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Hook effect

Definition

An artefact in sandwich immunoassays (ELISA, lateral-flow) where excess antigen saturates both capture and detection antibodies independently, preventing sandwich formation and producing a falsely low or negative signal from a strongly positive sample.

Related terms

Confirmatory hierarchy
The structured sequence of tests applied to biological evidence, in which a presumptive (screening) test with high sensitivity is followed by a...
Cross-reactivity
The capacity of an antibody raised against one analyte to bind structurally related compounds. In RIA, cross-reactivity is the main driver of...
False negative
A negative result from a preparation in which ante-mortem drowning actually did occur. Causes include low diatom density in the drowning water,...
False positive
A test result that indicates the presence of a target analyte when it is absent. In forensic serology this may mean incorrectly...
Inhibitor
A substance in the sample matrix that interferes with one or more steps in an immunoassay, reducing signal generation from a genuinely...

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