Lenkei R, Babes V T, Dan M E, Mustea A, Dobre I
J Med Virol. 1977;1(1):29-34. doi: 10.1002/jmv.1890010106.
A new category of autoantibodies--antipolymerized albumin antibodies (AAA)--was discovered in 1974. Studies performed from 1974 to 1976 showed their diagnosis and prognostic values in hepatic diseases; the AAA tests [immunodiffusion (ID) and hemagglutination (HS)] made possible a good estimation of the total liver cell function. Without being specific for a viral hepatitis B infection, highly significant linear correlations were found for AAA precipitin and agglutinin positivities with presence of HBsAg. High titre of AAA agglutinins unaccompanied by a positive ID test, characterise the "healthy carrier" of the HBsAg, while the isolated AAA positivity in ID is met in more severe, long-standing hepatic diseases.
1974年发现了一类新的自身抗体——抗聚合白蛋白抗体(AAA)。1974年至1976年进行的研究显示了它们在肝脏疾病中的诊断和预后价值;AAA检测[免疫扩散(ID)和血凝反应(HS)]使得对肝脏细胞整体功能的良好评估成为可能。虽然并非乙型病毒性肝炎感染所特有,但发现AAA沉淀素和凝集素阳性与HBsAg的存在呈高度显著的线性相关性。高滴度的AAA凝集素且ID检测为阴性,是HBsAg“健康携带者”的特征,而ID检测中孤立的AAA阳性则见于更严重、病程更长的肝脏疾病。