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Cross-Reactivity

Definition

The capacity of an antibody raised against one analyte to bind structurally related compounds. In RIA, cross-reactivity is the main driver of false-positive screening results. For example, an antibody raised against morphine may also bind codeine or dihydromorphine at elevated concentrations. Confirmatory testing by chromatography-mass spectrometry is required to resolve cross-reactive positives.

Field
Immunoassay-based screening (RIA, ELISA)
Main consequence
False-positive screening results
Common example
Anti-morphine antibody binding codeine or dihydromorphine
Resolution method
Confirmatory chromatography-mass spectrometry

Common questions

Why can't cross-reactivity be eliminated entirely?+

Antibodies bind based on molecular shape, and structurally related compounds share enough of that shape to trigger a response. Raising an antibody with perfect specificity for one molecule and no others is not achievable with current immunoassay chemistry, which is why screening results are always treated as presumptive.

How do labs know when cross-reactivity has produced a false positive?+

They do not know from the screen alone. Any presumptive positive from an immunoassay is routed to a confirmatory method such as GC-MS or LC-MS, which separates and identifies compounds by mass rather than by antibody binding, resolving cross-reactive results.

Related terms

ELISA (Enzyme-Linked Immunosorbent Assay)
A plate-based immunoassay format in which a target antigen is captured by an antibody bound to a solid surface, detected by a...
Lateral-Flow Immunoassay
A point-of-care competitive immunochromatographic format on a nitrocellulose strip. In the absence of drug, colloidal gold-labelled antibody is captured at a test...
Monoclonal Antibody
An antibody produced from a single B-cell clone, recognising a single specific epitope. In forensic species identification, monoclonal antibodies offer higher specificity...
Monoclonal Antibody (mAb)
An antibody produced by a single hybridoma clone, so that every molecule in the preparation is identical, targets the same epitope, and...
Precipitin Test
A serological method in which an antiserum specific to one species' proteins is mixed with an extract of an unknown specimen. Formation...
Prozone Effect
A false-negative serological result caused by antibody excess. When antibody concentration is too high relative to antigen, antibodies saturate individual antigen molecules...
Affinity
The binding strength of a single antigen-binding site for one epitope, expressed as the equilibrium dissociation constant (Kd). A lower Kd indicates...
Anti-Human Haemoglobin Antibody
A monoclonal antibody raised against epitopes unique to human haemoglobin. Forms the detection and capture antibodies on the lateral-flow strip, conferring specificity...
Antigen
A molecule recognised by the adaptive immune system through specific binding to an antibody or T-cell receptor. Defined by immunogenicity (capacity to...
Antiserum
Serum collected from an immunised animal containing antibodies directed against a specific antigen or group of antigens. In species identification, antiserum raised...
Calibration Curve
In RIA, a set of standards containing known concentrations of unlabelled analyte that are run alongside test samples. Bound radioactivity is measured...
CEDIA (Cloned Enzyme Donor Immunoassay)
A homogeneous immunoassay using two inactive fragments of beta-galactosidase, an enzyme donor (ED) fragment conjugated to drug, and an enzyme acceptor (EA)...

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