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HEPATITIS B

HBV is an enveloped, double-stranded DNA virus belonging to the Hepadnaviridae family and is recognized as the major cause of blood transmitted hepatitis. Classification of a HBV infection requires the identification of several serological markers expressed during three phases (incubation, acute and convalescent) of the infection.

HBsAg: is the most important protein of the envelope of HBV. The surface antigen contains the determinant “a”, common to all known viral subtypes and immunologically distinguished in two distinct subgroups (ay and ad). Four HBsAg subtypes have been recognized (adw, ady, ayw, and ayr). HBsAg can be detected 3 to 5 weeks before symptoms develop. The serological detection of HBsAg is a powerful method for the diagnosis and prevention of HBV infection and for screening of blood donors.

Anti-HBc is a marker of acute, chronic or resolved HBV infection and screening for anti-HBc provides information on the prevalence of the disease in different groups. In clinical diagnosis, the detection of anti-HBc is an important marker for diagnosis and management of disease. In the absence of other HBV markers (HBsAg-negative persons), anti-HBc may be the only indication of an existing HBV infection.

HBcAb IgM: Antibodies to HBcAg appear shortly after the appearance of HBsAg and persist for life both in persons who have recovered from a hepatitis B infection and in those who develop HBsAg carrier status. In chronic hepatitis, however, spikes of anti-HBc IgM synthesis are present, confirming reactivation of HBV in hepatocytes and giving origin to permanent IgM low titers. 

HBsAb: During the acute phase of hepatitis B infection,increasing titers of HBsAg neutralizing antibodies are marker for recovery. The serological detection of anti-HBs has become an important method for the follow up of patients infected by HBV and it is also important for monitoring of recipients upon vaccination. The absence of anti-HBs indicates susceptibility to HBV infection. 

HBeAg: The “e” antigen (or HBeAg) is virus protein which is associated with HBV replication, indicating high degree of infectivity. HBeAg appears shortly after HBsAg and is detecable for few days to several weeks. In chronic hepatitis B infections, elevated leves of HBeAg can be detected for years, which is a marker for large quantity of virus. 

HBeAb: After treatment, in the recovery phase following acute hepatitis B, HBeAg is the first serological marker that becomes negative and is replaced by the corresponding antibody (anti-Hbe). The presence of anti-HBe in blood is recognized to be a clinical sign of recovery from the infection.
 
HBV NRAg: Hepatitis B virus particle is composed of outer membrane proteins (S protein, pre-S1 protein, pre-S2 protein) and core-shell. HBV pre-S1 antigen and core antigen are not only the marker of HBV infection, also the marker of viral replication, and they are highly correlated with HBV DNA, collectively known as hepatitis B virus nucleic acid related antigen (HBV NRAg).
Catalog No.
  Products
IFU
MSDS
  WB-2296   HBsAg ELISA (Normal - 0.5IU/ml)
  WB-22H96   HBsAg ELISA (High Sensitivity - 0.1IU/ml) New
  WB-2396
  HBsAb ELISA
  WB-2496
  HBeAg ELISA
  WB-2596
  HBeAb ELISA
  WB-2696
  HBcAb ELISA
  WB-26S96   HBcAb ELISA (Sandwhich Principle) New
  WB-2796
  HBcAb IgM ELISA
  WB-2896
  HBsAb (Quantitative) ELISA
  WB-2996   HBV NRAg ELISA
  WJ-11
  HBsAg Rapid Test (whole blood)
  WJ-12
  HBsAg Rapid Test (serum/plasma)

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HBsAg (High Sensitivity) ELISA brochure  HIV
Wantai HBsAg (High Sensitivity) ELISA - Performance Study

Clinical Specificity:
The clinical specificity of this assay was determinate by a panel of negative samples obtained from 4476 healthy blood donors and 6344 hospitalized patients.

 

Number

Wantai HBsAg ELISA

-

+

Specificity

Donors

4476

4471

5

99.89%

Patients

6344

6340

4

99.94%

Total

10820

10811

9

99.92%


Clinical Sensitivity:
A panel of 108 samples sequenced by PCR method.

Background

Number

Wantai HBsAg ELISA

adr (+)

wildtype

35

33

4 mutations

5

4

adw (+)

wildtype

37

34

16 mutations

25

24

ayw (+)

wildtype

2

2

2 mutations

2

2

ayr (+)

2 mutations

2

2

Total

108

101


Analytical Sensitivity
:
The sensitivity of the assay has been calculated by a panel of series of dilutions of WHO reference standard. The assay shows that lower detection limit reaches 0.1IU/ml.
Concentration level

Wantai HBsAg ELISA

0.5IU/ml

+

0.2IU/ml

+

0.1IU/ml

+

0.05IU/ml

±

0.025IU/ml

HEV
HIV, HTLV
FLU
HBV
HCV
EV-71
SYPHILIS
TB