| ADRENAL AUTOIMMUNITY |
| Autoimmune
destruction of the adrenal cortex is the most common cause of Addison's
disease. The adrenal specific enzyme steroid 21-hydroxylase (21-OH)
is a major adrenal autoantigen and autoantibodies to 21-OH are important
markers of autoimmune adrenal disease. This is the case whether the
disease presents as isolated Addison's disease or as part of the autoimmune
polyglandular syndromes (APS) type I or type II. |
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21-OHAb RIA Kit (50
or 100 tubes)Technical
information
RSR's assay for 21-OH autoantibodies is based on highly purified,
125I-labelled, recombinant human 21-OH. In the assay,
test serum samples are first incubated with 125I-labelled
21-OH. This is followed by the addition of solid phase protein A
to precipitate labelled 21-OH-21-OH antibody complexes. After centrifugation,
the precipitates are counted for 125I and the amount
of radioactivity in the precipitates is proportional to the concentration
of 21-OH antibody in the test sample. |
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| ISLET CELL AUTOIMMUNITY |
| Type
1 diabetes mellitus is characterised by islet cell autoimmunity and
several different islet cell autoantibodies are important in the diagnosis
and management of this disease. These include autoantibodies to glutamic
acid decarboxylase (GAD), to IA2 and to insulin. A combination of
these assays allows assessment of the risk of an individual developing
type 1 diabetes. |
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GADAb ELISA Kit (96
wells)Technical information
RSR has developed a new highly sensitive and specific GADAb ELISA.
ELISA plate wells are coated with GAD and after incubation with
test sera, antibodies monovalently bound to the coated wells are
detected by addition of GAD-biotin. The biotinylated antigen binds
to the free second antigen binding sites of bound autoantibodies.
Streptavidin peroxidase and the substrate TMB are then used to quantitate
bound biotinylated antigen with the final absorbance reading being
proportional to the amount of autoantibody in the test sample |
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IA-2Ab ELISA Kit (96
wells)Technical information
RSR has also developed a new highly sensitive and specific IA-2Ab
ELISA using the same principle as the RSR GADAb ELISA. ELISA plate
wells are coated with IA-2 and after incubation with test sera,
antibodies monovalently bound to the coated wells are detected by
addition of IA-2-biotin. The biotinylated antigen binds to the free
second antigen binding sites of bound autoantibodies. Streptavidin
peroxidase and the substrate TMB are then used to quantitate bound
biotinylated antigen with the final absorbance reading being proportional
to the amount of autoantibody in the test sample |
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2 Screen ICA ELISA
Kit (96 wells)Technical
information
In addition to GADAb and IA-2Ab ELISAs RSR has developed a highly
sensitive and specific 2 Screen GAD/IA-2 Ab ICA ELISA which detects
both GADAb and IA-2Ab simultaneously. ELISA plate wells are coated
with a mixture of GAD and IA-2 and after incubation with test sera,
antibody monovalently bound to the coated wells is detected by addition
of GAD/IA-2-biotin. The biotinylated antigens bind to the free second
antigen binding sites of the divalent autoantibodies. Streptavidin
peroxidase and the substrate TMB are then used to quantitate bound
biotinylated antigen with the final absorbance reading being proportional
to the amount of autoantibodies in the test sample. |
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GADAb RIA Kit (50 or
100 tubes)Technical
information
In RSR's GAD autoantibody assay, test serum samples are incubated,
first with 125I-labelled human recombinant GAD 65. This
is followed by addition of solid phase protein A to precipitate
the labelled GAD-GAD antibody complexes. After centrifugation, the
precipitates are counted for 125I and the amount of radioactivity
in the precipitate is proportional to the concentration of GAD antibody
in the test sample. |
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IA-2Ab RIA Kit (50
or 100 tubes)Technical
information
In RSR's IA-2Ab assay, test serum samples are incubated first with
125I-labelled human recombinant IA-2. This is followed
by addition of solid phase protein A to precipitate the labelled
IA-2-IA-2 antibody complexes. After centrifugation, the precipitates
are counted for 125I and the amount of radioactivity
in the precipitate is proportional to the concentration of IA-2
antibody in the test sample. |
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IAA RIA Kit (50 or
100 tubes)Technical
information
In RSR's Insulin antibody (IAA) assay, test serum samples are incubated
first with 125I-(A14)-monoiodinated insulin. This is
followed by addition of anti-human IgG to precipitate any labelled
Insulin-Insulin antibody complexes which have formed. After centrifugation,
the precipitates are counted for 125I and the amount
of radioactivity in the precipitate is proportional to the concentration
of IAA in the test sample. |
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| NEUROIMMUNOLOGY |
| Muscle
weakness in myasthenia gravis (MG) is due to autoantibodies to the
acetylcholine receptor (AChR) and the presence of acetylcholine receptor
antibodies (AChRAb) in patient sera is diagnostic for MG. The presence
of autoantibodies to aquaporin-4 (AQP4) is diagnostic for Neuromyelitis
optica (NMO), an immune-mediated neurological disease that affects
the spinal cord and optic nerves. Lambert-Eaton myasthenic syndrome
(LEMS) is a different form of MG (often associated with small cell
lung cancer) in which autoantibodies are directed against voltage
gated calcium channels (VGCCs). |
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AChRAb RIA Kit (25,
50 or 100 tubes)Technical
information
A carefully balanced mixture of detergent solubilised foetal and
adult forms of the AChR is the optimum preparation for AChRAb assays.
Consequently a mixture of these 2 receptors labelled with 125I-labelled
alpha bungarotoxin provides the basis for RSR's AChRAb assay kit.
In the assay, labelled receptors are incubated with test sera and
any resulting complex of labelled receptor and receptor antibody
immunoprecipitated with anti-human IgG. The higher the concentration
of autoantibody, the greater the amount of radioactivity precipitated.
The kit is easy to use and provides a specific and sensitive assay,
being able to detect AChRAb in 80-90% of patients with myasthenia
gravis. |
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AChRAb ELISA Kit (96
wells)Technical
information
The AChRAb ELISA depends on the ability of AChRAb in human serum
to bind to similar sites on the AChR as various monoclonal antibodies
such as MAb1 (coated on ELISA plate wells) and/or MAb2 and/or MAb3
(which are both labelled with biotin). In the absence of AChRAb
a complex is formed between MAb1 coated on the plate wells, the
AChR and MAb2 biotin and MAb3 biotin. MAb2 and MAb3 biotin bound
are then detected by addition of streptavidin peroxidase (SAPOD),
substrate (TMB) and stop solution. In the presence of AChRAb the
formation of the MAb-1-AChR-MAb2/MAb3 biotin complex is inhibited,
resulting in less SAPOD being bound and a reduction in final absorbance
at 450nm. The higher the concentration of AChRAb in the test serum,
the greater the inhibition of MAb biotin binding. |
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AQUAPORIN-4 (AQP4)Ab
ELISA KIT (96 wells) Technical
information
The AQP4Ab ELISA depends on the ability of AQP4 antibodies in human
serum to bind to AQP4 coated onto ELISA plate wells. Bound antibodies
are detected by adding biotinylated AQP4 which, due to the divalent
nature of antibodies can interact with bound AQP4 antibodies. The
amount of biotinylated AQP4 bound is then determined by addition
of streptavidin peroxidase (SA-POD), substrate (TMB) and stop solution.
The higher the concentration of antibody in the test serum, the
higher the absorbance. The kit is easy to use and provides a specific
and sensitive assay, being able to detect AQP4 Ab in about 90% of
patients with Neuromyelitis optica. |
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LEMS RIA Kit (12 or
25 tubes) Technical
information
The assay depends on the use of detergent solubilised P-type VGCCs
extracted from rabbit cerebellum and labelled with 125I-labelled
w-conotoxin MVIIC. The 125I-labelled P-type VGCCs are
then incubated with test sera and the resulting complexes immunoprecipitated
with anti-human IgG. The higher the concentration of autoantibody,
the greater the amount of radioactivity precipitated. Non-specific
binding in the assay is determined using a preparation of VGCCs
supplied in the kit which have been labelled with 125I-conotoxin
in the presence of an excess of unlabelled conotoxin. |
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VGKC Ab RIA Kit (25 tubes)
Technical information
The assay involves the use of detergent solubilised VGKCs extracted
from rabbit brain tissue, complexed with labelled 125I-alpha-dendrotoxin.
The 125I-labelled VGKCs are then incubated with test sera
overnight, and the resulting antigen-antibody complexes are immunoprecipitated
with anti-human IgG. The higher the concentration of VGKC autoantibody,
the greater the amount of radioactivity precipitated. |
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| THYROID AUTOIMMUNITY |
There
are 3 different autoantibodies important in the diagnosis and management
of autoimmune thyroid disease:
a) TSH receptor autoantibodies (TRAb) -
These autoantibodies are responsible for a common form
of thyroid overactivity known as Graves' disease and in this condition
the antibodies bind to the receptor for thyroid stimulating hormone
(TSH) and mimic the effects of TSH in an uncontrolled way. Clinically,
the measurement of TRAb is important to distinguish Graves' disease
from other forms of thyroid dysfunction such as toxic nodular goitre
and to monitor treatment of Graves' disease. TRAb measurement is
also indicated for pregnant patients with a history of thyroid disease
in order to assess the risk of the neonate developing thyroid disease.
|
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TRAb Coated Tube RIA
Kit (60 or 100 tubes) Technical
information
TSH receptor autoantibodies in patients' sera are allowed to interact
with TSH receptor coated onto plastic tubes. Bound TRAb are detected
by their ability to inhibit the binding of 125I-labelled
TSH to the receptor coated tubes and TRAb levels are read off a
standard curve or expressed as an inhibition index. |
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TRAb RIA Kit (50 or
100 tubes) Technical
information
TRAb inhibit the binding of 125I-labelled TSH to detergent
solubilised TSH receptors in a dose dependent way and bound and
free labelled TSH separated by PEG precipitation. TRAb levels are
read off a standard curve or expressed as an inhibition index. |
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TRAb ELISA Kit (96
wells)Technical
information
TSH receptor autoantibodies in patients' sera are allowed to interact
with TSH receptor coated onto ELISA plate wells. Bound TRAb are
detected by their ability to inhibit the binding of TSH (in the
form of TSH-Biotin) to the receptor coated wells. The amount of
TSH-Biotin bound is then monitored by addition of streptavidin peroxidase
and the peroxidase substrate tetramethyl benzidine. TRAb levels
are expressed as an inhibition of TSH binding index or read off
a standard curve. A new version of the TRAb ELISA uses competition
between patient sera TRAb and a thyroid stimulating human monoclonal
antibody (M22) for TSH receptor coated onto ELISA plate wells. This
third generation TRAb ELISA displays excellent sensitivity. Furthermore
another version of the TRAb ELISA assay is now available, RSR’s
Fast TRAb ELISA. In this assay M22 is coupled directly to peroxidase
allowing fewer steps and shorter assay time. |
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| (b
& c) Autoantibodies to thyroid peroxidase (TPO) and to thyroglobulin
(Tg) - Graves' disease is only one form of autoimmune thyroid
disease and a similar proportion (about 1%) of the world's population
suffers from thyroid under-activity associated with thyroid autoimmunity.
In this disease (a common form of which is Hashimoto's disease), thyroid
destruction is associated with the presence of autoantibodies to two
other thyroid proteins - thyroid peroxidase (TPO) and thyroglobulin
(Tg). RSR produces several different isotopic and non-isotopic kits
for measuring autoantibodies to TPO and to Tg; they all show high
sensitivity, good precision and no cross-reactivity with other autoantibodies.
|
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TgAb Coated Tube RIA
Kit (100 tubes) Technical
information
The TgAbCT kit uses tubes coated with Tg antibody and the autoantibodies
in patient serum samples inhibit the binding of 125I-labelled
Tg to the coated tube. The assay procedure is simple and involves
only one incubation of undiluted serum and tracer in the coated
tubes. |
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TgAb Direct RIA Kit
(50, 100 or 500 tubes) Technical
information
This method is based on the direct interaction between the autoantibodies
and 125I-labelled Tg and is one of a generation of quantitative
assays which have the following features: high sensitivity, flexible
design, high precision, easy handling, high specificity, no interference
from other antibodies. Studies with different groups of patients
show that the direct assays are of greater diagnostic value than
less sensitive methods. |
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TgAb Magnetic RIA
Kit (100 tubes) Technical
information
This method is based on the direct interaction between the autoantibodies
and 125I-labelled Tg, with separation of the labelled
complex using protein A coupled to a magnetic solid phase. The assay
offers a high sensitivity, specificity and precision along with
simple use and short incubation times. |
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TPOAb Coated Tube
RIA Kit (100 tubes) Technical
information
The TPOAbCT kit uses tubes coated with an antibody to TPO and the
autoantibodies in patient serum samples inhibit the binding of 125I-labelled
TPO to the coated tube. The assay procedure is simple and involves
only one incubation of undiluted serum and tracer in the coated
tubes. |
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TPOAb Direct RIA Kit
(50, 100 or 500 tubes) Technical
information
This method is based on the direct interaction between the autoantibodies
and 125I-labelled TPO and one of a generation of quantitative
assays which have the following features: high sensitivity, flexible
design, high precision, easy handling, high specificity, no interference
from other antibodies. Studies with different groups of patients
show that the direct assays are of greater diagnostic value than
less sensitive methods. |
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TPOAb
Magnetic RIA Kit (100 or 200 tubes) Technical
information
This method is based on the direct interaction between the autoantibodies
and 125I-labelled TPO, with separation of the labelled
complex using protein A coupled to a magnetic solid phase. The assay
offers a high sensitivity, specificity and precision along with
simple use and short incubation times. |
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| REAGENTS - |
|
RSR
reagents are available to assist you with your research or manufacturing. |
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Recombinant Human TPO
(freeze-dried or in frozen solution) Specification
|
| Thyroid Stimulating Human Monoclonal Antibody
M22 IgG (freeze-dried) Specification |
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