Medion Diagnostics AG  
CH-3186 Düdingen

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  Enhancement Media

 
 
Enhancement media shorten the incubation time and increase the reaction strength in your cross match and antibody screening. Individual antibodies react optimally under different conditions. Some react best in Albumin/Coombs, others react better after the addition of Enlisst® or Bromelase®. Weak Rhesus antibodies react much better in the presence of Bromelase®.

Therefore, we recommend a combination of techniques for the antibody screening. A practical solution is to perform, in addition to the Bromelase® test, the indirect antiglobulin test for antibody screening in Albumin and the cross match in Enlisst®.

The characteristic reaction mode of the individual antibodies in different media can be used to apply a combination of techniques for the identification of antibodies.

Bromelase® 30

Proteolytic enzyme with special diluent
Lyophilized to ensure constant enzyme activity
Economical: just one drop for each test
Especially suitable for the detection of Rhesus antibodies

Bromelase® 30 removes by its proteolytic activity glycoproteins from the surface of erythrocytes.

The negative surface potential is reduced and therefore, the distance between individual erythrocytes decreased.
Less accessible antigens are released.
As a result, more antigen receptors are available while incomplete antibodies are able to agglutinate the red cells. Bromelase® 30 is a lyophilized enzyme preparation produced from pineapple.

A special diluent assures an optimal activity of the reconstituted Bromelase for 30 days. The lyophilized enzyme allows for transportation and storage without any loss in activity.

Specific Bovine Albumin

The classical enhancement medium for the detection of IgG antibodies in the 3-step Coombs test.
Available in polymerized (22% solution) or monomeric (30% solution) form
US origin (BSE free)

Enlisst®-II

Modified LISS (Low Ionic Strength Solution) with added 5% bovine albumin, gelatine and glycine at an optimum pH of 6.7
Intended for use as an enhancement medium for the indirect antiglobulin test
Suitable for cross matching and antibody screening
Only 2 drops needed per test
Reduces the incubation time to only 10–15 minutes
Antigen–antibody reactions are positively influenced by different factors. Low ionic strength accelerates considerably the binding of antibodies on the surface of erythrocytes. As an example, the decrease of the ionic strength of a physiological solution from 0.17 M to 0.03 M results in a 1000-fold increase in the reaction rate. Erythrocytes swell in hypotonic solution due to water uptake. Therefore, antibodies against cryptantigens are easier to detect under such conditions. It is well known that the antigen–antibody reaction is pH dependent and that the optimum is at pH 6.7
High molecular substances like albumin reduce the zeta potential and therefore reduce the rejection of erythrocytes. The binding and agglutination capability of IgG antibodies is therefore increased.


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