Indirect immunoperoxidase assay

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Indirect Immunoperoxidase Assay is a laboratory technique used in immunology and pathology to detect the presence of specific antibodies or antigens in a sample. This method combines the principles of immunohistochemistry (IHC) with the enzymatic activity of peroxidase, an enzyme that catalyzes the oxidation of substrates by hydrogen peroxide, resulting in a colored product that can be visualized under a microscope. The indirect immunoperoxidase assay is widely used for diagnostic purposes, including the identification of infectious agents, the detection of cancer markers, and the study of autoimmune diseases.

Principle[edit | edit source]

The indirect immunoperoxidase assay is based on the use of two antibodies: the primary antibody and the secondary antibody. The primary antibody is specific to the target antigen and binds directly to it. The secondary antibody, which is conjugated to peroxidase, recognizes and binds to the primary antibody. Upon addition of a substrate (such as DAB, 3,3'-Diaminobenzidine), the peroxidase enzyme catalyzes a reaction that produces a visible, colored precipitate at the site of antigen-antibody binding. This allows for the localization and visualization of the antigen within the tissue or cell sample.

Procedure[edit | edit source]

The procedure for an indirect immunoperoxidase assay involves several key steps:

  1. Sample preparation: Tissue or cell samples are fixed to preserve structure and antigenicity, then embedded in paraffin or frozen for sectioning.
  2. Deparaffinization and rehydration: Paraffin-embedded sections are treated with xylene and graded alcohols to remove paraffin and rehydrate the tissues.
  3. Antigen retrieval: Heat or enzymatic treatment is applied to unmask antigens, enhancing antibody binding.
  4. Blocking: Non-specific binding sites are blocked to prevent non-specific antibody binding.
  5. Primary antibody incubation: The sample is incubated with the primary antibody specific to the target antigen.
  6. Secondary antibody incubation: After washing, the sample is incubated with the peroxidase-conjugated secondary antibody.
  7. Substrate addition: The substrate for peroxidase is added, resulting in a colored precipitate at the site of antigen-antibody interaction.
  8. Counterstaining and mounting: The sample may be counterstained to highlight cell and tissue structures, then mounted for microscopic examination.

Applications[edit | edit source]

Indirect immunoperoxidase assays are utilized in various fields of biomedical research and clinical diagnostics, including:

  • Detection of specific proteins, viruses, or other antigens in tissues and cells.
  • Diagnosis of infectious diseases by identifying causative agents.
  • Identification of tumor markers in cancer diagnostics.
  • Investigation of autoimmune diseases by detecting autoantibodies or immune complexes.

Advantages and Limitations[edit | edit source]

The indirect immunoperoxidase assay offers several advantages, including high sensitivity and specificity, the ability to visualize antigen distribution within tissues, and the flexibility to use a wide range of primary antibodies. However, it also has limitations, such as the potential for non-specific staining and the requirement for skilled interpretation of results.

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Contributors: Prab R. Tumpati, MD