ELISA as a Diagnostic Tool — Influenza - Bio-Rad

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Transcript ELISA as a Diagnostic Tool — Influenza - Bio-Rad

ELISA Immuno Explorer

TM

Influenza Diagnostic Tool

ELISA Immuno Explorer

TM

Kit Influenza Diagnostic Tool Instructors

Stan Hitomi Coordinator – Principal – Math & Science Alamo School San Ramon Valley Unified School District Danville, CA Kirk Brown Lead Instructor, Edward Teller Education Center Science Chair, Tracy High School and Delta College, Tracy, CA Bio-Rad Curriculum and Training Specialists: Sherri Andrews, Ph.D.

[email protected]

Leigh Brown, M.A. [email protected]

Why Teach ELISA?

Hands-on Immunology

Tangible results

Laboratory extensions

Real-world connections

Link to careers and industry

Standards-based: One lesson integrates multiple standards

Health sciences

Immunology

Immune response – antibody/antigen interactions

Disease – infection, detection, transmission

ELISA Immuno Explorer Kit Advantages

Lab completed in a 45 min period

Supplies for 48 students (12 workstations)

Comprehensive and flexible curriculum

Compelling real-world links

Striking results

Cost effective

Classroom Safe

Workshop Time

Line

Introduction

R apid I nfluenza D iagnostic T est (RIDT)

Viruses, influenza, and H1N1

Ways the ELISA Immuno Explorer Kit can be used

Lab Scenario

A room full of sick people (you guys!)

Various symptoms

Coughing

Sneezing

Temperature

Other nasties! (what are you doing here, anyway?)

Question:

Is this the 2009-2010 pandemic H1N1?

Food poisoning?

Cholera?

Or lots of psychosomatic symptoms (because the person next to you is sick)?

Solution: Perform Rapid Influenza Diagnostic Test (RIDT)

RIDT is an ELISA that can be performed in the doctor’s office in less than 30 minutes

There are 3 RIDTs currently approved for use in the U.S.

ELISA E

nzyme-

L

inked

I

mmuno

s

orbant

A

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Immunoglobulin (IgG) Structure Disulfide bonds Heavy chain Light chain Influenza Antigens

RIDT detects viral antigens

1) Load samples & controls into wells Wash 2) Add primary antibody to all wells Wash 3) Add enzyme linked secondary antibody to all wells Wash 4) Add enzyme substrate to all wells

ELISA ANIMATION

Laboratory Quick Guide

For Protocol II

Steps 1 – 2 Label wells of microplate strip

• •

Obtain a microplate strip and “serum samples” Label the 12-well strip

First 3 wells: positive controls “+”

Next 3 wells: negative controls “-”

Remaining wells to identify test samples

Sample 1 Sample 2

Steps 3 – 6 Add controls and samples

• • • • •

Add 50 µl of positive control to the 3 (+) wells Using a fresh pipet tip, add 50 µl of negative control to the 3 (−) wells Using a fresh pipet tip, add 50 µl of sample 1 to the next 3 wells Using a fresh pipet tip, add 50 µl of sample 2 to the final 3 wells Incubate for 5 minutes

Microplate Strips

Microplate strips are made of polystyrene

Hydrophobic side chains of amino acids bind to the polystyrene wells

If flu antigen is present it will bind to the polystyrene, (+) control, and possibly in the unknown sample

Influenza species

(antigen types) 5 genera, but only 3 of interest to us Each genera has a single species!

• • •

Type A

Natural host: wild aquatic birds

Has serotypes (based on antibody response) Type B

Infects mostly humans (ferrets & seals can get it too)

Less common than Type A

Mutation rate 2-3x slower than type A, so less genetic diversity and more acquired immunity Type C

Infects humans, dogs, & pigs, but less common

Causes only mild disease

Steps 7 – 8 Wash plates

Remove sample from wells by firmly tapping the strip on a paper towel

Discard the top paper towel

Using a disposable transfer pipet, wash wells with wash buffer

Remove wash buffer from wells by firmly tapping the strip on a paper towel

Discard the top paper towel

Repeat wash step

Steps 9 – 10 Add primary antibody

Using a fresh pipet tip, add 50 µl of primary antibody to each well of the microplate strip

Incubate for 5 minutes

If any flu antigen bound to the well in previous step primary antibody will bind to antigen.

Wash Buffer

Wash buffer contains phosphate buffer saline (PBS) to keep antibodies in a stable environment that helps keep their structure

Also contains Tween 20: a nonionic detergent that removes non-specifically bound proteins and coats wells to act as a blocking agent to reduce background

Antibody will bind only to influenza antigens

Chemistry in action….

Or… Ask your friendly chemist…

about detergents.

DETERGENTS: …

are amphiphiles, containing a lipophilic portion and a hydrophilic portion.

lower the interfacial energy between unlike phases.

emulsify or solubilize aggregated particles.

I like fat!

I like water!

More about detergent terms

Lipophilic portion is also referred to as “hydrophobic” Hydrophilic referred to as “polar” head Types: nonionic, anionic, cationic and zwitterionic

Detergents: Ionic vs non ionic Denaturing vs non-denaturing Swords (denaturing): “pointy” hydrophobic ends, ionic polar ends Gloves (non denaturing): bulky, non penetrating hydrophobic ends, non-ionic or zwitterionic polar ends.

SDS Triton X-100

Steps 11 – 13 Wash & add enzyme-linked secondary antibody

• • • •

Wash unbound primary antibody from microplate wells as before Wash twice Add 50 µl of the enzyme-linked secondary antibody to each well Wait 5 minutes

Antibody Specificity

Secondary antibody (enzyme-linked antibody) will only bind to the primary antibody

Secondary antibody specifically recognizes the constant region of the primary antibody

Steps 14 – 15 Add enzyme substrate

• • • • •

Wash unbound enzyme-linked secondary antibody from microplate wells as before Wash THREE times Add 50 µl of the enzyme-linked substrate to each well Wait 5 minutes The positive samples will begin to turn blue

Results

Some positive by RIDT

Some negative

Did the controls work?

CDC guidelines for RIDTs

(+) for Flu B (+) for Flu A (-) for Flu A & B Detect and distinguish between Type A and Type B influenza viruses OR Detect Type A and Type B influenza viruses, but not tell them apart OR Detect Type A influenza virus

What about H1N1?

RIDT’s do not specifically from other Type A Flu viruses.

distinguish H1N1

Lab tests for H1N1/09

The most sensitive & specific laboratory tests are rRT-PCRs (real-time reverse transcriptase PCR)

rRT-PCRs detect viral RNA (very specific)

Cannot be performed in doctor’s office; 2-4 days to get results (test takes 6-8 hours)

The flu!

Influenza viruses are single-stranded RNA viruses

Family Orthomyxoviridae

Affect birds and mammals

3 types A, B, and C

2009 H1N1 is Type A

Influenza Type A

Roughly spherical virus, 80-120 nanometers

Viral envelope with 2 types of glycoprotein wrapped around central core

Core contains RNA genome and viral packaging proteins

Single-stranded (-)RNA virus; 8 RNA molecules encode 11 proteins

Influenza A viral proteins

H emagglutinen (HA)- viral glycoprotein that mediates binding of virus to target cell and entry of viral genome into that cell

N euraminidase (NA)- viral glycoprotein that allows release of progeny virus from infected cells

H & N? Sound familiar? (think H1N1)

16 HA subtypes – (H1-H16)

9 NA subtypes (N1-N9)

New human viruses

New human influenza viruses occur through:

Genetic reassortment within an existing human virus

Avian viruses developing capacity for human-to-human transmission

New influenza viruses may have novel HA proteins, with or without a novel NA proteins

Called antigenic shift

Novel antigens means that humans have no prior immunity

2009 Pandemic H1N1 Origins

Derived from several viruses circulating in swine

New strain is probably a result of the reassortment of two swine influenza viruses, one from North America and one from Europe

North American virus already carried an avian and a human gene.

The new H1N1 virus has genes from swine, avian, and human influenzas

Reassortments resulting in the current gene complement in the pandemic 2009 H1N1 virus.

Figure from Garten, RJ,

et al. 2009. Antigenic and Genetic Characteristics of Swine-Origin 2009 A(H1N1) Influenza Viruses Circulating in Humans.

Science 325

, 197-201.

Flu vaccines: What’s in them?

Each seasonal influenza vaccine contains 2 influenza A viruses and 1 influenza B virus.

Data is gathered from 94 countries and analyzed by 4 WHO centers (USA, UK, Australia, & Japan). WHO makes recommendations in February for vaccines for Northern Hemisphere.

Strains are selected based on forecasts about which are most likely to cause disease in the coming flu season.

Vaccine production

Manufacturers grow the 3 strains in eggs trivalent vaccine)

 •

It takes 6 months to grow sufficient quantities of virus for vaccine preparation

Novel H1N1 strain (H1N1/09) developed too late to be included in the annual influenza vaccine

H1N1 vaccine was prepared in the same way as the seasonal influenza vaccine just separately!

What are the reagents?

Purified antigen: Chicken gamma globulin Primary antibody: Polyclonal anti-chicken antibody made in rabbits Enzyme-linked secondary antibody: Polyclonal anti-rabbit antibody (made in goats) linked to horseradish peroxidase (HRP) Enzyme substrate: TMB (3,3’,5,5’-tetramethylbenzidine) - a colorless solution that turns blue when oxidized by HRP

Ways The ELISA Kit Can Be Used

Protocol I II III Type of ELISA Real-World Application Objectives Tracking outbreaks of disease Detecting antigens Detecting antibodies in serum HIV, Bird Flu and West Nile viruses, common cold, cholera, smallpox, anthrax, and STDs Pregnancy, drug, GMO and allergen tests Air food and water testing Influenza, HIV, smallpox, West Nile and Flu viruses HIV, Lyme disease, trichinosis, West Nile virus, and Flu virus Epidemiology, disease spread, public health Uses for antibodies in research, medicine, and consumer goods Detecting exposure to disease causing agents

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