Skip to main content
Erschienen in: Archives of Virology 1/2015

01.01.2015 | Original Article

Comparison of two immunoassays for quantification of hepatitis B surface antigen in Chinese patients with concomitant hepatitis B surface antigen and hepatitis B surface antibodies

verfasst von: Weiwei Liu, Yao Hu, Yannan Yang, Tingting Hu, Xinyu Wang

Erschienen in: Archives of Virology | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Abstract

Two commercial quantitative immunoassay platforms are currently available for the detection of hepatitis B surface antigen (HBsAg) within a wide range of concentrations: the Architect HBsAg assay and the Elecsys HBsAg II. However, there are limited data concerning their performance in patients who are positive for both HBsAg and anti-HBs antibodies. In the present study, 127 serum samples from Chinese patients with hepatitis B carrying both HBsAg and anti-HBs antibodies were analyzed. HBsAg levels measured in parallel using the Elecsys HBsAg II and Architect HBsAg assay were compared. There was a significant correlation between HBsAg levels measured by Elecsys HBsAg II and Architect HBsAg assay (correlation coefficient, r = 0.992, P < 0.05). Bland-Altman analysis indicated only minor discordance between the methods (mean difference between Elecsys HBsAg II and Architect HBsAg assay, −0.02 log10 IU/ml; 95 % confidence interval, −0.40–0.37 log10 IU/ml). In conclusion, the results of the quantitative Elecsys HBsAg II were highly correlated with those of the Architect HBsAg assay in patients carrying both HBsAg and anti-HBs antibodies, but differences were observed between the platforms in samples with low HBsAg levels.
Literatur
1.
Zurück zum Zitat Li MR, Xi HL, Wang QH, Hou FQ, Huo N, Zhang XX, Li F, Xu XY (2014) Kinetics and prediction of HBsAg loss during long-term therapy with nucleos(t)ide analogues of different potency in patients with chronic hepatitis B. PLoS ONE 9(6):e98476PubMedCentralPubMedCrossRef Li MR, Xi HL, Wang QH, Hou FQ, Huo N, Zhang XX, Li F, Xu XY (2014) Kinetics and prediction of HBsAg loss during long-term therapy with nucleos(t)ide analogues of different potency in patients with chronic hepatitis B. PLoS ONE 9(6):e98476PubMedCentralPubMedCrossRef
2.
Zurück zum Zitat Ke W, Liu L, Zhang C, Ye X, Gao Y, Zhou S, Yang Y (2014) Comparison of efficacy and safety of tenofovir and entecavir in chronic hepatitis B virus infection: a systematic review and meta-analysis. PLoS ONE 9(6):e98865PubMedCentralPubMedCrossRef Ke W, Liu L, Zhang C, Ye X, Gao Y, Zhou S, Yang Y (2014) Comparison of efficacy and safety of tenofovir and entecavir in chronic hepatitis B virus infection: a systematic review and meta-analysis. PLoS ONE 9(6):e98865PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Wursthorn K, Lutgehetmann M, Dandri M (2006) Peginterferon alpha-2b plus adefovir induce strong cccDNA decline and HBsAg reduction in patients with chronic hepatitis B. Hepatology 44:675–684PubMedCrossRef Wursthorn K, Lutgehetmann M, Dandri M (2006) Peginterferon alpha-2b plus adefovir induce strong cccDNA decline and HBsAg reduction in patients with chronic hepatitis B. Hepatology 44:675–684PubMedCrossRef
5.
Zurück zum Zitat Yang R, Cong X, Xu Z, Xu D, Huang W, Maertens R, Wei L (2010) INNO-LiPA HBV genotyping is highly consistent with direct sequencing and sensitive in detecting B/C mixed genotype infection in Chinese chronic hepatitis B patients and asymptomatic HBV carriers. Clin Chim Acta 411:1951–1956PubMedCrossRef Yang R, Cong X, Xu Z, Xu D, Huang W, Maertens R, Wei L (2010) INNO-LiPA HBV genotyping is highly consistent with direct sequencing and sensitive in detecting B/C mixed genotype infection in Chinese chronic hepatitis B patients and asymptomatic HBV carriers. Clin Chim Acta 411:1951–1956PubMedCrossRef
7.
Zurück zum Zitat Liang X, Bi S, Yang W, Wang L, Cui G, Cui F, Zhang Y, Liu J, Gong X, Chen Y, Wang F, Zheng H, Wang F, Guo J, Jia Z, Ma J, Wang H, Luo H, Li L, Jin S, Hadler SC, Wang Y (2009) Epidemiological serosurvey of hepatitis B in China–declining HBV prevalence due to hepatitis B vaccination. Vaccine 27:6550–6557PubMedCrossRef Liang X, Bi S, Yang W, Wang L, Cui G, Cui F, Zhang Y, Liu J, Gong X, Chen Y, Wang F, Zheng H, Wang F, Guo J, Jia Z, Ma J, Wang H, Luo H, Li L, Jin S, Hadler SC, Wang Y (2009) Epidemiological serosurvey of hepatitis B in China–declining HBV prevalence due to hepatitis B vaccination. Vaccine 27:6550–6557PubMedCrossRef
8.
Zurück zum Zitat Zhang YM, Yang YD, Jia HY, Zeng LY, Yu W, Zhou N, Li LJ (2014) HBsAg levels in HBeAg-positive chronic hepatitis B patients with different immune conditions. World J Gastroenterol 20(15):4407–4413PubMedCentralPubMedCrossRef Zhang YM, Yang YD, Jia HY, Zeng LY, Yu W, Zhou N, Li LJ (2014) HBsAg levels in HBeAg-positive chronic hepatitis B patients with different immune conditions. World J Gastroenterol 20(15):4407–4413PubMedCentralPubMedCrossRef
9.
Zurück zum Zitat European Association for the Study of the Liver (2009) EASL clinical practice guidelines: management of chronic hepatitis B. J Hepatol 50:227–242CrossRef European Association for the Study of the Liver (2009) EASL clinical practice guidelines: management of chronic hepatitis B. J Hepatol 50:227–242CrossRef
11.
Zurück zum Zitat Hatzakis A, Magiorkinis E, Haida C (2006) HBV virological assessment. J Hepatol 44(1 Suppl):S71–S76PubMedCrossRef Hatzakis A, Magiorkinis E, Haida C (2006) HBV virological assessment. J Hepatol 44(1 Suppl):S71–S76PubMedCrossRef
12.
Zurück zum Zitat Thompson AJ, Nguyen T, Iser D, Ayres A, Jackson K, Littlejohn M (2010) Serum hepatitis B surface antigen and hepatitis B e antigen titers: disease phase influences correlation with viral load and intrahepatic hepatitis B virus markers. Hepatology 51:1933–1944PubMedCrossRef Thompson AJ, Nguyen T, Iser D, Ayres A, Jackson K, Littlejohn M (2010) Serum hepatitis B surface antigen and hepatitis B e antigen titers: disease phase influences correlation with viral load and intrahepatic hepatitis B virus markers. Hepatology 51:1933–1944PubMedCrossRef
13.
Zurück zum Zitat Moucari R, Marcellin P (2011) Quantification of hepatitis B surface antigen: a new concept for the management of chronic hepatitis B. Liver Int 31:122–128PubMedCrossRef Moucari R, Marcellin P (2011) Quantification of hepatitis B surface antigen: a new concept for the management of chronic hepatitis B. Liver Int 31:122–128PubMedCrossRef
14.
Zurück zum Zitat Werle-Lapostolle B, Bowden S, Locarnini S (2004) Persistence of cccDNA during the natural history of chronic hepatitis B and decline during adefovir dipivoxil therapy. Gastroenterology 126:1750–1758PubMedCrossRef Werle-Lapostolle B, Bowden S, Locarnini S (2004) Persistence of cccDNA during the natural history of chronic hepatitis B and decline during adefovir dipivoxil therapy. Gastroenterology 126:1750–1758PubMedCrossRef
15.
Zurück zum Zitat Marcellin P, Asselah T, Boyer N (2005) Treatment of chronic hepatitis B. J Viral Hepat 12:333–335PubMedCrossRef Marcellin P, Asselah T, Boyer N (2005) Treatment of chronic hepatitis B. J Viral Hepat 12:333–335PubMedCrossRef
16.
Zurück zum Zitat Chu CM, Liaw YF (2006) Hepatitis B virus-related cirrhosis: natural history and treatment. Semin Liver Dis 26:142–152PubMedCrossRef Chu CM, Liaw YF (2006) Hepatitis B virus-related cirrhosis: natural history and treatment. Semin Liver Dis 26:142–152PubMedCrossRef
17.
Zurück zum Zitat Moucari R, Mackiewicz V, Lada O (2009) Early serum HBsAg drop: a strong predictor of sustained virological response to pegylated interferon alfa-2a in HBeAg-negative patients. Hepatology 49:1151–1157PubMedCrossRef Moucari R, Mackiewicz V, Lada O (2009) Early serum HBsAg drop: a strong predictor of sustained virological response to pegylated interferon alfa-2a in HBeAg-negative patients. Hepatology 49:1151–1157PubMedCrossRef
18.
Zurück zum Zitat Brunetto MR, Moriconi F, Bonino F (2009) Hepatitis B virus surface antigen levels: a guide to sustained response to peginterferon alfa-2a in HBeAg-negative chronic hepatitis B. Hepatology 49:1141–1150PubMedCrossRef Brunetto MR, Moriconi F, Bonino F (2009) Hepatitis B virus surface antigen levels: a guide to sustained response to peginterferon alfa-2a in HBeAg-negative chronic hepatitis B. Hepatology 49:1141–1150PubMedCrossRef
19.
Zurück zum Zitat Chan HL, Wong VW, Tse AM (2007) Serum hepatitis B surface antigen quantitation can reflect hepatitis B virus in the liver and predict treatment response. Clin Gastroenterol Hepatol 5:1462–1468PubMedCrossRef Chan HL, Wong VW, Tse AM (2007) Serum hepatitis B surface antigen quantitation can reflect hepatitis B virus in the liver and predict treatment response. Clin Gastroenterol Hepatol 5:1462–1468PubMedCrossRef
20.
Zurück zum Zitat Chan HL, Wong VW, Chim AM, Chan HY, Wong GL, Sung JJ (2010) Serum HBsAg quantification to predict response to peginterferon therapy of e antigen positive chronic hepatitis B. Aliment Pharmacol Ther 32:1323–1331PubMedCrossRef Chan HL, Wong VW, Chim AM, Chan HY, Wong GL, Sung JJ (2010) Serum HBsAg quantification to predict response to peginterferon therapy of e antigen positive chronic hepatitis B. Aliment Pharmacol Ther 32:1323–1331PubMedCrossRef
21.
Zurück zum Zitat Deguchi M, Yamashita N, Kagita M (2004) Quantitation of hepatitis B surface antigen by an automated chemiluminescent microparticle immunoassay. J Virol Methods 115:217–222PubMedCrossRef Deguchi M, Yamashita N, Kagita M (2004) Quantitation of hepatitis B surface antigen by an automated chemiluminescent microparticle immunoassay. J Virol Methods 115:217–222PubMedCrossRef
22.
Zurück zum Zitat Kohno H, Inoue T, Tsuda F, Okamoto H, Akahane Y (1996) Mutations in the envelope gene of hepatitis B virus variants co-occurring with antibody to surface antigen in sera from patients with chronic hepatitis B. J Gen Virol 77:1825–1831PubMedCrossRef Kohno H, Inoue T, Tsuda F, Okamoto H, Akahane Y (1996) Mutations in the envelope gene of hepatitis B virus variants co-occurring with antibody to surface antigen in sera from patients with chronic hepatitis B. J Gen Virol 77:1825–1831PubMedCrossRef
23.
Zurück zum Zitat Mimms L (1995) Hepatitis B virus escape mutants: pushing the envelope of chronic hepatitis B virus infection. Hepatology 21:884–887PubMed Mimms L (1995) Hepatitis B virus escape mutants: pushing the envelope of chronic hepatitis B virus infection. Hepatology 21:884–887PubMed
24.
Zurück zum Zitat Zhang JM, Xu Y, Wang XY, Yin YK, Wu XH, Weng XH, Lu M (2007) Coexistence of hepatitis B surface antigen (HBsAg) and heterologous subtype-specific antibodies to HBsAg among patients with chronic hepatitis B virus infection. Clin Infect Dis 44:1161–1169PubMedCrossRef Zhang JM, Xu Y, Wang XY, Yin YK, Wu XH, Weng XH, Lu M (2007) Coexistence of hepatitis B surface antigen (HBsAg) and heterologous subtype-specific antibodies to HBsAg among patients with chronic hepatitis B virus infection. Clin Infect Dis 44:1161–1169PubMedCrossRef
25.
Zurück zum Zitat Lada O, Benhamou Y, Poynard T, Thibault V (2006) Coexistence of hepatitis B surface antigen (HBs Ag) and anti-HBs antibodies in chronic hepatitis B virus carriers: influence of “a” determinant variants. J Virol 80:2968–2975PubMedCentralPubMedCrossRef Lada O, Benhamou Y, Poynard T, Thibault V (2006) Coexistence of hepatitis B surface antigen (HBs Ag) and anti-HBs antibodies in chronic hepatitis B virus carriers: influence of “a” determinant variants. J Virol 80:2968–2975PubMedCentralPubMedCrossRef
26.
Zurück zum Zitat Colson P, Borentain P, Motte A, Henry M, Moal V, Botta- Fridlund D, Tamalet C, Gerolami R (2007) Clinical and virological significance of the co-existence of HBsAg and anti-HBs antibodies in hepatitis B chronic carriers. Virology 367:30–40PubMedCrossRef Colson P, Borentain P, Motte A, Henry M, Moal V, Botta- Fridlund D, Tamalet C, Gerolami R (2007) Clinical and virological significance of the co-existence of HBsAg and anti-HBs antibodies in hepatitis B chronic carriers. Virology 367:30–40PubMedCrossRef
27.
Zurück zum Zitat Liu W, Hu T, Wang X (2012) Coexistence of hepatitis B surface antigen and anti-HBs in Chinese chronic hepatitis B virus patients relating to genotype C and mutations in the S and P gene reverse transcriptase region. Arch Virol 157(4):627–634PubMedCrossRef Liu W, Hu T, Wang X (2012) Coexistence of hepatitis B surface antigen and anti-HBs in Chinese chronic hepatitis B virus patients relating to genotype C and mutations in the S and P gene reverse transcriptase region. Arch Virol 157(4):627–634PubMedCrossRef
28.
Zurück zum Zitat Galli C, Orlandini E, Penzo L (2008) What is the role of serology for the study of chronic hepatitis B virus infection in the age of molecular biology? J Med Virol 80:974–979PubMedCrossRef Galli C, Orlandini E, Penzo L (2008) What is the role of serology for the study of chronic hepatitis B virus infection in the age of molecular biology? J Med Virol 80:974–979PubMedCrossRef
29.
Zurück zum Zitat Zhou B, Liu M, Lv G (2013) Quantification of hepatitis B surface antigen and E antigen: correlation between Elecsys and architect assays. J Viral Hepat 20(6):422–429PubMedCrossRef Zhou B, Liu M, Lv G (2013) Quantification of hepatitis B surface antigen and E antigen: correlation between Elecsys and architect assays. J Viral Hepat 20(6):422–429PubMedCrossRef
30.
Zurück zum Zitat Wursthorn K, Jaroszewicz J, Zacher BJ (2011) Correlation between the Elecsys HBsAg II assay and the Architect assay for the quantification of hepatitis B surface antigen (HBsAg) in the serum. J Clin Virol 50(4):292–296PubMedCrossRef Wursthorn K, Jaroszewicz J, Zacher BJ (2011) Correlation between the Elecsys HBsAg II assay and the Architect assay for the quantification of hepatitis B surface antigen (HBsAg) in the serum. J Clin Virol 50(4):292–296PubMedCrossRef
31.
Zurück zum Zitat Sonneveld MJ, Rijckborst V, Boucher CA (2011) A comparison of two assays for quantification of Hepatitis B surface Antigen in patients with chronic hepatitis B. J Clin Virol 51(3):175–178PubMedCrossRef Sonneveld MJ, Rijckborst V, Boucher CA (2011) A comparison of two assays for quantification of Hepatitis B surface Antigen in patients with chronic hepatitis B. J Clin Virol 51(3):175–178PubMedCrossRef
32.
Zurück zum Zitat Maylin S, Boyd A, Delaugerre C (2012) Comparison between Elecsys HBsAg II and architect HBsAg QT assays for quantification of hepatitis B surface antigen among patients coinfected with HIV and hepatitis B virus. Clin Vaccine Immunol 19(2):242–248PubMedCentralPubMedCrossRef Maylin S, Boyd A, Delaugerre C (2012) Comparison between Elecsys HBsAg II and architect HBsAg QT assays for quantification of hepatitis B surface antigen among patients coinfected with HIV and hepatitis B virus. Clin Vaccine Immunol 19(2):242–248PubMedCentralPubMedCrossRef
33.
Zurück zum Zitat Verheyen J, Neumann-Fraune M, Berg T (2012) The detection of HBsAg mutants expressed in vitro using two different quantitative HBsAg assays. J Clin Virol 54(3):279–281PubMedCrossRef Verheyen J, Neumann-Fraune M, Berg T (2012) The detection of HBsAg mutants expressed in vitro using two different quantitative HBsAg assays. J Clin Virol 54(3):279–281PubMedCrossRef
34.
Zurück zum Zitat Lee JM, Ahn SH, Chang HY (2004) Reappraisal of HBV genotypes and clinical significance in Koreans using MALDI-TOF mass spectrometry. Korean J Hepatol 10:260–270PubMed Lee JM, Ahn SH, Chang HY (2004) Reappraisal of HBV genotypes and clinical significance in Koreans using MALDI-TOF mass spectrometry. Korean J Hepatol 10:260–270PubMed
35.
Zurück zum Zitat Bae SH, Yoon SK, Jang JW (2005) Hepatitis B virus genotype C prevails among chronic carriers of the virus in Korea. J Korean Med Sci 20:816–820PubMedCentralPubMedCrossRef Bae SH, Yoon SK, Jang JW (2005) Hepatitis B virus genotype C prevails among chronic carriers of the virus in Korea. J Korean Med Sci 20:816–820PubMedCentralPubMedCrossRef
36.
Zurück zum Zitat Song BC, Cui XJ, Kim HU, Cho YK (2006) Sequential accumulation of the basal core promoter and the precore mutations in the progression of hepatitis B virus-related chronic liver disease. Intervirology 49:266–273PubMedCrossRef Song BC, Cui XJ, Kim HU, Cho YK (2006) Sequential accumulation of the basal core promoter and the precore mutations in the progression of hepatitis B virus-related chronic liver disease. Intervirology 49:266–273PubMedCrossRef
Metadaten
Titel
Comparison of two immunoassays for quantification of hepatitis B surface antigen in Chinese patients with concomitant hepatitis B surface antigen and hepatitis B surface antibodies
verfasst von
Weiwei Liu
Yao Hu
Yannan Yang
Tingting Hu
Xinyu Wang
Publikationsdatum
01.01.2015
Verlag
Springer Vienna
Erschienen in
Archives of Virology / Ausgabe 1/2015
Print ISSN: 0304-8608
Elektronische ISSN: 1432-8798
DOI
https://doi.org/10.1007/s00705-014-2253-6

Weitere Artikel der Ausgabe 1/2015

Archives of Virology 1/2015 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.