HBsAg antibody ( anti - HBsAg )
- anti-HBsAg indicates clinical recovery and immunity to hepatitis B virus
- anti-HBsAg may also occur (via passive transfer) after transfusion
- this antibody is found in about 80% of patients after clinical cure
- anti-HBsAg may take several weeks or months to appear following the disappearance of HBsAg
- in fulminant hepatitis the anti-HBsAg is produced early and may co-exist with low antigen titre
- in chronic carriers - no antibody is present but antigen titres are high
- the presence of anti-HBsAg without HBsAg detectable signifies:
- recovery from HBV infection
- absence of infectivity
- immunity from future HBV infection
- the presence of anti-HBsAg can be used to show effectivity of immunisation programme
Reference
- Trépo C, Chan HL, Lok A. Hepatitis B virus infection. Lancet. 2014 Dec 06;384(9959):2053-63
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