Potential infectivity of blood from HBsAg asymptomatic carriers due to the presence of HBV-DNA and comparison with other markers of HBV infection

Rev Inst Med Trop Sao Paulo. 1989 Nov-Dec;31(6):377-83. doi: 10.1590/s0036-46651989000600003.

Abstract

Serum samples from 356 HBsAg positive asymptomatic carriers, which were titrated by reverse passive hemagglutination, were analysed for the presence of HBV-DNA, HBsAg and IgM anti-HBc. The samples were divided in three classes, according to the titers of HBsAg and IgM anti-HBc and the distribution of HBV-DNA and HBsAg among these classes was studied. In the high titer class of HBsAg, 65% of samples have one or both markers against only 19% in the low titer class. From the total of 356 samples, 121 gave positive results for IgM anti-HBc (33.9%). From these, 38.9% of HBV-DNA and 47.9% of HBeAg were observed, whereas in samples with absence of IgM anti-HBc, 18.3% and 16.6% were respectively found. A higher frequency of agreement between all these markers was found in the class of high titers of HBsAg; however, HBV-DNA was detected in the low titer class of HBsAg and little or no IgM anti-HBc, showing potential blood infectivity even in HBsAg positive borderline samples.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carrier State / immunology*
  • DNA, Viral / analysis*
  • Hemagglutination Tests
  • Hepatitis B / transmission*
  • Hepatitis B Antibodies / analysis
  • Hepatitis B Surface Antigens / analysis*
  • Hepatitis B e Antigens / analysis*
  • Hepatitis B virus / genetics*
  • Humans
  • Immunoglobulin M / analysis

Substances

  • DNA, Viral
  • Hepatitis B Antibodies
  • Hepatitis B Surface Antigens
  • Hepatitis B e Antigens
  • Immunoglobulin M