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304       Tissues and organs



             Monoclonal antibodies,                           or in vivo by producing ascites fluid in mice
             immunoassay                                      (6).


             A. Monoclonal antibodies                         B. Immunoassay

             Monoclonal antibodies (MABs) are secreted        Immunoassays are semiquantitative proce-
             by immune cells that derive from a single        dures for assessing substances with low con-
             antibody-forming cell (from a single cell        centrations. In principle, immunoassays can
             clone). This is why each MAB is directed         be used to assess any compound against
             against only one specific epitope of an immu-    which antibodies are formed.
             nogenic substance, known as an “antigenic           The basis for this procedure is the anti-
             determinant.” Large molecules contain several    gen–antibody “reaction”—i. e., specific binding
             epitopes, against which various antibodies are   of an antibody to the molecule being assayed.
             formed by various B cells. An antiserum con-     Among the many different immunoassay
             taining a mixture of all of these antibodies is  techniques that have been developed—e. g.,
             described as being polyclonal.                   radioimmunoassay (RIA), and chemolumines-
                To obtain MABs, lymphocytes isolated from     cence immunoassay (CIA)—a version of the
             the spleen of immunized mice (1)are fused        enzyme-linked immunoassay (EIA) is shown
             with mouse tumor cells (myeloma cells, 2).       here.
             This is necessary because antibody-secreting        The substance to be assayed—e. g., the hor-
             lymphocytes in culture have a lifespan of only   mone thyroxine in a serum sample—is pipet-
             a few weeks. Fusion of lymphocytes with tu-      ted into a microtiter plate (1), the walls of
             mor cells gives rise to cell hybrids, known as   which are coated with antibodies that specif-
             hybridomas, which are potentially immortal.      ically bind the hormone. At the same time, a
                Successful fusion (2) is a rare event, but the  small amount of thyroxine is added to the
             frequency can be improved by adding poly-        incubation to which an enzyme known as
             ethylene glycol (PEG). To obtain only success-   the “tracer” (1) has been chemically coupled.
             fully fused cells, incubation is required for an  The tracer and the hormone being assayed
             extended period in a primary culture with        competefor thesmall number of antibody
             HAT medium (3), which contains hypoxan-          binding sites available. After binding has
             thine, aminopterin, and thymidine. Amino-        taken place (2), all of the unbound molecules
             pterin, an analogue of dihydrofolic acid, com-   are rinsed out. The addition of a substrate
             petitively inhibits dihydrofolate reductase and  solution for the enzyme (a chromogenic solu-
             thus inhibits the synthesis of dTMP (see         tion) then triggers an indicator reaction (3),
             p. 402).AsdTMPisessential forDNA synthe-         the products of which can be assessed using
             sis, myeloma cells cannot survive in the pres-   photometry (4).
             ence of aminopterin. Although spleen cells          The larger the amount of enzyme that can
             areableto circumventthe inhibitory effect        bind to the antibodies on the container’s
             of aminopterin by using hypoxanthine and         walls, the larger the amount of dye that is
             thymidine, they have a limited lifespan and      produced. Conversely, the larger the amount
             die. Only hybridomas survive culture in HAT      of the substance being assayed that is present
             medium, because they possess both the im-        in the sample, the smaller the amount of
             mortality of the myeloma cells and the spleen    tracer that can be bound by the antibodies.
             cells’ metabolic side pathway.                   Quantitative analysis can be carried out
                Only a few fused cells actually produce       through parallel measurement using stan-
             antibodies. To identify these cells, the hybrid-  dards with a known concentration.
             omas have to be isolated and replicated by
             cloning (4). After the clones have been tested
             for antibody formation, positive cultures are
             picked out and selected by further cloning (5).
             This results in hybridomas that synthesize
             monoclonal antibodies. Finally, MAB produc-
             tion is carried out in vitro using a bioreactor,




           Koolman, Color Atlas of Biochemistry, 2nd edition © 2005 Thieme
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