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What the assay tells you
The ELISA (Enzyme-Linked ImmunoSorbent Assay) can be used both qualitatively and quantitatively to measure antigen-antibody binding. Depending on what variation you use, it will detect antigen (hormones, enzymes, microbial antigens, illicit drugs) or antibody (anti-HIV in the screening test for HIV infection) in body fluids or tissue culture supernatents.
What you need to do the assay
How the assay is done
To detect antibody (indirect ELISA):

To detect antigen (sandwich ELISA):

How to interpret the results
The amount of colored product is proportional to the amount of enzyme-linked antibody that binds, which is directly related to the amount of antibody that was present to bind antigen or antigen that was present to bind antibody. If known amounts of antigen or antibody are added, a standard curve can be constructed which will allow the amount of unknown antigen or antibody to be determined.
Additional comments
The ELISA is probably the most commonly used immunological assay because of its versatility, sensitivity (ability to detect small amounts of antigen or antibody), specificity (ability to discriminate between closely related but antigenically different molecules), and ease of automation. Although some of the substrates are carcinogenic, they are generally considered safer than radioisotopes used in RIA (radioimmunoassay). By binding the initial layer to plastic, washing away unbound reagents becomes rapid and requires no expensive equipment - the plate can be flodded with buffer and shaken over a beaker to remove the wash fluid and unbound antigen or antibody. The process can be easily automated for performance of large numbers of tests. False positives can result from impure reagents: for example, tissue culture-grown HIV used in the HIV ELISA can react with antibodies to tissue-culture grown influenza present in someone who has just had an influenza vaccination.
Useful web sites
Biology project interactive ELISA tutorial: http://www.biology.arizona.edu/immunology/activities/elisa/main.html
Interactive virtual ELISA assay: http://www.hhmi.org/biointeractive/immunology/vlab.html
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