Protocol Prepare enough plates/wells to assay all serum samples in presence and absence of Urea, and include wells for assessing background signal.
Coat ELISA plates (Nunc Maxisorp, Fisher Scientific, UK) overnight at 4°C with 1 μg/ml antigen protein in 0.1M bicarbonate buffer pH 9.3. Wash plates three times in phosphate-buffered saline pH 7.4(PBS) with 0.05% Tween-20 (Sigma, UK) (PBST) and block for 60 minutes at room temperature with PBST/2% bovine serum albumin (BSA, Sigma). Wash plates three times with PBST and incubate with serum samples diluted 1/200 in PBST/1.0% BSA for two hours at room temperature.
After incubation with diluted serum, wash plates once with PBST and then incubate for 10 minutes at room temperature with PBST or PBST/7M Urea (see notes). Wash plates a further two times with PBST, incubate with alkaline-phosphatase conjugated goat anti-mouse IgG (Sigma) for one hour at room-temperature, wash three times with PBST and develop with pNPP substrate (Sigma) for one hour at room temperature. Measure absorbance at 405 nm.
Calculate the avidity index for each serum sample by dividing readings from 7M Urea treatment by readings from PBST-only treatment, after subtraction of background absorbance.
Notes This is a polyclonal serum IgG avidity assay using a chaotropic substance to destabilize the antibody/antigen interaction. Whilst Urea is commonly used in these assays, other chaotropes such as Sodium thiocyanate can be used if more suitable. Likewise, it is worth determining the most appropriate concentration of Urea to use for the particular antigen/antibody system. Perform a series of test avidity assays with varying concentrations of Urea treatment e.g. 5M, 7M and 9M, to determine the lowest Urea concentration that gives good discrimination with serum samples known to have differences in avidity.
Burton, B. R., Tennant, R. K., Love, J., Titball, R. W., Wraith, D. C. and White, H. N.(2018). Variant proteins stimulate more IgM+ GC B-cells revealing a mechanism of cross-reactive recognition by antibody memory. eLife. DOI: 10.7554/eLife.26832
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