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

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 enzymelinked AB

• Add 50 µl of the enzyme-linked secondary antibody to each well

• Incubate at room temperature for 5 minutes. • Secondary AB (enzyme-linked antibody) will only bind to primary AB (serum antibody) • Secondary AB specifically recognizes the constant region of the primary 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

Materials needed per table (serves 4 students) Items

Contents

Eppendorf tubes (labeled with patient’s initials) Eppendorf tube (labeled AG) Eppendorf tube (labeled +) Eppendorf tube (labeled -) Eppendorf tube (labeled SA) Eppendorf tube (labeled SUB) 12-well microplate strip 20 – 200 µl adjustable micropipette Appropriate tips for pipette Disposable plastic transfer pipettes Small empty beaker

Patient serum samples to be tested for antibodies (0.25 ml) Purified antigen (1.5 ml) Positive control (0.5 ml) Negative control (0.5 ml) Secondary antibody (1.5 ml) Substrate (1.5 ml)

70  80 ml wash buffer in beaker

Phosphate buffered saline (PBS) with 0.05% Tween 20

Paper towels Black marking pen Work as a table team

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