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Biology · Ch 7 — Human Health and Diseases

Antigen-Antibody Reaction

7.4

Antigen-Antibody Reaction

An antigen-antibody reaction is what happens the moment a matching antibody finds its target antigen. Because each antibody's binding site has a shape that complements one particular epitope on an antigen — much like a key fitting a specific lock — the two molecules bind together with high specificity, forming an antigen-antibody complex.

This binding can protect the body in several distinct ways. In neutralisation, the antibody simply covers the active, harmful part of a toxin or virus, stopping it from damaging host cells. In agglutination, antibodies cross-link multiple antigen-bearing particles (such as whole bacterial cells) into visible clumps, which are then more easily removed by phagocytic cells. In precipitation, antibodies cause soluble antigens to clump together and fall out of solution. In opsonisation, antibody coating marks a pathogen so that phagocytes recognise and engulf it more efficiently.

A everyday, easy-to-visualise example of an antigen-antibody reaction is ABO blood grouping: red blood cells carry antigens on their surface (the A and/or B antigens), and blood plasma naturally carries antibodies against whichever of these antigens is absent from a person's own cells. If blood of an incompatible group is transfused, the recipient's antibodies immediately bind the donor's red-cell antigens and cause visible clumping (agglutination) — which is exactly why blood group compatibility must always be checked before a transfusion.

Important

Because the antigen-antibody reaction is so specific and so easy to detect in a laboratory, it is the working principle behind many important diagnostic tests — including the rapid antigen tests and ELISA-based tests used to detect infections such as dengue, typhoid, HIV, and, more recently, SARS-CoV-2 (COVID-19), each covered later in this chapter. …