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Method Article

The Hemagglutination Inhibition Assay to Detect Serum Antibodies Against a Target Antigen

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July 8th, 2025

In This Article

Abstract

Source: Kaufmann, L. et al., An Optimized Hemagglutination Inhibition (HI) Assay to Quantify Influenza-specific Antibody Titers. J. Vis. Exp. (2017)

The video demonstrates a hemagglutination inhibition assay for detecting serum antibodies against specific antigens. Confirmation of hemagglutination inhibition in the test well and hemagglutination in the control well is achieved through distinct visual patterns. This assay plays a crucial role in assessing immune response, vaccine effectiveness, and studying viral infections in virology and immunology.

Protocol

All procedures involving human participants have been performed in compliance with the institutional, national, and international guidelines for human welfare and have been reviewed by the local institutional review board.

1. Serum Collection

  1. Collect serum samples from humans at time points of interest. For this study, we collected sera at days 0 (time of influenza vaccination), +7, +30, +60, and +180 after vaccination.
  2. To obtain the serum, centrifuge the sample tubes at 1,200 x g for 10 min at room temperature (20 - 25 °C).
    NOTE: Non-centrifuged blood samples should be sto....

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Results

Haemagglutination assay diagram showing RBC, virus, antibody interaction, inhibition results.
Figure 1: Principle of hemagglutination and hemagglutination inhibition. No hemagglutination occurs in a negative control situation without viruses and antibodi.......

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Disclosures

No conflicts of interest declared.

Materials

List of materials used in this article
NameCompanyCatalog NumberComments
25 ml Disposable Multichannel Pipette ReservoirsIntegra4312
8-well PCR tubesBrand GMBH781332For serum aliquots
96-well microtiter plate, U-shapedTPP92097For HI assay when using mammalian RBCs
96-well microtiter plate, V-shapedCorning Costar3897For HI assay when using avian RBCs
Aqua ad iniect. SterilBichsel AG1000004For preparing influenza antigen and cholera filtrate solutions
Chicken RBC (10%)CedarlaneCLC880010% suspension of chicken red blood cells in Alsever's solution
Cholera filtrateSigma-AldrichC8772Used as receptor destroying enzyme (RDE)
Dulbecco's PBSSigma-AldrichD8537For diluting the serum samples, RBCs and antigens
Eppendorf Multichannel pipette, 12-channel, 10-100 µlSigma-AldrichZ683949
Eppendorf Multichannel pipette, 8-channel, 10-100 µlSigma-AldrichZ683930
Guinea Pig RBC (10%)CedarlaneCLC180010% suspension of guinea pig red blood cells in Alsever's solution
Influenza Anti-A/California/7/09 HA serum NIBSC14/134 Used as positive control at the HI assay
Influenza Anti-A/Switzerland/9715293/2013-like HA serum NIBSC14/272Used as positive control at the HI assay
Influenza Anti-A/Texas/50/2012-Like HA Serum NIBSC13/178Used as positive control at the HI assay
Influenza Anti-B/Brisbane/60/2008-HA serum NIBSC13/254 Used as positive control at the HI assay
Influenza Anti-B/Massachusetts/02/2012 HA serum NIBSC13/182Used as positive control at the HI assay
Influenza antigen A/California/7/09 (H1N1)(NYMC-X181) NIBSC12/168Inactivated, partially purified A/California/7/09 (H1N1)(NYMC-X181) virus (ca. 46µgHA/ml)
Influenza antigen A/Switzerland/9715293/2013 (NIB88)NIBSC14/254Inactivated, partially purified A/Switzerland/9715293/2013 (NIB88) virus (ca. 55µgHA/ml)
Influenza antigen A/Texas/50/2012 (H3N2)(NYMCX-223)NIBSC13/112Inactivated, partially purified A/Texas/50/2012 (H3N2)(NYMCX-223) virus (ca. 74µgHA/ml)
Influenza antigen B/Brisbane/60/2008NIBSC13/234Inactivated, partially purified B/Brisbane/60/2008 virus (ca. 42µgHA/ml)
Influenza antigen B/Massachusetts/02/2012NIBSC13/134Inactivated, partially purified B/Massachusetts/02/2012 virus (ca. 35µgHA/ml)
Serum-TubesS-Monovette, Sardstedt01.1601.100For serum extraction with clotting activator
Turkey RBC (10%)CedarlaneCLC118010% suspension of turkey red blood cells in Alsever's solution
Phosphate Buffered Saline (PBS)Gibco

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