The diagnostic significance of IgM antibody against hepatitis B core antigen (anti-HBc) in healthy hepatitis B surface antigen (HBsAg) carriers and in subjects affected by chronic hepatitis B was evaluated. IgM anti-HBc was sought and found in all nine patients examined who were affected by acute HB
Hepatitis B virus C gene heterogeneity in a familial cluster of anti-HBc negative chronic carriers
โ Scribed by G. Fiordalisi; D. Primi; E. Tanzi; E. Magni; C. Incarbone; A. R. Zanetti; E. Cariani
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 563 KB
- Volume
- 42
- Category
- Article
- ISSN
- 0146-6615
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โฆ Synopsis
Abstract
We studied a familial cluster of adult HBV chronic carriers characterized by serological markers of active viral replication, normal or slightly elevated ALT levels and, in four out of five cases, absence of antiโHBc reactivity. The nucleotide sequence of the preโC/C region of HBV was analyzed in three patients, showing the presence of wildโtype HBV sequences accompanied by different deleted molecules. Some of the variant genomes were able to encode proteins retaining HBcAg and/or HBeAg reactivity, whereas others contained deletions leading to the synthesis of truncated proteins that could not be immunoprecipitated by antiโHBc or antiโHBe monoโ and polyclonal antibodies. Defective molecules encoded by the variant C gene sequences might play a role in the determination of the clinical profile observed in the analyzed patients. ยฉ 1994 WileyโLiss, Inc.
๐ SIMILAR VOLUMES
Sera from four groups of patients with different serologic markers of HBV infection were examined for HBV DNA using molecular hybridization technique and for IgM class anti-HBc using an ELISA based on the antibody capture principle. Results of HBV DNA assay were generally in good agreement with the
## Abstract Mutations in the precore region of hepatitis B virus (HBV) have been associated with failure of expression of HBV eโantigen (HBeAg), however, the prevalence of these and other mutations in HBV carriers without overt chronic liver disease remains uncertain. Homosexual or bisexual males (