Time and number of measurements taken Depending on whether an assay just looks at a single time point or timed readings taken at multiple time points, an assay may be: • An
end point assay, in which a single measurement is performed after a fixed incubation period; or • A
kinetic assay, in which measurements are performed multiple times over a fixed time interval. Kinetic assay results may be visualized numerically (for example, as a slope parameter representing the rate of signal change over time), or graphically (for example, as a plot of the signal measured at each time point). For kinetic assays, both the magnitude and shape of the measured response over time provide important information. • A
high throughput assay can be either an endpoint or a kinetic assay usually done on an automated platform in 96-, 384- or 1536-well microplate formats (
High Throughput Screening). Such assays are able to test large number of compounds or analytes or make functional biological readouts in response to a stimuli and/or compounds being tested.
Number of analytes detected Depending on how many targets or analytes are being measured: • Usual assays are simple or
single target assays which is usually the default unless it is called multiplex. •
Multiplex assays are used to simultaneously measure the presence, concentration, activity, or quality of multiple analytes in a single test. The advent of
multiplexing enabled rapid, efficient sample testing in many fields, including immunology, cytochemistry, genetics/genomics, pharmacokinetics, and toxicology.
Result type Depending on the quality of the result produced, assays may be classified into: •
Qualitative assays, i.e. assays which generally give just a pass or fail, or positive or negative or some such sort of only small number of qualitative gradation rather than an exact quantity. •
Semi-quantitative assays, i.e. assays that give the read-out in an approximate fashion rather than an exact number for the quantity of the substance. Generally they have a few more gradations than just two outcomes, positive or negative, e.g. scoring on a scale of 1+ to 4+ as used for blood grouping tests based on RBC
agglutination in response to grouping reagents (antibody against blood group antigens). •
Quantitative assays, i.e. assays that give accurate and exact numeric quantitative measure of the amount of a substance in a sample. An example of such an assay used in coagulation testing laboratories for the most common inherited bleeding disease -
Von Willebrand disease is
VWF antigen assay where the amount of VWF present in a blood sample is measured by an immunoassay. •
Functional assays, i.e. an assay that tries to quantify functioning of an active substance rather than just its quantity. The functional counterpart of the VWF antigen assay is
Ristocetin Cofactor assay, which measures the functional activity of the VWF present in a patient's plasma by adding exogenous
formalin-fixed platelets and gradually increasing quantities of drug named ristocetin while measuring agglutination of the fixed platelets. A similar assay but used for a different purpose is called
Ristocetin Induced Platelet Aggregation or RIPA, which tests response of endogenous live platelets from a patient in response to Ristocetin (exogenous) & VWF (usually endogenous).
Sample type and method Depending on the general substrate on which the assay principle is applied: •
Bioassay: when the response is biological activity of live objects. Examples include •
in vivo, whole organism (e.g. mouse or other subject injected with a drug) •
ex vivo body part (e.g. leg of a frog) •
ex vivo organ (e.g. heart of a dog) •
ex vivo part of an organ (e.g. a segment of an intestine). • tissue (e.g. limulus lysate) • cell (e.g. platelets) •
Ligand binding assay when a ligand (usually a small molecule) binds a receptor (usually a large protein). •
Immunoassay when the response is an antigen antibody binding type reaction.
Signal amplification Depending on the nature of the signal amplification system assays may be of numerous types, to name a few: •
Enzyme assay: Enzymes may be tested by their highly repeating activity on a large number of substrates when loss of a substrate or the making of a product may have a measurable attribute like color or
absorbance at a particular wavelength or light or
Electrochemiluminescence or electrical/redox activity. • Light detection systems that may use amplification e.g. by a
photodiode or a
photomultiplier tube or a cooled
charge-coupled device. •
Radioisotope labeled substrates as used in
radioimmunoassays and equilibrium dialysis assays and can be detected by the amplification in
Gamma counters or
X-ray plates, or
phosphorimager •
Polymerase Chain Reaction Assays that amplify a DNA (or RNA) target rather than the signal •
Combination Methods Assays may utilize a combination of the above and other amplification methods to improve sensitivity. e.g.
Enzyme-linked immunoassay or EIA,
enzyme linked immunosorbent assay.
Detection method or technology Depending on the nature of the Detection system assays can be based on: •
Colony forming or
virtual colony count: e.g. by multiplying bacteria or proliferating cells. •
Photometry /
spectrophotometry When the absorbance of a specific wavelength of light while passing through a fixed path-length through a cuvette of liquid test sample is measured and the absorbance is compared with a blank and standards with graded amounts of the target compound. If the emitted light is of a specific visible wavelength it may be called
colorimetry, or it may involve specific wavelength of light e.g. by use of
laser and emission of
fluorescent signals of another specific wavelength which is detected via very specific wavelength optical filters. •
Transmittance of light may be used to measure e.g. clearing of opacity of a liquid created by suspended particles due to decrease in number of clumps during a platelet
agglutination reaction. •
Turbidimetry when the opacity of straight-transmitted light passing through a liquid sample is measured by detectors placed straight across the light source. •
Nephelometry where a measurement of the amount of light scattering that occurs when a beam of light is passed through the solution is used to determine size and/or concentration and/or size distribution of particles in the sample. •
Reflectometry When color of light reflected from a (usually dry) sample or reactant is assessed e.g. the automated readings of the strip urine dipstick assays. • Viscoelastic measurements e.g. viscometry, elastography (e.g.
thromboelastography) • Counting assays: e.g. optic
Flow cytometric cell or particle counters, or
coulter/impedance principle based cell counters • Imaging assays, that involve image analysis manually or by software: •
Cytometry: When the size statistics of cells is assessed by an image processor. • Electric detection e.g. involving
amperometry,
Voltammetry,
coulometry may be used directly or indirectly for many types of quantitative measurements. • Other physical property based assays may use •
Osmometer •
Viscometer •
Ion Selective electrodes •
Syndromic testing ==Assay types based on the targets being measured==