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Low-ionic-strength saline (LISS)

Definition

A reaction medium with reduced salt concentration used to enhance agglutination sensitivity, particularly for IgG antibodies. Lowering ionic strength reduces the electrostatic repulsion (zeta potential) that normally keeps red blood cells apart, allowing antibody-coated cells to come close enough for IgG to bridge them without requiring anti-globulin addition in some cases.

Related terms

Agglutination titre
The reciprocal of the highest dilution of a serum or antigen solution at which visible agglutination still occurs. A titre of 1:64...
Antiglobulin (Coombs) test
A two-stage assay that detects IgG antibodies bound to red blood cells. The direct test detects in-vivo cell-bound IgG; the indirect test...
Hemagglutination
Agglutination specifically involving red blood cells as the antigen-bearing particles. Direct hemagglutination occurs when antibodies bind surface antigens naturally present on red...
Passive (indirect) agglutination
An agglutination format in which a soluble antigen or antibody is adsorbed or covalently linked to a carrier particle (latex bead, tanned...
Prozone (hook) effect
A false-negative agglutination result caused by antibody excess. When antibody molecules outnumber antigen sites, each site is occupied by a single antibody...

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