A new antigen-antibody system. Clinical significance in long-term carriers of hepatitis B surface antigen

JAMA. 1975 Jan 27;231(4):356-9. doi: 10.1001/jama.231.4.356.

Abstract

A new antigen-antibody system was recently described in hepatitis B surface antigen (HBSAG(-positive sera. Despite indications of heterogeneity in specificity, the designations "e antigen" and "e antibodies" are used for the system as such in this articly. E'IGHT OF 17 long-term carriers of HBSAg with a histological picture of chronic persistent hepatitis or chronic aggressive hepatitis carried the e antigen, while none had demonstrable e antibodies in serum. Ten of 12 healthy carriers with e antibodies were blood donors who had donated 95 units of blood; none of these carriers was associeated with a reported case of posttransfusion hepatitis. In five individuals in the incubation stage of hepatitis B, e antigen appeared simultaneously with HBSAg but before the rise in transaminase levels. This finding further links e antigen to hepatitis B.

MeSH terms

  • Acute Disease
  • Alkaline Phosphatase
  • Antigen-Antibody Complex*
  • Antigens, Viral
  • Blood Donors
  • Carrier State / immunology*
  • Cell Membrane / immunology*
  • Chronic Disease
  • Complement Fixation Tests
  • Epitopes
  • Hepatitis B / enzymology
  • Hepatitis B / immunology*
  • Hepatitis B Antigens*
  • Humans
  • Immunodiffusion
  • Renal Dialysis
  • Time Factors
  • Transaminases / blood

Substances

  • Antigen-Antibody Complex
  • Antigens, Viral
  • Epitopes
  • Hepatitis B Antigens
  • Transaminases
  • Alkaline Phosphatase