Skip to main content

Hepatitis B

  • Chapter
  • First Online:

Abstract

The discovery of hepatitis B virus (HBV) did not arise from a goal-directed search for this pathogen but from studies in basic science that were initially set on a different path. Much of the early research that resulted in the discovery of the virus, the invention of diagnostics, and the development of a vaccine was conducted at the Division of Clinical Research of Fox Chase Cancer Center (Blumberg et al. 1967). This chapter will focus on this early period and will also include a discussion of the worldwide use of the initial and subsequent vaccines that were associated with dramatic decreases in the incidence and prevalence of acute and chronic HBV infection, the HBV carrier state, and hepatocellular carcinoma (HCC), the latter marking HBV vaccine as the first one to prevent cancer. The nonpathological effects of chronic HBV infection, including a discussion of the relationship of genetic polymorphisms to susceptibility to chronic infection, and the relation of HBV infection to gender selection will conclude the chapter.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Allison AC, Blumberg BS (1961) An isoprecipitation reaction distinguishing human serum protein types. Lancet 1:634–637

    Article  CAS  PubMed  Google Scholar 

  • American Cancer Society (2008) Infectious agents and cancer. http://www.cancer.org/docroot/PED/content/PED_1_3X_Infectious_Agents_and_Cancer.asp. Accessed 15 Aug 2008

  • Bayer ME, Blumberg BS, Werner B (1968) Particles associated with Australia antigen in the sera of patients with leukemia, Down’s syndrome and hepatitis. Nature 218:1057–1059

    Article  CAS  PubMed  Google Scholar 

  • Beeson PB (1943) Jaundice occurring one to four months after transfusion of blood or plasma report of seven cases. JAMA 121:1332–1334

    Google Scholar 

  • Benahamon E, Courouce AM, Jungurs P et al (1984) Hepatitis B vaccine: randomized trial of immunogenicity in hemodialysis patients. Clin Nephrol 3:102–103

    Google Scholar 

  • Blumberg BS (1961) Inherited susceptibility to disease: Its relation to environment. Arch Environ Health 3:612–636

    CAS  PubMed  Google Scholar 

  • Blumberg BS (1972) Viral hepatitis, Au antigen, and hope for a vaccine. Gastroenterol Med World News 14–18

    Google Scholar 

  • Blumberg BS (1990) Proc. International Conference on Prospects for Eradication of Hepatitis B Virus. Vaccine 8 Introduction S5 Conclusion S139

    Google Scholar 

  • Blumberg BS (2002) Hepatitis B. The hunt for a killer virus. Princeton University Press, Princeton, NJ

    Google Scholar 

  • Blumberg BS (2004) The impact of hepatitis B vaccine worldwide. In: Vierucci A (ed) The proceedings of the Società Italiana de Allergolgia ed Immunologia Pediatrica. Editeam Cento, Florence

    Google Scholar 

  • Blumberg BS (2006a) Hepatitis B virus: Conjectures on human interactions and the origin of life. In: Seckbach J (ed) Life as we know it. Springer, New York

    Google Scholar 

  • Blumberg BS (2006b) The curiosities of hepatitis B virus: Prevention, sex ratio, and demography. Proc Am Thorac Soc 3:14–20

    Article  CAS  PubMed  Google Scholar 

  • Blumberg BS, Alter HJ, Visnich S (1965) A “new” antigen in leukemia sera. JAMA 191: 541–546

    CAS  PubMed  Google Scholar 

  • Blumberg BS, Melartin L, Guinto RA et al (1966) Family studies of a human serum isoantigen system (Australia antigen). Am J Human Genet 18:594–608

    CAS  Google Scholar 

  • Blumberg BS, Gerstley BJS, Hungerford DA et al (1967) A serum antigen (Australia antigen) in Down’s Syndrome leukemia and hepatitis. Ann Int Med 66:924–931

    CAS  PubMed  Google Scholar 

  • Blumberg BS, London WT, Sutnick AI (1969) Relation of Australia antigen to virus of hepatitis. Bull Path 10:164

    Google Scholar 

  • Blumberg BS, Millman I (1972) Vaccine against viral hepatitis and process. US Patent 3,636,191, 18 Jan 1972

    Google Scholar 

  • Bonnanni P (1995) Implementation in Italy of a universal vaccination program against hepatitis B. Vaccine 13:68–71

    Google Scholar 

  • Buynak EB, Roehm RR, Tytell AA et al (1976) Development and chimpanzee testing of a vaccine against human hepatitis B. Proc Soc Exp Biol Med 151:694–700

    CAS  PubMed  Google Scholar 

  • Cameron JDS (1943) Infective hepatitis. Q J Med 12:139–155

    Google Scholar 

  • CDC (2008) Hepatitis B FAQs for health professional. http://www.cdc.gov/hepatitis/HBV/HBVfaq.htm#overview. Accessed 12 Aug 2008

  • Chan CY, Lee SD, Lo KJ (2004) Legend of hepatitis B vaccination: The Taiwan experience. J Gastrolenterol Hepatol 19:121–126

    Article  Google Scholar 

  • Chen PJ (2008) Hepatitis B virus and hepatocellular carcinoma: Genetics and gender Taipei, Taiwan. Presented at the 2nd International Conference on Viral Oncology, Philadelphia, PA 26 September 2008

    Google Scholar 

  • Chen JK, Berek JS (2007) Impact of the human papilloma vaccine on cervical cancer. J Clin Oncol 25:2975–2982

    Article  CAS  Google Scholar 

  • Dane DS, Cameron CH, Briggs M (1970) Virus-like particles in serum of patients with Australia antigen-associated hepatitis. Lancet 1:695

    Article  CAS  PubMed  Google Scholar 

  • Da Villa G, Piazza M, Iorio R et al (1992) A pilot model of vaccination against hepatitis B virus suitable for mass vaccination campaigns in hyperendemic areas. J Med Virol 36:274–278

    Article  CAS  PubMed  Google Scholar 

  • Da Villa G, Picciottoc L, Elia S et al (1995) Hepatitis B vaccination: Universal vaccination of newborn babies and children at 12 years of age versus high risk groups. A comparison in the field. Vaccine 13:1240–1243

    Article  CAS  PubMed  Google Scholar 

  • De la Torre J, Esteban R (1995) Implementing universal vaccination programs: Spain. Vaccine 13:72–74

    Article  Google Scholar 

  • Desmyter J, Colaert J, DeGroote G et al (1983) Efficacy of heat-inactivated hepatitis B vaccine in hemodialysis patients and staff: double blind placebo-controlled trial. Lancet 2:1323–1328

    Article  CAS  PubMed  Google Scholar 

  • Dienstag JL (2008) Hepatitis B virus infection. N Engl J Med 359(14):1486–1500

    Article  CAS  PubMed  Google Scholar 

  • Drew JS, London WT, Lustbader ED (1978) Hepatitis B virus and sex ratio of offspring. Science 201:687

    Article  CAS  PubMed  Google Scholar 

  • Felton C, Lustbader ED, Merten C et al (1979) Serum iron levels and response to hepatitis B virus. Proc Natl Acad Sci USA 76:2438–2441

    Article  CAS  PubMed  Google Scholar 

  • Findley GM, MacCallum FO (1937) Note on acute hepatitis and yellow fever immunization. Trans R Soc Trop Med Hyg 51:297–308

    Article  Google Scholar 

  • Francis DP, Hadler SC, Thompson SE et al (1982) The prevention of hepatitis B with vaccine: Report of the Centers for Disease Control multi-center efficacy trial among homosexual men. Ann Intern Med 97:362–366

    CAS  PubMed  Google Scholar 

  • Gatcheva N, Vladimirova N, Kourtchatova A (1995) Implementing universal vaccination programs: Bulgaria. Vaccine 13:82–83

    Google Scholar 

  • Ginsberg GM, Shouval D (1992) Cost-benefit analysis of a nationwide neonatal inoculation program against hepatitis B in an area of intermediate endemicity. J Epidemiol Community Health 46:597–594

    Article  Google Scholar 

  • Gupta, MD (2008) Does hepatitis B infection or son preference explain the bulk of gender imbalance in China. http://www-wds.worldbank.org. Accessed 15 Aug 2008

  • Havens WP (1947) The etiology of infectious hepatitis. JAMA 134:653–655

    Google Scholar 

  • Hepeng J (2008) A controversial bid to thwart the “Cantonese Cancer” Science 321:1154–1155

    Article  CAS  PubMed  Google Scholar 

  • Hilleman M (1971) Personal communication

    Google Scholar 

  • Kao JH, Hsy HM, Shau WY et al (2001) Universal hepatitis B vaccination and the decreased mortality from fulminant hepatitis in infants in Taiwan. J Pediatr 139:349–352

    Article  CAS  PubMed  Google Scholar 

  • Kellner A (1985) Reflections on Wolf Szmuness. Prog Clin Biol Res 182:3–10

    CAS  PubMed  Google Scholar 

  • Krugman S (1986) The Willowbrook hepatitis studies revisited: Ethical aspects. Rev Infect Dis 8(1):157–162

    CAS  PubMed  Google Scholar 

  • Krugman S, Giles JP, Hammond J (1967) Infectious hepatitis: Evidence for 2 distinctive clinical, epidemiological and immunological types of infection. JAMA 200:365–373

    Article  CAS  PubMed  Google Scholar 

  • Krugman S, Giles JP, Hammond J (1971) Viral hepatitis, type B (MS-2 strain): Studies on active immunization. JAMA 217: 41–45

    Article  CAS  PubMed  Google Scholar 

  • Lin MJ, Luoh MC (2006) Can hepatitis B mothers account for the number of missing women? Evidence from three million newborns in Taiwan. National Taiwan University. http://homepage.ntu.edu.tw/∼luohm/missingwomen.pdf. Accessed 10 Aug 2008

  • London WT, DiFiglia M, Sutnick AI et al (1969) An epidemic of hepatitis in a chronic-hemodialysis unit. Australia antigen and differences in host response. N Engl J Med 281:571–578

    Article  CAS  PubMed  Google Scholar 

  • London WT, Drew JS, Lustbader ED et al (1977) Host responses to hepatitis B infection in patients in a chronic hemodialysis unit. Kidney Int 12:51–58

    Article  CAS  PubMed  Google Scholar 

  • London WT, Blumberg BS (1985) Comments on the role of epidemiology in the investigation of hepatitis B virus. Epidemiol Rev 7:59–79

    CAS  PubMed  Google Scholar 

  • Lürman I (1885) Eine Icterusepidemie. Berlin Klin Wochenschr 22:20–41

    Google Scholar 

  • Lustbader ED, London WT, Blumberg BS (1976) Study design for a hepatitis B vaccine trial. Proc Natl Acad Sci USA 73:955–959

    Article  CAS  PubMed  Google Scholar 

  • Marshall E (1998) A shadow falls on hepatitis B vaccination effort. Science 281:630–631

    Article  CAS  PubMed  Google Scholar 

  • Maupas P, Chiron VP, Barn F et al (1981) Efficacy of hepatitis B vaccine in prevention of early HBsAg carrier in children: controlled trial in an endemic area (Senegal). Lancet 1:289–292

    Article  CAS  PubMed  Google Scholar 

  • McAleer WJ, Buynak EB, Maigetter RZ et al (1984) Human hepatitis B vaccine from recombinant yeast. Nature 307:178–180

    Article  CAS  PubMed  Google Scholar 

  • McMahon B, Mandsager R, Wainwright K et al (1996) The Alaska native hepatitis B control program. Proc. IX triennial international symposium on viral hepatitis and liver disease, Rome, 21–25 April 1996

    Google Scholar 

  • Merigan T (1997) Personal communication

    Google Scholar 

  • Okochi DJ, Murakami S (1968) Observations on Australia antigen in Japanese. Vox Sang 15:374–385

    Article  CAS  PubMed  Google Scholar 

  • Okochi DJ, Murakami S, Nonomiya K et al (1970) Australia antigen, transfusion and hepatitis. Vox Sang 18:289–300

    Article  Google Scholar 

  • Oster E (2005) Hepatitis B and the case of the missing women. J Polit Econ 113:1163–1216

    Article  Google Scholar 

  • Prince AM (1968) An antigen detected in the blood during the incubation period of serum hepatitis. Proc Natl Acad Sci USA 60:814–821

    Article  CAS  PubMed  Google Scholar 

  • Seefe LB, Beebe GW, Hoofnagle JH et al (1987) A serologic follow-up of the 1942 epidemic of post-transfusion hepatitis in the United States Army. N Engl J Med 316:965–970

    Article  Google Scholar 

  • Senior JR, Sutnick AI, Goeser E et al (1974) Reduction of post-transfusion hepatitis by exclusion of Australia antigen from donor blood in an urban public hospital. Amer J Med Sci 267:171–177

    Article  CAS  PubMed  Google Scholar 

  • Sherker AH, Marion PL (1991) Hepadna viruses and hepatocellular carcinoma, Annu Rev Microbiol 45:475–507

    CAS  PubMed  Google Scholar 

  • Sutnick AI, Blumberg BS, Lustbader ED (1974) Elevated serum iron levels and persistent Australia antigen (HBsAg). Ann Intern Med 81:855–856

    CAS  PubMed  Google Scholar 

  • Szmuness W (1980) Personal communication

    Google Scholar 

  • Szmuness W, Much MI, Prince AM et al (1975) On the role of sexual behavior in the spread of hepatitis B infection. Ann Intern Med 83:489–495

    CAS  PubMed  Google Scholar 

  • Szmuness W, Harley EJ, Ikram H et al (1978) Socio-demographic aspects of the epidemiology of hepatitis B. In: Vyas G, Cohen SN, Schmid R (eds) Viral hepatitis. Franklin Institute Press, Philadelphia

    Google Scholar 

  • Szmuness W, Stevens CE, Harley EJ et al (1980) Hepatitis B vaccine: Demonstration of efficacy in a controlled clinical trial in a high-risk population in the United States. N Engl J Med 303:833–841

    Article  CAS  PubMed  Google Scholar 

  • Szmuness W, Stevens CE, Harley EJ et al (1981) A controlled clinical trial of the efficacy of the hepatitis B vaccine (heptavax B); a final report. Hepatology 8:119–121

    Google Scholar 

  • Van Damme P, Vorsters A (2002) Hepatitis B control in Europe by universal vaccination programmes: The situation in 2001. J Med Virol 67:433–439

    Article  PubMed  Google Scholar 

  • Vierucci A, Bianchini AM, Morgese G et al (1968) L’antigene Austrlia. I Rapporte con l’epatite infettiva e da siero. Una ricerca in pazienta pediatrici. Pediatria Int 18:3–11

    Google Scholar 

  • Zuckerman AJ (1976) Twenty-five centuries of viral hepatitis. Rush-Presbyterian-St. Luke’s Medical Bulletin 15:57

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Baruch S. Blumberg .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Blumberg, B.S. (2010). Hepatitis B. In: Artenstein, A. (eds) Vaccines: A Biography. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1108-7_17

Download citation

Publish with us

Policies and ethics