Hemagglutining antibodies

Diagnostic procedures include dark-field microscopy12, non-treponemal exams10 (i.e., the Venereal Disease Laboratory and the rapid plasma reagin test), and treponemal exams (i.e., enzyme immunoassay, the T. pallidum hemagglutination test, the fluorescent treponemal antibody test, and the enzyme-linked immunosorbent assay). 

Apart from antibodies detected by (a) the schizont-infected red cell agglutination test, (b) the agglutination of sporozoites, (c) complement fixation, (d) passive hemagglutination and by the direct and indirect immunofluorescent methods [for review, see reference (V4)], malarial antibodies have also been detected by malarial antigens prepared from heavily infected human placenta, infected human brain, and short-term in vivo cultures of cells from heavily parasitized subjects (Wll) (see Tables 7 and 8). 

Alterations in the pattern of the serum immunoglobulin concentration in patients suffering from hydatid disease (human echinococcosis) occur mainly in the IgG and to a lesser extent in the IgM. Both complementfixing and hemagglutinating antibodies of human hydatid disease were also associated with the IgG and IgM (S7). 

When rabbits were immunized with the glycoconjugates suspended in Freund s complete adjuvant antibodies with specificity for the haptenic disaccharides were produced, as estimated in passive hemagglutination and complement-mediated bactericidal tests, and enzyme-linked immunosorbent assay (ELISA) (12-15). 

Methods for detection of anti-dsDNA include immunofluorescence, hemagglutination, radioimmunoassay (RIA), and enzyme-linked immunoassay (ELISA). Different methods may result in discrepant results due to the heterogeneous nature of the antibodies (S20). Numerous studies that compare methods conclude that no single test is perfect. It may be necessary to combine different methods for both higher sensitivity and higher specificity. The most commonly used methods for detecting anti-dsDNA are the CLIF test, the Farr assay, and the ELISA test. 

Forerunners of nonisotopic immunoassay had already appeared before radioimmunoassay was developed. For example, nephelometry is based on precipitation, which is known as the classical immune reaction, and the ideas of particle immunoassay and viroimmunoassay seem to have developed from the hemagglutination test. The principles of enzyme and fluorescence immunoassay had already been used as enzyme and fluorescence antibody techniques in histochemical analysis. In 1971, two groups reported use of an enzyme immunoassay (E5, V2). Leute et al. reported spin immunoassay, which has spurred recent development of nonisotopic immunoassays (L5). 

The O-phosphonomannan from Pichia pinus effectively inhibited hemagglutination and also precipitated with the lectin both in agar-gel double-diffusion and in solution.123 The flocculation profile was very similar to an antibody-antigen precipitin curve, and proceeded best at 20°, pH 6-8, and an ionic strength >0.1. 

Cleomiscosins A (9), B (10), and C (7), isolated from the seeds of Cleome viscosa, were shown to have immunomodulatory activity in vivo by Bawankule et al. (84). These coumarinolignans, at a dose of 10 mg kg body weight, enhanced the body immune function by significantly increasing the white blood cell count and hemagglutination antibody titer responses, by reducing the delayed-type hypersensitivity response towards rabbit red blood cells. The same group, led by Chattopadhyay, filed a patent on an immunomodulatory pharmaceutical composition, comprised of cleomiscosins isolated from the seeds of C. viscosa (85). 

ACE = angiotensin-converting enzyme ANA = antinuclear antibody ANCA = antineutrophil cytoplasmic antibody BUN = blood urea nitrogen CBC = complete blood count ELISA = enzyme-Mnked immunoassay assay ESR = erythrocyte sedimentation rate FTA-ABS = fluorescent treponemal antibody absorption HLA = human lymphocyte antigen MHA-TP = micro-hemagglutination-7re/ OMew pallidum-, PPD = purified protein derivative RPR = rapid plasma reagin VDRL = venereal disease reference laboratory. 

Nason, E. L., Wetzel, D., Mukheijee, S. K., Barton, E. S., Prasad, B. V. V., and Dermody, T. S. (2001). A monoclonal antibody specific for reovirus outer-capsid protein cr3 inhibits crl-mediated hemagglutination by steric hindrance./. Virol. 75, 6625-6634. 

In addition to the direct reaction of the antigen with antibody, techniques are available for performing indirect reactions. Antigens can be coupled chemically or via a tannic acid procedure to red blood cells. The antigen-coated erythrocytes in the presence of specific antibody then agglutinate (clump) as do red blood cells in the presence of antibody to the red blood cells (hemagglutination). 

---