The HB-Pre-sAg (Hepatitis B Pre-Surface Antigen) antibody is a monoclonal or polyclonal antibody targeting the preS domain of the hepatitis B virus (HBV) surface antigen. This domain includes preS1 and preS2 regions, which are critical for viral attachment and entry into hepatocytes via the sodium taurocholate cotransporting polypeptide (NTCP) receptor . Unlike the S antigen (HBsAg), preS antigens are predominantly found on intact HBV virions (Dane particles) and serve as biomarkers for active viral replication and infection .
HB-Pre-sAg antibodies exhibit dual antiviral mechanisms:
Neutralization: Directly blocks viral entry by binding to the preS1 domain, preventing interaction with NTCP .
Immune Clearance: Fc-dependent effector functions, such as antibody-dependent cellular cytotoxicity (ADCC) and phagocytosis (ADCP), enhance the clearance of infected cells .
For example, the human monoclonal antibody 2H5-A14 targets a conserved epitope near the receptor-binding site (RBS) of preS1, achieving picomolar neutralization potency against HBV genotypes B, C, and D .
A double antibody sandwich ELISA has been developed to quantify HBpreSAg in serum, offering improved sensitivity over traditional HBeAg or HBV DNA tests . Key findings include:
| Patient Cohort | HBpreSAg Positivity Rate | Correlation with HBV DNA | Sensitivity (%) | Specificity (%) |
|---|---|---|---|---|
| HBeAg-positive (n=50) | 70% | Strong (p < 0.05) | 68 | 56 |
| HBeAg-negative (n=104) | 47% | Moderate (p = 0.87) | 56 | 72 |
In HBeAg-negative patients, 30/47 HBpreSAg-positive cases showed no detectable HBV DNA, suggesting its role in identifying occult infections .
HB-Pre-sAg antibodies demonstrate prophylactic and therapeutic potential:
2H5-A14: Administered at 3.33 mg/kg in humanized FRG mice, it fully prevented HBV and HDV infection .
HuMAb006-11: A single dose (3 mg/kg) suppressed HBV DNA to undetectable levels for 35 days post-exposure .
2H5-A14 (9 mg/kg): Reduced serum HBsAg by >99% in established HBV infections .
HepeX-B™: Combination therapy with HBV-Ab17 and HBV-Ab19 reduced HBV DNA and HBsAg by accelerating virion clearance and blocking viral release .
| Parameter | HB-Pre-sAg Antibodies | Traditional Anti-HBs (e.g., HBIG) |
|---|---|---|
| Target Specificity | PreS1/preS2 domains | S domain |
| Neutralization Potency | Picomolar IC50 | Micromolar IC50 |
| Fc Effector Functions | ADCC/ADCP confirmed | Limited |
| Clinical Batch Consistency | High (monoclonal) | Variable (polyclonal) |
Genotype Coverage: Most antibodies (e.g., 2H5-A14) target genotypes B/C/D; efficacy against genotypes A/E/F remains untested .
Resistance Mutations: PreS1 mutations (e.g., N9K) may reduce antibody binding, necessitating combination therapies .
Clinical Trials: Only murine and humanized models have been validated; phase I trials are pending .
HBsAg pre-S antigen
PS26VN
HBsAg purified from human sera pool
Mouse IgG1.
HB-Pre-sAg Antibody is a monoclonal antibody that specifically targets the preS antigen of the Hepatitis B virus surface protein. The commercial product (like ANT-774) is typically a mouse monoclonal antibody with IgG1 subclass specificity for HBsAg pre-S antigen . This antibody binds to epitopes on the preS region of the HBV surface protein, which is present in the Large (L) and Middle (M) proteins of the virus envelope.
In scientific applications, these antibodies are used primarily to:
Detect preS antigens in serum samples via ELISA or other immunoassay methods
Monitor viral replication in chronic HBV patients
Evaluate efficacy of antiviral treatments
Develop improved diagnostic assays with enhanced specificity
The antibody helps researchers study the correlation between preS antigen levels and viral replication, providing insights into HBV pathogenesis and treatment responses .
PreS antigen detection offers several distinct advantages compared to other HBV serological markers:
This complementary approach becomes particularly important in research settings where a comprehensive understanding of viral dynamics is essential.
Proper storage and handling of HB-Pre-sAg Antibody is critical for maintaining its specificity and activity:
Short-term storage: For periods up to one month, the antibody should be stored at 4°C .
Long-term storage: For extended periods, store at -20°C to preserve antibody integrity and activity .
Shipping conditions: The antibody is typically shipped as a liquid formulation with ice packs to maintain temperature stability .
Critical precautions:
Prevent freeze-thaw cycles as they can denature the antibody and reduce its effectiveness
Maintain the antibody in its specified buffer (typically 1mg/ml in PBS for commercial preparations)
Handle as a sterile filtered solution to prevent contamination
Aliquot the antibody upon receipt to minimize freeze-thaw cycles if multiple uses are anticipated
Researchers should always verify the integrity of the antibody before use, especially after extended storage periods, to ensure experimental validity.
Developing a robust ELISA protocol for HBpreSAg detection requires careful consideration of several methodological aspects:
Double antibody sandwich approach: The most effective method employs a capture antibody specific to preS epitopes and a detection antibody that targets another region of the preS antigen. This approach has demonstrated superior sensitivity and specificity compared to direct detection methods .
Antibody selection considerations:
Sample preparation protocol:
Quantification approach:
The double antibody sandwich ELISA developed in research settings has shown good correlation with HBV DNA copies and has achieved approximately 72% accuracy for detecting active HBV replication .
When conducting immunoprecipitation with HB-Pre-sAg Antibody, researchers should follow these methodological guidelines:
Sample preparation:
Elution and analysis:
Wash beads thoroughly using magnetic rack separation
Incubate with appropriate lysis solution (e.g., containing 2% SDS and 1% β-2 mercaptoethanol)
Heat at 98°C for approximately 20 minutes to release immunoprecipitated proteins
Remove beads and analyze the supernatant using SDS-PAGE
Transfer to nitrocellulose membrane for immunoblotting with HRP-conjugated detection antibodies
Detection optimization:
Controls and validation:
Include isotype-matched control antibodies
Validate findings with recombinant preS proteins
Compare results with other detection methods (e.g., ELISA, PCR)
These methodological considerations help ensure specificity in detecting HBpreSAg in complex biological samples.
Developing highly specific HBpreSAg detection assays requires strategic approaches to minimize cross-reactivity:
Antibody selection strategy:
Cross-reactivity elimination:
Assay format optimization:
Validation approach:
One study successfully developed a novel chemiluminescent HBeAg immunoassay that eliminated cross-reactivity with secreted HBcAg from precore mutant virus, demonstrating the feasibility of creating highly specific assays for HBV antigens .
HBpreSAg measurements offer valuable insights for monitoring treatment response in chronic HBV research:
Correlation with treatment efficacy:
Changes in HBpreSAg levels correlate well with changes in HBsAg, HBV DNA, and ALT levels during interferon-α treatment
Pronounced reduction in HBpreSAg levels is associated with favorable treatment responses in HBeAg-positive patients
The dynamics of HBpreSAg decline may provide early indications of treatment effectiveness
Predictive value:
The reduction of HBpreSAg levels in conjunction with HBV DNA copies appears to be an improved predictor of treatment outcomes
In follow-up studies, patients who showed more significant reductions in HBpreSAg responded better to treatment
This makes HBpreSAg monitoring potentially valuable for treatment decision-making in research contexts
Monitoring protocol:
The ability to track HBpreSAg changes provides researchers with additional parameters for evaluating antiviral efficacy, potentially improving the assessment of novel therapeutic approaches.
The relationship between HBpreSAg levels and HBV replication in HBeAg-negative patients presents a complex but informative research area:
Prevalence and detection patterns:
Clinical significance:
HBpreSAg detection in HBeAg-negative patients may identify individuals with ongoing viral replication despite negative HBeAg status
This has potential implications for treatment decisions and monitoring in research settings
The presence of HBpreSAg in the absence of detectable HBV DNA raises questions about viral dynamics and potential reservoirs
Research implications:
HBpreSAg testing may help identify HBeAg-negative patients who could benefit from antiviral therapy
It provides an additional parameter for stratifying patients in clinical studies
The discordance between HBpreSAg and HBV DNA in some patients warrants further investigation regarding its biological significance
This relationship highlights the complementary nature of different viral markers and the potential value of comprehensive serological profiling in HBV research.
The correlation between HBpreSAg and other serological markers varies across different phases of chronic HBV infection:
These correlations provide a framework for interpreting HBpreSAg results in the context of other established markers, offering a more complete picture of viral activity in research settings.
Several factors can interfere with accurate HBpreSAg detection that researchers should address:
High HBsAg levels:
Conformational epitope changes:
HBV genotype variations:
Precore mutations:
Sample handling and storage:
Understanding these potential interference factors helps researchers implement appropriate controls and interpret results accurately.
Distinguishing true HBpreSAg signals from cross-reactivity requires systematic validation approaches:
Antibody validation strategy:
Assay design considerations:
Analytical validation:
Specificity demonstration:
By implementing these approaches, researchers can develop highly specific assays for HBpreSAg detection, as demonstrated by the NTR-HBeAg assay that eliminated cross-reactivity with secreted HBcAg from precore mutant virus .
Several limitations affect the interpretation of HBpreSAg levels in research contexts:
Standardization challenges:
Biological interpretation constraints:
Technical limitations:
Clinical correlation gaps:
Addressing these limitations requires coordinated research efforts to standardize assays, establish reference ranges, and conduct larger longitudinal studies correlating HBpreSAg with clinical outcomes.
HB-Pre-sAg Antibody shows promising potential for advancing cccDNA-targeting drug development:
Surrogate marker applications:
Drug screening platform development:
Cell culture systems incorporating HBpreSAg detection can facilitate rapid evaluation of novel antivirals
The specificity of advanced HBpreSAg assays enables distinction between true antiviral effects and assay artifacts
This approach may accelerate the identification of compounds with activity against the cccDNA reservoir
Treatment response prediction:
Combination therapy evaluation:
The application of HB-Pre-sAg Antibody in drug development could significantly advance efforts to target the persistent cccDNA reservoir, which remains a key challenge in developing curative therapies for chronic HBV.
The development of multi-epitope detection systems represents an exciting frontier in HBV research:
Integration of multiple viral markers:
Advanced technology platforms:
Multi-epitope targeting strategies:
Clinical application potential:
The evolution toward multi-epitope detection systems represents a significant advancement beyond current single-marker approaches, potentially offering more nuanced insights into viral dynamics and treatment responses.
The integration of HBpreSAg detection with emerging biomarkers presents opportunities for more sophisticated HBV monitoring:
Combination with serum HBV RNA detection:
Correlating HBpreSAg levels with circulating HBV RNA could provide complementary information about viral transcriptional activity
This combined approach might better reflect both viral protein production and genomic replication
The integration could enhance understanding of the relationship between transcriptional and translational viral activities
Integration with anti-HBc level monitoring:
Correlation with liver damage markers:
Application in immune monitoring:
The integration of HBpreSAg detection into multimodal monitoring approaches represents a promising direction for advancing both basic HBV research and clinical management strategies.
Hepatitis B virus (HBV) is a significant global health concern, affecting millions of people worldwide. The virus primarily targets the liver, leading to conditions ranging from acute hepatitis to chronic liver disease, cirrhosis, and hepatocellular carcinoma. The identification and study of HBV antigens and antibodies have been crucial in understanding the virus’s biology and developing diagnostic and therapeutic tools.
HBV is a small, enveloped DNA virus belonging to the Hepadnaviridae family. The virus has a complex structure comprising several proteins, including the surface antigens (HBsAg), core antigen (HBcAg), and the e antigen (HBeAg). The surface antigens are further divided into three forms: large (L-HBsAg), middle (M-HBsAg), and small (S-HBsAg) surface proteins. These proteins play a critical role in the virus’s ability to infect host cells and evade the immune system.
The pre-surface (pre-S) region of the HBV genome encodes the large and middle surface proteins. This region is divided into two parts: pre-S1 and pre-S2. The pre-S1 domain is essential for the virus’s attachment to hepatocytes, while the pre-S2 domain is involved in the virus’s entry into the host cell. The pre-S2 antigen is a target for diagnostic and therapeutic antibodies due to its role in the viral life cycle.
Mouse monoclonal antibodies have been extensively used in research and clinical settings to study and combat HBV. These antibodies are produced by immunizing mice with specific HBV antigens, such as the pre-S2 antigen, and then isolating the antibody-producing B cells. The resulting monoclonal antibodies are highly specific to the target antigen and can be used in various applications, including immunoprecipitation (IP), enzyme-linked immunosorbent assay (ELISA), Western blotting (WB), and immunohistochemistry (IHC) .