Summary
This paper gives the results for HBeAg and anti-HBe titers in chronic HBsAg carriers and patients with type B hepatitis using a “solid-phase” radioimmunoassay.
In tumor and hemodialysis patients the HBeAg titers are statistically significant higher compared to the group of HBsAg positive CAH or CPH.
High anti-HBe titers are a characteristic finding in “healthy” HBsAg carriers. On the other hand, there is a subgroup of HBsAg positive CAH with anti-HBe; although there are signs of an ongoing virus B replication these cases of CAH proceed sometimes to cirrhosis.
Zusammenfassung
In dieser Arbeit werden die Ergebnisse der HBeAg und anti-HBe-Titer Bestimmungen mit einem „solid-phase“-Radioimmunoassay dargestellt.
Bei Tumor- und Hämodialysepatienten sind die HBeAg-Titer statistisch signifikant höher als bei Patienten mit HBsAg positiver CAH oder CPH.
Hohe anti-HBe Titer sind ein charakteristischer Befund für „gesunde“ HBsAg-Träger. Andererseits gibt es eine Untergruppe der HBsAg positiven CAH mit anti-HBe; obgleich bei dieser Form eine CAH keine Zeichen einer fortbestehenden Virus B-Replikation nachgewiesen werden kann, schreitet die Krankheit manchmal in Richtung auf eine Zirrhose fort.
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References
Aikawa T, Sairenji H, Furuta S, Kiyosawa K, Shikata T, Imai M, Miyakawa Y, Yanase Y, Mayumi M (1978) Seroconversion from hepatitis Be-antigen to anti-HBe in acute hepatitis B virus infection. N Engl J Med 298:439–441
Arnold W, Meyer zum Büschenfelde KH, Hess G, Knolle J (1975) The diagnostic significance of intrahepaticellular hepatitis-B-surface (HBsAg), hepatitis-B-core-antigen (HBcAg), and IgG for the classification of inflammatory liver diseases. Studies in HBsAg-positive and -negative patients. Klin Wochenschr 53:1069–1074
Arnold W, Nielsen JO, Hess G, Knolle J, Meyer zum Büschenfelde KH (1976) Correlation of the antigen-antibody-system with intrahepatocellular HBcAg and HBsAg in HBsAg-positive acute and chronic liver diseases and healthy HBsAg carriers. Digestion 14:448–449
Arnold W, Meyer zum Büschenfelde KH (1977) Immune complexe of HBcAg/anti-HBc in nuclei of HBsAg-positive chronic liver diseases. N Engl J Med 295:818
Arnold W, Nielsen JO, Hardt F, Meyer zum Büschenfelde KH (1977) Localization of e-antigen in nuclei of hepatocytes in HBsAg-positive liver diseases. Gut 19:994–996
Arnold W, Hess G, Purcell RH, Kaplan P, Gerin JL, Meyer zum Büschenfelde KH (1978) Anti-HBc, HBeAg and DNApolymerase activity in healthy HBsAg carriers and patients with inflammatory liver diseases. Klin Wochenschr 56:297–303
Arnold W, Hess G, Dormeyer HH, Gahl G, Hofmann HB, Knolle J, Schönborn H (1979) Radioimmunologischer Nachweis von HBeAg/anti-HBe bei HBsAg positiven Lebererkrankungen und „gesunden“ HBsAg-Trägern. Z Gastroenterol 17:704–712
Arnold W, Hess G, Hütteroth Th, Meyer zum Büschenfelde KH (1980) Immunological status as basis of appropriate treatment in subgroups of HBsAg-positive chronic hepatitis. Scand J Gastroenterol 15:385–388
Berquist KR, Maynard JE, Murphy BL (1976) Infectivity of serum containing HBsAg and antibody to e-antigen. Lancet I:1026–1027
Courouce-Pauty AM, Plancon A (1978) e-Antigen and anti-e in two categories of chronic carriers of hepatitis B surface antigen. Vox Sang (Basel) 34:231–238
Dormeyer HH, Arnold W, Schönborn H, Braun B, Klinge O, Knolle J, Hess G, Kryger P, Nielsen JO, Meyer zum Büschenfelde KH (1981) The prognostic significance of serological, histological and immunohistological findings in asymtomatic HBsAg carriers: A long-term follow-up study of 88 cases. J Infect Dis (in press)
Feinman SV, Berris B, Sinclair JG (1975) e-Antigen and anti-e in HBsAg-carriers. Lancet 2:1173–1174
Fields HA, Bradley DW, Davis CL, Murphy HL, Schable CA, Maynard JE (1978) Radioimmunoassay for the detection of hepatitis e-antigen (HBeAg) and antibody (anti-HBe). J Immunol 121:930–935
Frösner GG, Brodersen M, Papaevangelou G, Sugg U, Haas H, Mushawar IK, Ling CH, Overby LR, Deinhardt F (1978) Detection of HBeAg and anti-HBe in acute hepatitis B by an sensitive radioimmunoassay. J Med Virol 3:67–76
Gahl GM, Hess G, Arnold W, Grams G (1979) Hepatitis B-virus markers in 97 long-term hemodialysis patients. Nephron 24:58–63
Hess G, Arnold W, Shih JWK, Kaplan PM, Purcell RH, Gerin JL, Meyer zum Büschenfelde KH (1977) Expression of hepatitis B virus-specific markers in asymptomatic hepatitis B surface antigen carriers. Infect Immun 17:550–554
Hess G, Nielsen JO, Arnold W, Meyer zum Büschenfelde KH (1977) e-Antigen-antibody system and intrahepatocellular HBcAg and HBsAg in HBsAg-positive patients with inflammatory liver diseases and healthy HbsAg carriers. Scand J Gastroenterol 12:325–330
Hess G, Wagner J, Arnold W, Purcell RH, Meyer zum Büschenfelde KH (1978) Anti-HBc-titers in HBeAg and anti-HBe-positive asymptomatic HBsAg carriers. Z Immun-Forsch 154:208–217
Hess G, Arnold W, Meyer zum Büschenfelde KH Serocanversion from hepatitis Be antigen (HBeAg) to anti-HBe after discontinuation of immunosuppressive therapy. (Submitted for publication)
Imai M, Tachibana FC, Moritsugu Y, Miyakawa Y, Mayumi M (1976) E-antigen, Dane particles, and serum DNApolymerase activity in HBsAg carriers. Ann Intern Med 85:458
Kaplan PM, Greenman RL, Gerin JL, Purcell RH, Robinson WS (1973) DNApolymerase associated with human hepatitis B antigen. J Virol 12:995–1005
Kryger P, Mathiesen LR, Møller AM, Aldersville J, Hansson BG, Nielsen JO (1981) Enzyme-linked immunosorbentassay for detection of IgM antibody to the hepatitis Bc-antigen. J Clin Microbiol (in press)
Meyer zum Büschenfelde KH, Hütteroth Th, Arnold W, Hopf U (1979) Immunologic liver injury. The role of hepatitis B-virus antigens and liver membrane antigens as targets. In: Popper H (ed) Progress in liver diseases, Vol VI:407–424
Mushawar IK, Overby LR, Frösner G, Deinhardt F, Ling CM (1978) Prevalence of hepatitis Be-antigen and its antibody as detected by radioimmunoassays. J Med Virol 2:77–78
Nordenfelt E, Andrén-Sandberg M (1976) Dane particle-associated DNApolymerase and e-antigen. Relation to chronic hepatitis among carriers of hepatitis B surface antigen. J Infect Dis 134:85–89
Tabor E, Gerety RJ, Barker LF (1977) Detection of e antigen during acute and chronic hepatitis B virus infection in chimpanzees. J Infect Dis 136:541–547
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Dedicated to Prof. Dr. P. Schölmerich, on his 65th birthday
Supported by the Deutsche Forschungsgemeinschaft, grant no Ar 106/3
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Arnold, W., Hess, G., Kawakami, H. et al. Quantitation of HBeAG and anti-HBe by RIA in sera of chronic HBsAG carriers and individuals with Type B hepatitis. Klin Wochenschr 59, 679–683 (1981). https://doi.org/10.1007/BF02593860
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DOI: https://doi.org/10.1007/BF02593860