Study of antibody to hepatitis-B virus core antigen (anti-HBc) in chronic diffuse liver disease.

K Dávid, L Halmy
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Abstract

The sera of 211 patients with histological evidence of chronic diffuse liver disease were studied for antibody to hepatitis-B virus core antigen (anti-HBc), hepatitis-B virus surface antigen (HBsAg) and antibody to the latter antigen (anti-HBs) by radioimmunoassay, using Abbott-RIA kits. The frequency of anti-HBc-positivity was found to be six times as high as HBsAg-positivity and twice as high as anti-HBs-positivity. In 20 of the patients with chronic liver disease the anti-HBc-positivity was the only indicator of past infection with HB-virus. The detection-rate of HB-viral infection provided by the highly sensitive radioimmunoassays was 59 per cent in liver cirrhosis of 45 per cent in chronic hepatitis, 26 per cent in fatty degeneration of the liver. Anti-HBc having been found to be the most sensitive indicator of HB-viral infection, the importance of its assay is therefore emphasized.

慢性弥漫性肝病乙型肝炎病毒核心抗原抗体(抗- hbc)的研究。
采用abbot - ria检测试剂盒,对211例有慢性弥漫性肝病组织学证据的患者血清进行了乙型肝炎病毒核心抗原(anti-HBc)、乙型肝炎病毒表面抗原(HBsAg)和后者抗体(anti-HBs)的放射免疫测定。发现抗hbc阳性的频率是hbsag阳性的6倍,是抗hbs阳性的2倍。在20例慢性肝病患者中,抗乙肝病毒阳性是过去感染乙肝病毒的唯一指标。高灵敏度放射免疫测定提供的乙肝病毒感染检出率在肝硬化中为59%,在慢性肝炎中为45%,在肝脏脂肪变性中为26%。抗hbc已被发现是乙肝病毒感染最敏感的指标,因此强调其检测的重要性。
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