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chapter 6







                                                  Serology and immunology


                   Susan C. Cork, M. Faizal Abdul Careem and M. Sarjoon Abdul-Cader





            6.1   Introduction                       of the principles of immunology, especially in
                                                     relation to the tests that are carried out in the
            Serology is the branch of laboratory medicine   diagnostic laboratory. In this chapter, we will
            that studies blood serum for evidence of infec-  present an overview of the immune response
            tion, particularly antibody-mediated immune   along with the laboratory tests most commonly
            response by evaluating antigen–antibody reac-  used at the district and regional level.
            tions in vitro. It includes the study of antibodies
            (or antigens) present in serum, although anti-
            bodies can also be detected in other body fluids  the immune response
            such as cerebrospinal fluid, saliva, milk and so
            on. A serology technician typically carries out   In simple terms, the immune response in
            techniques involving antigen–antibody reactions   animals can be divided into ‘specific’ and ‘non-
            that are highlighted and measured in different   specific’ components (Figure 6.1a) and these
            ways (for example, agar gel immunodiffusion,   two arms of the immune system are linked
            precipitation or agglutination tests, comple-  (Figure 6.1b). The ‘non-specific’ response refers
            ment fixation and so on). Serology, using paired   to a general defence against all invaders, which
            sera taken over a 1–2 week period (during acute   is also called the ‘natural’ or ‘innate’ immune
            phase and convalescent period) can be used to   response and is potent, quick to respond (hours
            detect current infections (that is, if a rising anti-  to days), broadly effective and lacks memory.
            body titre can be demonstrated) and can also be   The components involved in the non-specific
            used to indicate historical exposure to specific   immune system include the intact skin surface,
            antigens.                                intact mucous membranes and surface mucus,
              The broader study of immunology includes   which often contains immunoglobulin (IgA).
            serology as well as the evaluation of the cell-medi-  Non-specific macrophage engulfment of for-
            ated immune response (for example, as detected   eign material is also an important component
            in delayed-type hypersensitivity skin tests such   along with the process of inflammation, which
            as the tuberculin test). Research into the cause   involves heat, and the release of chemical media-
            and  treatment  of  cancer  and  immune-related   tors to attract phagocytic cells (see Figures 6.2a
            diseases in humans and animals has improved   and 6.2b). Recent discoveries show that natural
            our understanding of the cell-mediated immune   killer (NK) cells, type 1 interferon (IFN) and
            response. Laboratory technicians and veteri-  pathogen recognizing receptors such as toll-like
            nary staff should have a basic understanding    receptors (TLRs) are also essential contributors







       Vet Lab.indb   300                                                                  26/03/2019   10:26
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