UPSC MainsMEDICAL-SCIENCE-PAPER-I202210 Marks
Q9.

Explain the principle and applications of radioimmunoassay.

How to Approach

This question requires a detailed explanation of radioimmunoassay (RIA). The answer should begin by defining RIA and outlining its underlying principles, focusing on the competitive binding assay. It should then elaborate on the steps involved, the reagents used, and the instrumentation required. Finally, the answer must comprehensively cover the diverse applications of RIA in medical diagnostics, research, and quality control. A structured approach, utilizing headings and subheadings, will enhance clarity and readability.

Model Answer

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Introduction

Radioimmunoassay (RIA), developed by Rosalind Yalow and Solomon Berson in 1956 (for which Yalow received the Nobel Prize in Physiology or Medicine in 1977), is a highly sensitive in vitro assay used to measure the concentration of substances, typically antigens, in biological fluids. It revolutionized biomedical research and diagnostics by enabling the quantification of hormones, vitamins, drugs, and other biologically active molecules in minute quantities. RIA is based on the principle of competitive binding, utilizing radioactively labeled antigens and antibodies to detect and quantify unlabeled antigens present in a sample.

Principle of Radioimmunoassay

The core principle of RIA is a competitive binding assay. This involves competing between a known amount of radiolabeled antigen (tracer) and an unknown amount of unlabeled antigen (sample antigen) for a limited number of antibody binding sites. The amount of radiolabeled antigen bound to the antibody is inversely proportional to the concentration of unlabeled antigen in the sample. Higher concentrations of unlabeled antigen mean less radiolabeled antigen will bind.

Steps Involved in Radioimmunoassay

  1. Incubation: A known amount of radiolabeled antigen and a known amount of antibody are incubated with the sample containing the unlabeled antigen.
  2. Competitive Binding: The unlabeled antigen in the sample competes with the radiolabeled antigen for binding to the antibody.
  3. Separation: Bound antigen-antibody complexes are separated from the free (unbound) antigen. Several methods can be used for separation, including:
    • Second Antibody Precipitation: A second antibody, specific to the primary antibody, is added to precipitate the antigen-antibody complex.
    • Solid-Phase Antibody: The antibody is immobilized on a solid support (e.g., beads, tubes), allowing for easy separation by washing.
    • PEG Precipitation: Polyethylene glycol (PEG) is used to precipitate the antigen-antibody complex.
  4. Measurement: The radioactivity of either the bound or unbound fraction is measured using a gamma counter.
  5. Data Analysis: A standard curve is generated using known concentrations of unlabeled antigen. The concentration of the antigen in the unknown sample is determined by comparing its radioactivity to the standard curve.

Reagents Used in Radioimmunoassay

  • Radiolabeled Antigen (Tracer): The antigen is labeled with a radioisotope, typically 125I (iodine-125), 3H (tritium), or 14C (carbon-14).
  • Antibody: Highly specific antibody against the antigen of interest.
  • Standard Antigen: Known concentrations of the unlabeled antigen used to create a standard curve.
  • Separating Agent: (e.g., second antibody, PEG, solid support) used to separate bound from unbound antigen.
  • Buffer Solutions: To maintain optimal pH and ionic strength.

Instrumentation

The primary instrument used in RIA is a gamma counter (or scintillation counter) which detects and quantifies the radioactivity emitted by the radiolabeled antigen. The counter measures the counts per minute (CPM), which is proportional to the amount of radiolabeled antigen present.

Applications of Radioimmunoassay

  • Hormone Assays: Measurement of hormones like insulin, growth hormone, thyroid hormones (T3, T4), cortisol, and sex hormones.
  • Drug Monitoring: Therapeutic drug monitoring (e.g., digoxin, theophylline) to ensure optimal drug levels.
  • Viral Antigen Detection: Detection of viral antigens in serum or other body fluids (e.g., Hepatitis B surface antigen).
  • Tumor Marker Assays: Measurement of tumor markers like carcinoembryonic antigen (CEA) and prostate-specific antigen (PSA).
  • Vitamin Level Determination: Measurement of vitamin levels (e.g., Vitamin B12, Vitamin D).
  • Immunoglobulin Quantification: Measurement of different immunoglobulin classes (IgG, IgM, IgA).
  • Research Applications: Used extensively in biomedical research to study antigen-antibody interactions, hormone regulation, and drug metabolism.

Advantages and Disadvantages

Advantages Disadvantages
High sensitivity and specificity Use of radioactive materials poses safety concerns
Wide range of applications Requires specialized equipment and trained personnel
Relatively simple to perform Disposal of radioactive waste is costly and regulated
Can measure very low concentrations of analytes Long assay times compared to some newer methods

Conclusion

Radioimmunoassay remains a valuable technique despite the emergence of newer, non-radioactive immunoassays like ELISA and chemiluminescence assays. Its high sensitivity and specificity continue to make it a preferred method for quantifying low-abundance substances in biological samples. While concerns regarding radioactivity necessitate stringent safety protocols, RIA’s historical significance and ongoing utility in specific applications ensure its continued relevance in medical diagnostics and research. The development of RIA paved the way for advancements in immunodiagnostics and our understanding of biological processes.

Answer Length

This is a comprehensive model answer for learning purposes and may exceed the word limit. In the exam, always adhere to the prescribed word count.

Additional Resources

Key Definitions

Antigen
A substance that triggers an immune response, specifically the production of antibodies. Antigens can be proteins, polysaccharides, lipids, or nucleic acids.
Scintillation Counter
An instrument used to detect and measure ionizing radiation, such as gamma rays emitted by radioisotopes. It converts the energy of the radiation into light pulses, which are then amplified and counted.

Key Statistics

Approximately 80% of clinical laboratories used RIA for hormone assays in the 1980s. (Source: Clinical Chemistry, 1986, 32(12): 2215-2220 - Knowledge Cutoff 2023)

Source: Clinical Chemistry, 1986

The global radioimmunoassay market was valued at USD 1.2 billion in 2022 and is projected to reach USD 1.5 billion by 2028, growing at a CAGR of 4.2% from 2023 to 2028. (Source: Market Research Future - Knowledge Cutoff 2023)

Source: Market Research Future

Examples

Insulin Measurement

RIA is commonly used to measure insulin levels in patients with diabetes. This helps in diagnosing diabetes, monitoring treatment effectiveness, and identifying insulin resistance.

Frequently Asked Questions

What are the alternatives to RIA?

Alternatives to RIA include Enzyme-Linked Immunosorbent Assay (ELISA), Chemiluminescence Immunoassay (CLIA), and Immunofluorescence Assay (IFA). These methods offer advantages such as non-radioactive detection and automation.

Topics Covered

BiochemistryImmunologyAnalytical TechniquesHormone AssaysAntibodies