Rubella Radial Haemolysis


In the laboratory, you are presented with the following sera:

A From a woman in the first trimester of pregnancy
B From a woman in the first trimester of pregnancy
C From an adolescent girl
+ Positive control serum
- Negative control serum

Perform the test as follows:

  • Put 1ml of a 5% suspension of sheep red blood cells (RBCs) into each of two sterile tubes.
    Mark one 'Test' and the other 'Control'.

  • Add 0.5ml of purified rubella haemagglutinin (titre 1:128) to the 'Test' cells only.

  • Mix gently and leave for 5min at room temperature.

  • Half fill both tubes with complement fixation buffer (CFB) (a phenobarbitone based buffer containing Mg2+ and Ca2+ - Why?).

  • Centrifuge at 2002 rpm for 3-5 min.

  • Carefully decant off the supernatant. The RBC's in the 'Test' bottle are now sensitized with rubella antigen.

For both bottles:
  • Gently resuspend each of the RBC pellets in 0.5ml CFB.

  • Add 0.5ml Guinea-pig complement ('GPC'), mix and warm in 43°C waterbath for a few seconds.

  • Add 15ml 1% agarose in CFB (warmed to 43°C), immediately mix and pour into a sterile petri dish. Swirl to cover the entire dish.

  • Allow plates to set, label 'Test' and 'Control' plates.

  • Punch out 5 equally spaced wells in each plate.
  • Label the wells,'A', 'B', 'C', '+' and '-'.
  • Put 30µl of the appropriate serum into each well.

Put the plates to be incubated at 37°C overnight


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