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ELISA Principles and Types

Jun 19, 2025

Overview

This lecture covers the principles and steps of the ELISA (Enzyme-Linked Immunosorbent Assay) technique, its types, and an example of how it is used to diagnose HIV infection.

What is ELISA?

  • ELISA stands for Enzyme-Linked Immunosorbent Assay.
  • The technique uses antibodies to detect the presence and amount of a specific antigen or antibody in a sample.
  • An enzyme is attached to an antibody, and a color change upon substrate reaction indicates a positive result.

Types of ELISA

  • Direct ELISA uses a single antibody complementary to the antigen being tested.
  • Indirect ELISA uses two antibodies: a primary antibody that binds the antigen, and a secondary antibody with an enzyme attached.

Example: Indirect ELISA for HIV Diagnosis

  • HIV antigens are fixed to the bottom of a test well.
  • The patient’s blood plasma is added; if HIV-specific antibodies (primary) are present, they bind to the antigens.
  • The well is washed to remove unbound antibodies.
  • Secondary antibodies with enzymes are added, binding to any primary antibodies present.
  • Another wash removes unbound secondary antibodies, reducing false positives.
  • A substrate is added; if the enzyme is present, a color change occurs.
  • A color change indicates the presence of HIV antibodies, confirming HIV infection.

Key Terms & Definitions

  • ELISA β€” A laboratory test to detect and measure antigens or antibodies using enzyme-linked antibodies.
  • Antigen β€” A substance that induces an immune response, often a protein on a pathogen.
  • Antibody β€” A protein produced by B-cells that specifically binds to an antigen.
  • Substrate β€” A molecule on which an enzyme acts, causing a detectable signal (color change).
  • Primary Antibody β€” The first antibody that binds directly to the target antigen.
  • Secondary Antibody β€” Binds to the primary antibody and typically has an enzyme attached.

Action Items / Next Steps

  • Review the steps of both direct and indirect ELISA.
  • Practice drawing or interpreting flow diagrams for ELISA procedures.
  • Prepare for exam questions on the use of ELISA for disease diagnosis, especially HIV.