ELISA (AQA AS Biology): Revision Note
Exam code: 7401
ELISA
- ELISA (Enzyme-Linked Immunosorbent Assay) uses antibodies to detect the presence and quantity of a specific antigen or antibody in a sample 
- In an ELISA test: - An enzyme is attached to antibodies 
- When this enzyme reacts with a certain substrate, a coloured product is formed, causing the solution in the reaction vessel to change colour 
- If a colour change occurs, this shows that the antigen or antibody of interest is present in the sample being tested (e.g. blood plasma) 
 
- There are different types of ELISA test: - Direct ELISA tests use a single antibody that is complementary to the antigen being tested for 
- Indirect ELISA tests use two different antibodies (known as primary and secondary antibodies) 
 
Example: indirect ELISA for HIV diagnosis
- An indirect ELISA test can be used to test whether a patient has antibodies to HIV: - HIV antigens are fixed to the bottom of the test well 
- Patient's blood plasma is added – if HIV-specific antibodies are present, they bind (primary antibodies) to the HIV antigens 
- The well is washed to remove unbound antibodies 
- Secondary antibodies with an enzyme attached are added – they bind to the primary antibodies 
- Another wash step removes unbound secondary antibodies - This step avoids a false-positive test 
 
- A substrate is added – if the enzyme is present, a colour change occurs 
- A colour change indicates the patient has HIV-specific antibodies, meaning they are infected with HIV 
 

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