
🔬Forum of Clinical Laboratories💉
February 7, 2025 at 08:47 PM
*The zone phenomenon in antigen-antibody (Ag-Ab) reactions refers to the effect of antigen or antibody concentration on the formation of immune complexes.*
- *It occurs in precipitation and agglutination reactions and is divided into three zones:*
*1. Prozone (Antibody Excess Zone)*
- There is an excess of antibodies compared to antigens.
- Antigens are unable to effectively cross-link with antibodies, leading to no visible precipitation.
*This can cause false-negative results in serological tests.*
*Dilution of the sample can correct this and reveal the reaction.*
*2. Equivalence Zone*
- The optimal ratio of antigen and antibody is present.
- Maximum cross-linking occurs, forming large lattice-like immune complexes, leading to visible precipitation.
*This is the ideal condition for precipitation and agglutination reactions.*
*3. Postzone (Antigen Excess Zone)*
- There is an excess of antigens compared to antibodies.
*The formation of immune complexes is hindered because antibodies get saturated with antigens, preventing proper lattice formation.*
- Like the prozone effect, this can also cause false-negative results in serological tests.
*Clinical Significance:*
- The prozone effect can lead to false-negative results in tests like VDRL (for syphilis) and agglutination assays.
- In cases of postzone, repeated testing after a few days (allowing antibody levels to rise) or diluting the sample can help achieve proper detection.
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