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ELISA test
Make it clearer
ELISA is the name of a laboratory method, not of a disease or a result. It is used to detect and measure immune reactions, that is, encounters between an antigen, the substance the body recognizes as foreign, and an antibody, the protein that binds to it.
It all happens inside a well, a small plastic dimple in a plate. The trick is that one of the two players is stuck to the bottom. Because it is anchored, everything else can be washed away: whatever did not bind leaves with the wash, and whatever did bind stays behind. In the most widely used version, the antigen is trapped between two antibodies, and the second one carries an enzyme hanging off it. The enzyme chooses nothing: it converts a substance and generates a signal, and the amount of that signal is proportional to how much antigen was in the sample.
If what you are after is the antibodies rather than the antigen, the setup is reversed: the antigen is stuck to the bottom and you see whether the antibodies in the sample latch onto it. That format is called an indirect ELISA, and it is the one usually used to detect antibodies against a virus.
In brief
ELISA is an immunoassay that uses an enzyme to detect and measure immune reactions.
The enzyme chooses nothing: it labels what is already stuck to the plate.
One component is bound to the plate well, so washing separates what is bound from what is free.
In the most common format the antigen sits between two antibodies, and the signal is proportional to its concentration.
In indirect ELISA the antigen is immobilized instead of the antibody, which is how antibodies against a virus are usually detected.
Sources (1)
- National Center for Biotechnology Information, StatPearls PublishingEnzyme-Linked Immunosorbent Assay (ELISA), StatPearlsPublished
This page explains the topic in general terms; it does not tell anyone what treatment to follow.
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