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Related Concept Videos

Antibody Structure01:10

Antibody Structure

Overview
Antibodies, also known as immunoglobulins (Ig), are essential players of the adaptive immune system. These antigen-binding proteins are produced by B cells and make up 20 percent of the total blood plasma by weight. In mammals, antibodies fall into five different classes, which each elicits a different biological response upon antigen binding.
The Y-Shaped Structure of Antibodies Consists of Four Polypeptide Chains
Antibodies consist of four polypeptide chains: two identical heavy...
Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...

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Dried Blood Spots - Preparing and Processing for Use in Immunoassays and in Molecular Techniques
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Serological pattern "anti-HBc alone": report on a workshop.

P Grob1, W Jilg, H Bornhak

  • 1Clinical Immunology, University Hospital Zürich, Switzerland.

Journal of Medical Virology
|November 14, 2000
PubMed
Summary

Individuals with isolated hepatitis B core antibody (anti-HBc) may have chronic hepatitis B virus (HBV) infection and can be infectious. Further research is needed on clinical aspects and transmission risks.

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Area of Science:

  • Hepatology
  • Virology
  • Immunology

Background:

  • Isolated "anti-HBc alone" antibody is detected in 1-4% of the general population in low endemicity areas.
  • Hepatitis B virus (HBV) DNA is found in about 10% of these individuals, with higher rates in those coinfected with hepatitis C virus (HCV) or human immunodeficiency virus (HIV).
  • A small proportion represent the window phase or late immunity, but many likely have unresolved or low-grade chronic HBV infection.

Framework:

  • This study reviews current knowledge on the clinical significance of isolated "anti-HBc alone" positivity.
  • It highlights the limited existing research on the clinical aspects of individuals with suspected chronic HBV infection and isolated anti-HBc.
  • The focus is on understanding the implications of this serological marker.

Implementation:

  • Analysis of existing data on HBV DNA detection rates in isolated anti-HBc positive individuals.
  • Review of clinical presentations, including asymptomatic carriers and those with chronic hepatitis.
  • Assessment of potential HBV transmission through sexual contact, perinatal routes, and blood recipients.

Implications:

  • Individuals with isolated anti-HBc can be infectious, posing risks for transmission.
  • Recommendations are provided for diagnostic and therapeutic strategies in managing these individuals.
  • Guidelines are suggested for blood banking and transplantation services to mitigate transmission risks.