Take a mixture of different sets of microspheres — or micron-sized polystyrene beads.
Each set is coupled to a unique antigen from an environmental pathogen and is uniquely fluorescently labeled.
Add the mixture to a filter plate containing a membrane at the bottom.
Introduce human saliva containing antibodies against environmental pathogens, which bind to cognate antigens on the microspheres.
Remove unbound antibodies by vacuum. Microsphere-bound antibodies are retained due to the small pore size of the membrane.
Add biotinylated secondary antibodies to bind to the microsphere-bound antibodies. Remove unbound antibodies.
Add streptavidin conjugated to a fluorescent reporter dye, that binds to biotin on the secondary antibodies.
Remove the unbound dye, resuspend the microspheres, and pass them through a multiplex immunoassay analyzer.
A laser beam detects the microsphere fluorescence, identifying the antigen, while another beam detects the reporter signal, confirming a bound antibody.
Antigen-specific antibodies in the saliva indicate prior exposure to the corresponding pathogens.
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