Detecting hepatitis B surface antigen mutants

被引:105
作者
Coleman, PF [1 ]
机构
[1] Abbott Labs, Abbott Pk, IL 60064 USA
关键词
D O I
10.3201/eid1203.050038
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 [免疫学];
摘要
Hepatitis B viral mutants can emerge in patients as a result of selection pressure from either immune response or treatment options. Mutations that occur within the immunodominant epitopes of hepatitis B surface antigen (HBsAg) allow mutant virus to propagate in the presence of a neutralizing immune response, while wild-type virus is reduced to undetectable levels. HBsAg mutants present as false-negative results in some immunoassays. An understanding of immunoassay reactivity with HBsAg mutants is key to establishing an appropriate testing algorithm for hepatitis B virus detection programs.
引用
收藏
页码:198 / 203
页数:6
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