in 1981 • Over 20 million deaths worldwide, over a half million in the United States • Over 40 million currently infected, over a million in the United States • Education effective in limiting the spread of HIV/AIDS ELISA Antibody Structure Review Enzyme-Linked Immunosorbant Assay ELISA tests are based on antibody molecules. Heavy chain Disulfide bonds Light chain Antigens HIV ELISA is an Indirect ELISA ELISA-HIV Test Detecting Antibodies in Serum •After 4-8 weeks of exposure to the HIV virus: body will have produced detectable level of antibodies against HIV •HIV-ELISA detects presence of serum antibodies against HIV protein antigens Step One Label wells and add antigen Label the 12-well strip: – First 3 wells: positive controls “+” – Next 3 wells: negative controls “-” – Remaining wells patient samples (3 wells for each patient) Transfer 50µl of purified antigen (AG) into all 12 wells Wait 5 minutes for the antigen to bind Microplate Strips • Microplate strips are made of polystyrene • Hydrophobic side chains in amino acids bind to the polystyrene wells WASH • Remove the liquid from the sample wells by tipping the microplate strip upside down and discarding the solution into a beaker. • Firmly tap the strip a few times upside down onto a paper towel. • Discard the paper towel. • Using a disposable transfer pipette almost fill the wells with wash buffer. • Remove the wash buffer following the procedure above. Always discard the used paper towels • Repeat the wash step Step Two Add controls and patient samples • Add 50 µl of positive control to 1st three wells • Add 50 µl of negative control to 2nd three wells • Add 50 µl of patient sample A to 3rd set of three wells • Add 50 µl of patient sample B to last 3 wells • Incubate at room temperature for 5 minutes. • Wash twice Wash Buffer • Wash buffer contains phosphate buffered saline (PBS) to keep ABs in stable environment that helps keep their structure • Also contains Tween 20: a nonionic detergent that helps to remove non-specifically bound proteins (reduces background) Step Three • Add 50 µl of the enzyme-linked secondary antibody to each well Add enzymelinked AB • Incubate at RT for 5 minutes. • 2° ab (enzyme-linked antibody) will only bind to primary ab (serum antibody) • 2° ab specifically recognizes constant region of 1° ab • In which wells do you predict this is happening? Step Four Add enzyme substrate • Wash the enzyme-linked secondary antibody from polystyrene wells as before • WASH 3X • Add 50µl of the enzyme substrate to each well • Incubate at room temperature for 5 minutes • Positive samples will begin to turn blue ELISA ANIMATION And . . . . one more ELISA animation Add purified ag to all the wells. Incubate for 5 min. Rinse ELISA Procedures Summary Add serum antibodies (patient samples) to the appropriate wells. Incubate for 5 min. Rinse Add the enzyme-linked antibody to all wells. Incubate for 5 min. Rinse Add enzyme substrate to all wells. Incubate for 5 min. Reagents Summary 1. Purified HIV Antigen 2. Primary antibody (Patient serum samples) 3. Secondary antibody: conjugated polyclonal anti-human antibodies made by goats. Conjugate is horseradish peroxidase (HRP) 4. Substrate for HRP: 3,3’,5,5’ – tetramethylbenzidine (TMB) – a colorless solution that turns blue when oxidized by HRP ELISA Kit Results Clear Determination Of Positive And Negative Results