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Subtypes of hepatitis B antigen among patients and symptomless carriers

Published online by Cambridge University Press:  15 May 2009

Helen T. Green
Affiliation:
Regional Public Health Laboratory, Fazakerley Hospital, Liverpool
G. C. Turner
Affiliation:
Regional Public Health Laboratory, Fazakerley Hospital, Liverpool
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Summary

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A study of the distribution of subtypes ad and ay among sera from hepatitis B antigen-positive subjects in North West England and North Wales revealed a marked contrast between symptomless carriers among whom ad predominated and patients with acute hepatitis the majority of whom were ay. Those with hepatitis associated with drug addiction or other forms of ‘needle transmission’ were almost all of subtype ay. On the other hand in cases of ‘sporadic’ hepatitis without evidence of parenteral exposure subtypes ad and ay are about equally distributed.

These findings are similar to those reported from other countries in Northern Europe and North America. Although geographical and social factors clearly affect the distribution of the two subtypes it is suggested that the virus of subtype ay may be more readily transmitted than subtype ad by parenteral routes involving small amounts of blood.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1975

References

REFERENCES

Apostolov, K., Bauer, D. J., Selway, J. W. T., Fox, R. A., Dudley, F. J. & Sherlock, S. (1971). Australia antigen in urine. Lancet i, 1274.CrossRefGoogle Scholar
Bancroft, W. H., Mundon, F. K. & Russell, P. K. (1972). Detection of additional antigenic determinants of hepatitis B antigen. Journal of Immunology 109, 842.CrossRefGoogle ScholarPubMed
Cossart, Y. E. & Vahrman, J. (1970). Studies of Australia-SH antigen in sporadic viral hepatitis in London. British Medical Journal i, 403.CrossRefGoogle Scholar
Heathcote, J., Cameron, C. H. & Dane, D. S. (1974). Hepatitis-B antigen in saliva and semen. Lancet i, 71.CrossRefGoogle Scholar
Holland, P. V., Purcell, R. H., Smith, H. & Alter, H. J. (1972). Subtyping of hepatitis-associated antigen (HBAg); simplified technique with counterelectrophoresis. Journal of Immunology 109, 420.CrossRefGoogle ScholarPubMed
Iwarson, S., Magnius, L., Lindholm, A. & Lundin, P. (1973). Subtypes of hepatitis B antigen in blood donors and post-transfusion hepatitis: clinical and epidemiological aspects. British Medical Journal i, 84.CrossRefGoogle Scholar
Jones, P. O., Goldsmith, H. J., Wright, F. K., Roberts, C. & Watson, D. C. (1967). Viral hepatitis. A staff hazard in dialysis units. Lancet i, 835.CrossRefGoogle Scholar
LeBouvier, G. L. (1971). The heterogeneity of Australia antigen. Journal of Infectious Diseases 123, 671.CrossRefGoogle Scholar
LeBouvier, G. L., McCollum, R. W., Hierholzer, W. J., Irwin, G. R., Krugman, S. & Giles, J. P. (1972). Subtypes of Australia antigen and Hepatitis-B virus. Journal of the American Medical Association 222, 928.CrossRefGoogle Scholar
Mazzur, S., Burgert, S. & Blumberg, B. S. (1974). Geographical distribution of Australia antigen determinants, d, y and w. Nature, London 247, 38.CrossRefGoogle Scholar
Mosley, J. W., Edwards, V. M., Meihaus, J. E. & Redeker, A. G. (1972). Subdeterminants d and y of hepatitis B antigen as epidemiologic markers. American Journal of Epidemiology 95, 529.Google ScholarPubMed
Nielsen, J. O., LeBouvier, G. L. & Copenhagen hepatitis acute program (1973). Subtypes of Australia antigen among patients and healthy carriers in Copenhagen. New England Journal of Medicine 288, 1257.CrossRefGoogle ScholarPubMed
Perry, E. & Chaudhury, R. K. (1973). Hepatitis-B antigen: distribution of ad and ay subtypes in blood donors and hepatitis patients. Canadian Medical Association Journal 109, 857.Google ScholarPubMed
Prince, A. M., Hargrove, R. L., Szmuness, W., Cherubin, C. E., Fontana, V. J. & Jeffries, G. H. (1970). Immunologic distinction between infectious and serum hepatitis. New England Journal of Medicine 282, 987.CrossRefGoogle ScholarPubMed
Reed, W. D., Mitchell, C. G., Eddelston, A. L. W. F., Lee, W. M., Williams, R. & Zuckerman, A. J. (1974). Exposure and immunity to hepatitis-B virus in a liver unit. Lancet i, 581.CrossRefGoogle Scholar
Reinicke, V., Dybkjaer, E., Poulsen, H., Banke, O., Lyllof, K. & Nordenfelt, E. (1972). A study of Australia-antigen-positive blood donors and their recipients with special reference to liver histology. New England Journal of Medicine 286, 867.CrossRefGoogle ScholarPubMed
Skinhøj, P. (1973). Hepatitis-associated antigen, subtypes D and Y. An epidemiological and clinical evaluation Scandinavian Journal of Infectious Diseases 5, 85.CrossRefGoogle ScholarPubMed
Sonnabend, W., Kistler, G. S., Krech, U., Jung, M. & Überschlag, M. L. (1972). Immunologischer und elektronenmikroskopischer Nachweis von Australia-antigen (hepatitis-B antigen) in Fäzes-und-Urinproben von Patienten mit Virus hepatitis B. Schweizerische Medizinische Wochenschrift 102, 1053.Google Scholar
Turner, G. C., Field, A. M., Lasheen, R. M., Todd, R. McL., White, G. B. B. & Porter, A. A. (1971). SH (Australia) antigen in early life. Archives of Disease in Childhood 46, 616.CrossRefGoogle ScholarPubMed
Turner, G. C. & White, G. B. B. (1969). SH antigen in haemodialysis-associated hepatitis. Lancet ii, 121.Google Scholar
Ward, R., Borchert, P., Wright, A. & Kline, E. (1972). Hepatitis B antigen in saliva and mouth washings. Lancet ii, 726.CrossRefGoogle Scholar
White, G. B. B., Lasheen, R. M., Baillie, M. B. & Turner, G. C. (1971). Comparison of three serological methods for the detection of hepatitis-associated antigen. Journal of Clinical Pathology 24, 8.CrossRefGoogle ScholarPubMed