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Class-Module 2
Class-Module 2
MODULE 2
Automated clinical analyzers – Biochemistry
analyzers
Clinical chemistry analyzers run assays on clinical samples
such as blood serum, plasma, urine, and cerebrospinal fluid to
detect the presence of analytes relating to disease or drugs.
How does a clinical analyzer work?
• Analyzers are highly automated to maximize throughput, to
improve user safety from biohazards, and to diminish the risk
of cross-contamination.
• Samples are loaded into the machine and tests are
programmed by the user. A probe measures an aliquot of
sample and places it into a reaction vessel. The RX daytona from Randox is a compact, fully automated
benchtop clinical chemistry analyzer suitable for use in small- to
• Reagents are added from an on-board refrigerated supply. medium-throughput laboratories.
DISADVANTAGE:
• Hazardous to the researcher due to the usage of radio isotopes
• Expensive instrumentation
• Radio isotopes have short shelf life
• Time consuming technique
ELISA (ENZYME LINKED
IMMUNOSORBENT ASSAY)
ELISA (ENZYME LINKED
IMMUNOSORBENT ASSAY)
The enzyme linked immunosorbent assay (ELISA) is a common laboratory technique used to measure the
concentration of an analyte (usually antibodies or antigens) in the body fluids to identify the type of
infection.
Enzyme activity is measured using colorimetry principle.
ELISA is also known as solid phase enzyme immune assay since it is performed on a solid phase
depending mainly on enzymes
It is used to detect and quantify the protein in a protein mixture
It is a labelled immunoassay as the antigen and antibody are labelled with the reporter enzyme
Detects antibodies in patient specimen
Examples:
• Home pregnancy tests
• HIV tests
• Tests for some coagulation factors, cytokines, and autoantibodies
METHODOLOGY OF ELISA
1. Add patient specimen to well coated with ligand
2. Add AHG with enzyme attached
3. Add substrate
4. Measure colour change
5. Colour change = patient has the antibody
1. The sample consist of different proteins and all these proteins are represented by different colours and
shapes.
2. For example, here we want to measure the green proteins in each sample and plot the graph of green
protein concentration in each sample.
3. The ELISA test is performed on a 96 wells polystyrene microtiter plate with straight bottom wells to stick
the proteins strongly to its surface.
4. When we add the samples to one of the wells, the proteins will stick to the surfaces of the plate after a
few minutes.
5. Now we add the specific detection antibody with its attached enzyme to the sample well and over time the
antibody gets attached to that specific proteins of its interest.
6. The remaining unbound antibodies are washed away.
7. Before adding the detection antibody, we need to add non reacting surface blocking proteins (BSA) to
avoid detection antibodies sticking to the surface resulting in wrong measurement.
8. Now to the sample, if we add a clear chemical, a blue colour change occurs due to its reaction with the
enzymes and again by adding some acid, the colour changes to yellow.
9. The enzyme produces a colour change which is used to measure the proteins.-
INDIRECT ELISA TECHNIQUE
In this method, we introduce two antibodies to the sample well.
The first antibody which binds to the protein is the primary detection antibody
The second antibody with the enzyme attached to it is the secondary detection antibody.
The primary antibody is prepared by Injecting the protein of our interest in an animal (mouse, monkey etc)
and let the animal’s immune system produce the antibody specific for that protein and extract it.
All the other process remains the same except the secondary detection antibody sticks to the its primary
detection antibody which in turn sticks to the protein of interest. The primary antibody made out from
some animal and the secondary antibody is species specific.
Advantages:
• More sensitive since the primary antibody can stick
to several secondary antibodies giving more
accurate results
• Less expensive than direct method.
SANDWICH ELISA TECHNIQUE
1. In this method, we introduce a capture antibody before we add the sample to the well.
2. The capture antibody sticks specifically to the protein of interest.
3. The capture antibody is the first thing to stick to the surface and the remaining unsticked antibodies are
washed away.
4. Then the empty spaces are filled by the blocking proteins.
5. Now when we add the sample, the proteins of our interest will only stick to the antibodies and the
remaing proteins are washed away.
6. The detection antibodies are then introduced after which we add the chemical and acid which produces
the colour changes for measurement like direct ELISA method.
4. During a disease outbreak, to evaluate the spread of the disease, e.g. during recent COVID-19
outbreak, rapid testing kits are being used to determine presence of antibodies in the blood sample.
CHEMILUMINESCENCE
CHEMILUMINESCENCE
Luminiscence Process:
Technique in which cold light can be emitted at low
temperature
The source kicks an electron of an atom out of its lowest
energy ground state into a higher energy excited state.
Electron returns to the ground state by emitting energy in the
form of light.
Chemiluminescence
Light emission due to a chemical reaction. Similar to
fluorescence, there are some molecules that, due to their
structure, can produce light rather than heat when they react
with other molecules.
Some immunological methods for measuring hormones and
tumour markers utilize a chemiluminescent molecule.
• After a selective antibody binds to the analyte in the patient’s specimen, the bound and unbound antibodies are
separated, and a second antibody linked to a chemiluminescent molecule is added.
• Once bound to the first antibody bound complex, a chemical is added to the mixture to generate a
chemiluminescent signal that is proportional to the amount of analyte in the sample.
• In a variation of this technique, the chemiluminescent signal is generated by pulsing the mixture with an
electrical current rather than through a chemical reaction. This method is called electrochemiluminescence
CHEMILUMINESCENCE
Unlike fluorescence spectroscopy, chemiluminescence’s energy
necessary to excite the analytes to higher electronic, vibrational, and
rotational states (from which they can decay be emission) does not come
from an external light source like a laser or lamp, the problem of
excitation source scattering is completely avoided.
They both give off a photon as an electron relaxes from a higher energy
state to a lower energy state, but the difference lies in the method used
to excite that electron to a higher energy state in the first place.
In fluorescence the electron is kicked up to a higher energy state by the
addition of a photon. In chemiluminescence the electron is in a high-
energy state due to the creation of an unstable intermediate in a
chemical reaction.
Light is released when the intermediate breaks down into the final
products of the reaction.
Process
Process includes emission of light with limited emission of heat as the result of a chemical reaction.
If [A] + [B] [◊] [products]+ Light
[A], [B]: Reactants
[◊]: Excited Intermediates
For eg: if [A] is luminol and [B] is hydrogen peroxide in the presence of a suitable catalyst we have :
Luminol+H2O2 3-APA [◊] 3-APA + Light
Where 3-APA is a 3-aminophthalate
3-APA [◊] is the excited state producing light as it decays to a lower energy level
CHEMILUMINESCENCE IMMUNOASSAY
ANALYZER (CLIA)
• Chemiluminescence immunoassays are used to estimate the analytes which have extremely low concentration in
the blood such as hormones, serological markers, drugs etc.
• It is a method to determine the concentration of samples according to the intensity of the luminescence that a
chemical reaction emits.
• High sensitivity, high throughput and economic way to quantitatively measure antigen in cell lysates, plasma,
urine, saliva, tissue and culture media samples
Applications:
• Thyroid function markers
• Tumour markers
• Diabetic marker
• Cardiac marker
BASIC PRINCIPLE OF CLIA
• A Chemiluminescent acridinium labelled conjugate is added which binds the immune complex to complete the reaction mixture
• After a period of time, the reaction mixture is again washed to remove the unbound materials.
• The reaction mixture incubates and analyte present in the sample binds to the corresponding capture molecules on the micro particles
forming the immunocomplex.
• A Magnet attracts the paramagnetic particles bound to the specific micro particle analyte to the wall of the reaction vessel.
• Washing is done to remove all the unbounded materials.
• A Chemiluminescent acridinium labelled conjugate is added which binds the immune complex to complete the reaction mixture
• After a period of time, the reaction mixture is again washed to remove the unbound materials.
CLIA
Add pre trigger which creates an acidic environment to prevent early release of energy or light emission.
• A direct relationship exits between the amount of antigen or antibody in the sample and the relative light units
detected by architect system optics.
• The generated signal is directly proportional to the concentration of analyte.
IMMUNOPRECIPITATION ( IP)
IMMUNOPRECIPITATION ( IP)
IP is a technique that is based on the principle of antibody-antigen interaction to enrich or isolate a protein
from biological samples to study its identity, structure, expression and post-translational modifications.
Variations of IP are used to study the interaction between the target protein (known as a bait) with other
proteins (via Co-IP) or nucleic acids (via Chromatin IP or RNA-IP).
In IP, an antibody is added first to a mixture containing an antigen, and incubated to allow antigen-
antibody complexes to form.
Subsequently, the antigen-antibody complexes are incubated with an immobilized antibody against the
primary antibody (secondary antibody) or with protein A/G-coated beads to allow them to absorb the
complexes.
The beads are then thoroughly washed, and the antigen is eluted from the beads by an acidic solution or
SDS.
If suitable antibody is not available, the target molecule is fused to a His tag or other tags by recombinant
DNA techniques, and immunoprecipitated using an antibody to the tag (pull-down assay)
IMMUNO FLOURESCENCE (IF)
IMMUNO FLOURESCENCE (IF)
Immunofluorescence (IF) is an important immunochemical technique that allows
detection and localization of a wide variety of antigens in different types of tissues of
various cell preparations.
PRIMARY (DIRECT)
Primary, or direct, immunofluorescence uses a single antibody that is chemically linked to a
fluorophore.
The antibody recognizes the target molecule and binds to it, and the fluorophore it carries can be
detected via microscopy. This technique has several advantages over the secondary (or indirect)
protocol below because of the direct conjugation of the antibody to the fluorophore.
This reduces the number of steps in the staining procedure making the process faster and can reduce
background signal by avoiding some issues with antibody cross-reactivity or non-specificity.
However, since the number of fluorescent molecules that can be bound to the primary antibody is
limited, direct immunofluorescence is less sensitive than indirect immunofluorescence.
SECONDARY (INDIRECT)
Secondary, or indirect, immunofluorescence uses two antibodies; the unlabeled first (primary) antibody
specifically binds the target molecule, and the secondary antibody, which carries the fluorophore,
recognizes the primary antibody and binds to it.
Multiple secondary antibodies can bind a single primary antibody. This provides signal amplification by
increasing the number of fluorophore molecules per antigen.
This protocol is more complex and time consuming than the primary (or direct) protocol above, but it
allows more flexibility because a variety of different secondary antibodies and detection techniques can be
used for a given primary antibody.
POLYMERASE CHAIN REACTION
(PCR)
POLYMERASE CHAIN REACTION (PCR)
Polymerase chain reaction (PCR) is a laboratory technique used to amplify DNA sequences. The method
involves using short DNA sequences called primers to select the portion of the genome to be amplified.
The temperature of the sample is repeatedly raised and lowered to help a DNA replication enzyme copy
the target DNA sequence. The technique can produce a billion copies of the target sequence in just a few
hours.
TAQ POLYMERASE
Like DNA replication in an organism, PCR requires a DNA polymerase enzyme that makes new strands of
DNA, using existing strands as templates.
The DNA polymerase typically used in PCR is called Taq polymerase, after the heat-tolerant bacterium from
which it was isolated (Thermus aquaticus).
T. aquaticus lives in hot springs and hydrothermal vents. Its DNA polymerase is very heat-stable and is most
active around 70 °\text C70°C70, °, start text, C, end text (a temperature at which a human or E. coli DNA
polymerase would be nonfunctional).
This heat-stability makes Taq polymerase ideal for PCR. As we'll see, high temperature is used repeatedly in
PCR to denature the template DNA, or separate.
PCR PRIMERS
Like other DNA polymerases, Taq polymerase can only make DNA if it's given a primer, a short sequence of
nucleotides that provides a starting point for DNA synthesis. In a PCR reaction, the experimenter determines
the region of DNA that will be copied, or amplified, by the primers she or he chooses.
PCR primers are short pieces of single-stranded DNA, usually around 202020 nucleotides in length. Two
primers are used in each PCR reaction, and they are designed so that they flank the target region (region that
should be copied).
That is, they are given sequences that will make them bind to opposite strands of the template DNA, just at
the edges of the region to be copied. The primers bind to the template by complementary base pairing.
When the primers are bound to the template, they can be extended by the polymerase, and the region that lies between
them will get copied.
THE STEPS OF PCR
The key ingredients of a PCR reaction are Taq polymerase,
primers, template DNA, and nucleotides (DNA building
blocks). The ingredients are assembled in a tube, along with
cofactors needed by the enzyme, and are put through
repeated cycles of heating and cooling that allow DNA to be
synthesized.
The basic steps are:
1. Denaturation (96 °\text C96°C96, °, start text, C, end text):
Heat the reaction strongly to separate, or denature, the DNA
strands. This provides single-stranded template for the next
step.
2. Annealing (555555 - 656565°\text C°C°, start text, C, end
text): Cool the reaction so the primers can bind to their
complementary sequences on the single-stranded template
DNA.
3. Extension (72 °\text C72°C72, °, start text, C, end text):
Raise the reaction temperatures so Taq polymerase extends
the primers, synthesizing new strands of DNA
This cycle repeats 252525 - 353535 times in a typical PCR reaction, which generally takes 222 - 444 hours,
depending on the length of the DNA region being copied. If the reaction is efficient (works well), the target
region can go from just one or a few copies to billions.
That’s because it’s not just the original DNA that’s used as a template each time. Instead, the new DNA
that’s made in one round can serve as a template in the next round of DNA synthesis. There are many
copies of the primers and many molecules of Taq polymerase floating around in the reaction, so the number
of DNA molecules can roughly double in each round of cycling. This pattern of exponential growth is
shown in the image below.
RT-PCR INSTRUMENTATION
RT-PCR
WHAT IS REAL TIME RT–PCR?
It is a technique used to monitor the progress of a PCR reaction in real-time.
At the same time, a relatively small amount of PCR product (DNA, cDNA or RNA) can be quantified.
It is based on the detection of the fluorescence produced by a reporter molecule which increases, as the
reaction proceeds.
It is also known as a quantitative polymerase chain reaction (qPCR), which is a laboratory technique of
molecular biology based on the polymerase chain reaction (PCR).
qPCR is a powerful technique that allows exponential amplification of DNA sequences.
A PCR reaction needs a pair of primers that are complementary to the sequence of interest. Primers are
extended by the DNA polymerase.
The copies produced after the extension, so-called amplicons, are re-amplified with the same primers
leading thus to exponential amplification of the DNA molecules.
After amplification, however, gel electrophoresis is used to analyze the amplified PCR products and this
makes conventional PCR time consuming; since the reaction must finish before proceeding with the post-
PCR analysis. Real-Time PCR overcomes this problem.
The term “real-time” denotes that it can monitor the progress of the amplification when the process is going
on in contrast to the conventional PCR method where analysis is possible only after the process is
completed.
PRINCIPLE OF REAL TIME PCR
This same principle of amplification of PCR is employed in real-time PCR. But instead of looking at bands
on a gel at the end of the reaction, the process is monitored in “real-time”. The reaction is placed into a real-
time PCR machine that watches the reaction occur with a camera or detector.
Although many different techniques are used to monitor the progress of a PCR reaction, all have one thing in
common. They all link the amplification of DNA to the generation of fluorescence which can simply be
detected with a camera during each PCR cycle. Hence, as the number of gene copies increases during the
reaction, so does the fluorescence, indicating the progress of the reaction.
A. AMPLIFICATION
Denaturation
High temperature incubation is used to “melt” double- stranded DNA into single strands and loosen secondary structure
in single-stranded DNA. The highest temperature that the DNA polymerase can withstand is typically used (usually
95°C). The denaturation time can be increased if template GC content is high.
Annealing
During annealing, complementary sequences have an opportunity to hybridize, so an appropriate temperature is used that
is based on the calculated melting temperature (Tm) of the primers(5°C below the Tm of the primer).
Extension
At 70-72°C, the activity of the DNA polymerase is optimal, and primer extension occurs at rates of up to 100 bases per
second. When an amplicon in real-time PCR is small, this step is often combined with the annealing step using 60°C as
the temperature.
B. DETECTION
The detection is based on fluorescence technology.
The specimen is first kept in proper well and subjected to thermal cycle like in the normal PCR.
The machine, however, in the Real Time PCR is subjected to tungsten or halogen source that lead to fluoresce the marker
added to the sample and the signal is amplified with the amplification of copy number of sample DNA.
The emitted signal is detected by an detector and sent to computer after conversion into digital signal that is displayed on
screen.
The signal can be detected when it comes up the threshold level (lowest detection level of the detector).
ELECTROPHORESIS
ELECTROPHORESIS
Electrophoresis is the essential physical laboratory technique of analysis of nucleic acids. It involves the
compounds which can acquire electric charge in conducting electrodes. It is basically the movement of
charged particles under the influence of an external electric field.
This technique is used for the separation and analysis of nucleic acids i.e., DNA, RNA, and for proteins. The
separation is based on the size, charge, density, and purity of molecules.
PRINCIPLE OF ELECTROPHORESIS
Electrophoresis is defined as the migration of charged particles, under the influence of an electric field at a
definite pH.
In a mixture of proteins, each protein with its electrical charge will move differently in an electric field.
This electrophoretic mobility depends on the pH of the medium, strength of the field, net charge of the
molecule and size/shape of the molecule.
Electrophoresis is used for the analysis of large molecules (proteins and nucleic acids) and simpler charged
molecules (peptide, simpler ions).
APPLICATIONS OF ELECTROPHORESIS
Sizing of nucleic acid molecules
DNA fragmentation for southern blotting
RNA fragmentation for northern blotting
Protein fragmentation for western blotting
Analytical separation of PCR products
Detection and analysis of mutations or variations in sequences.
TYPES OF ELECTROPHORESIS
Paper electrophoresis
Zone Electrophoresis
Continuous Electrophoresis
Agarose gel electrophoresis
Polyacrylamide (PAGE)
Pulsed Field Electrophoresis
Capillary Electrophoresis
Routine Electrophoresis
CHROMATOGRAPHY
CHROMATOGRAPHY
Chromatography is an important biophysical technique that enables the separation, identification, and
purification of the components of a mixture for qualitative and quantitative analysis.
CHROMATOGRAPHY PRINCIPLE
Chromatography is based on the principle where molecules in mixture applied onto the surface or into the
solid, and fluid stationary phase (stable phase) is separating from each other while moving with the aid of a
mobile phase.
The factors effective on this separation process include molecular characteristics related to adsorption
(liquid-solid), partition (liquid-solid), and affinity or differences among their molecular weights.
Because of these differences, some components of the mixture stay longer in the stationary phase, and they
move slowly in the chromatography system, while others pass rapidly into mobile phase, and leave the
system faster.
Based on this approach three components form the basis of the chromatography technique.
• Stationary phase: This phase is always composed of a “solid” phase or “a layer of a liquid adsorbed on the
surface a solid support”.
• Mobile phase: This phase is always composed of “liquid” or a “gaseous component.”
• Separated molecules
Chromatography methods based on partition are very effective on separation, and identification of
small molecules as amino acids, carbohydrates, and fatty acids.
However, affinity chromatographies (ie. ion-exchange chromatography) are more effective in the
separation of macromolecules as nucleic acids, and proteins.
GAS CHROMATOGRAPHY
GAS CHROMATOGRAPHY
GAS CHROMATOGRAPHY
Chromatography is a technique that separates components in a mixture by the difference in
partitioning behavior between mobile and stationary phases. Gas chromatography (GC) is one of the
popular chromatography techniques to separate volatile compounds or substances. The mobile phase
is a gas such as helium, and the stationary phase is a high-boiling liquid that is adsorbed on a solid.
Because of its simplicity, high sensitivity, and the ability to effectively separate mixtures, gas
chromatography has become one of the most important tools in chemistry.
THE PRINCIPLE OF GAS CHROMATOGRAPHY
Components in the mixture are distributed between two phases, one of which is a stationary phase,
and the other is a mobile phase gas, or carrier gas, that carries the mixture through the stationary
phase. Compounds in the mobile phase interact with the stationary phase as they pass through. Due to
the differences in properties and structures of each component, the size and affinity of each
interaction with the stationary phase are different. Therefore, under the same driving force, the
retention time of different components differs in the column, thus moving out of the column in
different orders.
Applications
GC analysis is used to calculate the content of a
chemical product, for example in assuring the quality
of products in the chemical industry; or measuring
toxic substances in soil, air or water.
Gas chromatography is used in the analysis of:
(a) air-borne pollutants
(b) performance-enhancing drugs in athlete’s urine
samples
(c) oil spills
(d) essential oils in perfume preparation
GC is very accurate if used properly and can
measure picomoles of a substance in a 1 ml liquid
sample, or parts-per-billion concentrations in gaseous
samples.
Gas Chromatography is used extensively in forensic
science. Disciplines as diverse as solid drug dose (pre-
consumption form) identification and quantification,
arson investigation, paint chip analysis, and toxicology
cases, employ GC to identify and quantify various
biological specimens and crime-scene evidence.
HIGH PERFORMANCE LIQUID
CHROMATOGRAPHY
HIGH PERFORMANCE LIQUID
CHROMATOGRAPHY
High performance liquid chromatography or commonly known as HPLC is an analytical technique used to
separate, identify or quantify each component in a mixture.
The mixture is separated using the basic principle of column chromatography and then identified and
quantified by spectroscopy.
In the 1960s the column chromatography LC with its low-pressure suitable glass columns was further
developed to the HPLC with its high-pressure adapted metal columns.
HPLC is thus basically a highly improved form of column liquid chromatography. Instead of a solvent being
allowed to drip through a column under gravity, it is forced through under high pressures of up to 400
atmospheres.
• Analysis of drugs
• Analysis of synthetic polymers
• Analysis of pollutants in environmental analytics
• Determination of drugs in biological matrices
• Isolation of valuable products
• Product purity and quality control of industrial products and fine chemicals
• Separation and purification of biopolymers such as enzymes or nucleic acids
• Water purification
• Pre-concentration of trace components
• Ligand-exchange chromatography
• Ion-exchange chromatography of proteins
• High-pH anion-exchange chromatography of carbohydrates and oligosaccharides
PAPER CHROMATOGRAPHY
PAPER CHROMATOGRAPHY
What Is Paper Chromatography?
Chromatography technique that uses paper sheets or strips as the adsorbent being the stationary
phase through which a solution is made to pass is called paper chromatography. It is an inexpensive
method of separating dissolved chemical substances by their different migration rates across the
sheets of paper. It is a powerful analytical tool that uses very small quantities of material. Paper
chromatography was discovered by Synge and Martin in the year 1943.