HBV Flashcards
Abs present during acute infections
Anti-core IgM
Abs present during chronic infection
IgG
Anti-core IgG
active replication Ag
HepBeAg
immunized people & people with previous infection & had an effective immune response will have:
-negative HBsAg and HBeAg
-positive anti-HBv core IgG
-positive anti-HBV surface Ab (IgG) & anti-HBVeAb
Hep B & Hep C associated with increased risk of:
hepatocellular cancer
-most common cause of liver cancer & liver transplantation
hep B virus info
-prototype member of hepadnavirus
-circular DNA genome
-8 phenotypes
hepadnaviridae
partially ds-DNA virus
HBsAg
-stimulates protective Abs
-marker for current infection
-peaks ~12 weeks
-
HBcAg
-localized within liver cells
-identifies acute infection
-anti-HBcAg persists for life & is marker for past infections
ABeAg
marker of active replication & infectivity
cause of hepatocellular necrosis
-body’s reaction to the virus rather than the virus itself
-pts with severe illness from HBV are more likely to clear the virus
-progress to chronic, longstanding infection
HBsAg diagnostic
-surface protein of HBV- high levels in serum during acute or chronic infection
-presence = infectious
-Abs against HBsAg are produced normally in immune response to HBV
-used to make hep B vaccine
prozone phenomena
-window period of HBV, neither HBsAg or its antibody (HBsAb) can be detected in pt serum
-due to precipitation of Ag-Ab complexes in their cones of equivalence & removed from circulation
-tests during