Function: This antibody neutralizes HBV by binding to its surface antigen (HBsAg), providing long-term immunity. It is detectable after recovery from acute infection or successful vaccination .
Clinical Significance: Positive anti-HBs indicates immunity, either from past infection or vaccination. It is absent in individuals with active or chronic HBV infection .
Vaccine Response: Vaccination-induced anti-HBs levels decline over time, but most individuals remain immune due to memory cell persistence .
Function: Targets the core antigen (HBcAg), which is part of the viral nucleocapsid. It appears early in infection and persists for life .
Clinical Significance: Anti-HBc IgM indicates recent acute infection (≤6 months), while IgG suggests resolved infection .
Function: Indicates transition from active to inactive chronic HBV infection. Its presence correlates with lower viral replication .
HBsAg | anti-HBs | anti-HBc IgM | anti-HBc IgG | Interpretation |
---|---|---|---|---|
Positive | Negative | Positive | Negative | Acute Infection |
Positive | Negative | Negative | Positive | Chronic Infection |
Negative | Positive | Negative | Positive | Resolved Infection |
Negative | Positive | Negative | Negative | Immunity (vaccination) |
Negative | Negative | Negative | Negative | Susceptible |
Acute Infection: IgM anti-HBc and HBsAg positivity confirm recent infection .
Chronic Infection: Persistent HBsAg and anti-HBc IgG positivity for ≥6 months .
Resolved Infection: HBsAg-negative with anti-HBs and anti-HBc IgG .
Natural Immunity: Recovered individuals retain anti-HBs for life, though levels may wane .
Vaccine-Induced Immunity: Anti-HBs alone confirms immunity from vaccination .
High-Risk Populations: Regular anti-HBs testing is recommended for healthcare workers and immunocompromised individuals .
A longitudinal study of healthcare workers revealed anti-HBs levels decline to <12 mIU/mL in 25% of individuals after 20 years post-vaccination .
Booster doses restored protective levels in 94% of cases, suggesting robust immune memory .
Vaccination Timing: Neonatal immunization with hepatitis B immune globulin (HBIG) within 6 hours improves anti-HBs positivity rates .
Age: Older age at vaccination predicts inadequate anti-HBs responses .
Hepatitis B is a viral infection caused by the Hepatitis B virus (HBV), which primarily affects the liver. The virus is a significant global health problem, leading to chronic liver disease, cirrhosis, and hepatocellular carcinoma. The Hepatitis B virus has several antigens, including the surface antigens AD and AY, which are crucial for the virus’s infectivity and immune response.
The Hepatitis B virus surface antigens, AD and AY, are variations of the Hepatitis B surface antigen (HBsAg). These antigens are part of the viral envelope and play a critical role in the virus’s ability to infect host cells and evade the immune system. The AD and AY antigens are serotypes, which means they are distinct variations of the surface antigen that can be recognized by different antibodies.
Mouse antibodies are commonly used in research and diagnostic applications due to their specificity and ability to bind to target antigens. The production of mouse antibodies against Hepatitis B surface antigens involves immunizing mice with the antigens and then harvesting the antibodies produced by the mice’s immune system.
Mouse antibodies against Hepatitis B surface antigens (AD and AY) have several important applications in research, diagnostics, and therapeutics: