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抗-HBc阳性献血者中存在常规放射免疫测定法检测不到的HBsAg的血清学证据。

Serological evidence of presence of HBsAg undetectable by conventional radioimmunoassay in anti-HBc positive blood donors.

作者信息

Katchaki J N, Siem T H, Brouwer R

出版信息

J Clin Pathol. 1978 Sep;31(9):837-9. doi: 10.1136/jcp.31.9.837.

DOI:10.1136/jcp.31.9.837
PMID:711912
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1145425/
Abstract

Sera from two blood donors, one of whom was implicated in a case of post-transfusion hepatitis B, were found to be positive for anti-HBc and negative for HBsAg by conventional radioimmunoassay and were retested for HBsAg after concentration (pepsin digestion and polyethylene glycol precipitation). The presence of occult HBsAg was confirmed in both. These observations have implications for blood transfusion, and wider studies of anti-HBc in blood donors are recommended before the introduction of routine screening for anti-HBc and exclusion of the positive donors from blood donation.

摘要

两名献血者的血清,其中一人涉及一起输血后乙型肝炎病例,通过传统放射免疫测定法检测发现抗 - HBc呈阳性而HBsAg呈阴性,并在浓缩(胃蛋白酶消化和聚乙二醇沉淀)后重新检测HBsAg。两人均证实存在隐匿性HBsAg。这些观察结果对输血有影响,建议在引入抗 - HBc常规筛查并将阳性献血者排除在献血之外之前,对献血者中的抗 - HBc进行更广泛的研究。

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Serological evidence of presence of HBsAg undetectable by conventional radioimmunoassay in anti-HBc positive blood donors.抗-HBc阳性献血者中存在常规放射免疫测定法检测不到的HBsAg的血清学证据。
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引用本文的文献

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Observations on 10 years' HBs antigenaemia after renal transplantation.肾移植术后10年乙肝表面抗原血症观察
J Clin Pathol. 1981 Apr;34(4):412-3. doi: 10.1136/jcp.34.4.412.
2
The value of screening blood donors for antibody to hepatitis B core antigen.筛查献血者乙型肝炎核心抗原抗体的价值。
J Clin Pathol. 1983 Aug;36(8):924-8. doi: 10.1136/jcp.36.8.924.
3
Post-transfusion hepatitis and its association with pooled clotting factors.输血后肝炎及其与混合凝血因子的关联。
Eur J Clin Microbiol. 1983 Apr;2(2):135-40. doi: 10.1007/BF02001579.
4
New principle for the simultaneous detection of total and immunoglobulin M antibodies applied to the measurement of antibody to hepatitis B core antigen.用于同时检测总抗体和免疫球蛋白M抗体的新原理,应用于乙型肝炎核心抗原抗体的测量。
J Clin Microbiol. 1984 Jun;19(6):905-10. doi: 10.1128/jcm.19.6.905-910.1984.
5
Anti-HBc screening for the prevention of perinatal transmission of hepatitis B virus in France.法国预防乙型肝炎病毒围产期传播的抗-HBc筛查
Infection. 1987 Nov-Dec;15(6):434-9. doi: 10.1007/BF01647225.
6
Screening for hepatitis B virus in healthy blood donors by molecular DNA hybridization analysis.通过分子DNA杂交分析对健康献血者进行乙型肝炎病毒筛查。
J Clin Microbiol. 1988 Sep;26(9):1848-52. doi: 10.1128/jcm.26.9.1848-1852.1988.

本文引用的文献

1
Antibody to hepatitis B core antigen. A sensitive indicator of hepatitis B virus replication.乙肝核心抗原抗体。乙肝病毒复制的敏感指标。
N Engl J Med. 1974 Jun 13;290(24):1336-40. doi: 10.1056/NEJM197406132902402.
2
Limitations of solid-phase radioimmunoassay for hb ag in reducing frequency of post-transfusion hepatitis.固相放射免疫分析法检测乙肝表面抗原在降低输血后肝炎发生率方面的局限性。
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New antigen-antibody system in Australia-antigen-positive hepatitis.澳大利亚抗原阳性肝炎中的新抗原抗体系统。
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Antibody to hepatitis-B-virus core in man.人类抗乙型肝炎病毒核心抗体
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Post-transfusion hepatitis in recipients of blood screened by newer assays.
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Quantitative standardization in the detection of hepatitis B surface antigen: results of a collaborative study involving 74 laboratories.
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7
Solid-phase enzyme-immunoassay for detection of hepatitis B surface antigen.用于检测乙型肝炎表面抗原的固相酶免疫测定法。
J Clin Pathol. 1976 Oct;29(10):873-9. doi: 10.1136/jcp.29.10.873.
8
Hepatitis B surface antigen (HBsAg) in the liver of patients with hepatitis; a comparison with serological detection.肝炎患者肝脏中的乙型肝炎表面抗原(HBsAg);与血清学检测的比较。
J Clin Pathol. 1976 Feb;29(2):89-93. doi: 10.1136/jcp.29.2.89.
9
Anticore antibody screening of transfused blood.输血的抗核心抗体筛查。
Vox Sang. 1978;34(2):77-80. doi: 10.1111/j.1423-0410.1978.tb03726.x.
10
Detection of hepatitis B surface antigen in potentially contaminated human plasma and plasma fractions.在潜在污染的人血浆及血浆组分中检测乙型肝炎表面抗原。
J Lab Clin Med. 1977 Dec;90(6):1107-14.