Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1977 Jul;30(7):671–677. doi: 10.1136/jcp.30.7.671

HBsAg and HBcAg in the livers of asymptomatic hepatitis B antigen carriers.

E Tapp, D M Jones
PMCID: PMC476511  PMID: 69633

Abstract

Asymptomatic blood donors with persistent HBs antigenaemia have a variety of histological lesions in the liver, and serial biopsies indicate that, in some, these lesions may progress. The immunoperoxidase technique was found to be a sensitive method for the histological demonstration of HBsAg and HBcAg. Livers showing minor histological changes contained more HBsAg than those with active lesions and there appears to be an inverse relationship between the amount of HBsAg in the liver and the severity of the histological damage. In the carriers who had more than one biopsy, the presence of stainable HBsAg, irrespective of the initial histological diagnosis, was associated with a greater likelihood of progression of the histological lesion. HBcAg was found only in the hepatocyte nuclei of carriers with chronic aggressive and chronic persistent hepatitis.

Full text

PDF
671

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Afroudakis A. P., Liew C. T., Peters R. L. An immunoperoxidase technic for the demonstration of the hepatitis B surface antigen in human livers. Am J Clin Pathol. 1976 Apr;65(4):533–539. doi: 10.1093/ajcp/65.4.533. [DOI] [PubMed] [Google Scholar]
  2. Akeyama T., Kamada T., Koyama M., Abe H. Distribution patterns of hepatitis B antigen in the liver. Immunofluorescence studies. Arch Pathol. 1974 Oct;98(4):252–256. [PubMed] [Google Scholar]
  3. Burns J. Immunoperoxidase localisation of hepatitis B antigen (HB) in formalin-paraffin processed liver tissue. Histochemistry. 1975 Jul 30;44(2):133–135. doi: 10.1007/BF00494074. [DOI] [PubMed] [Google Scholar]
  4. Deodhar K. P., Tapp E., Scheuer P. J. Orcein staining of hepatitis B antigen in paraffin sections of liver biopsies. J Clin Pathol. 1975 Jan;28(1):66–70. doi: 10.1136/jcp.28.1.66. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gerber M. A., Hadziyannis S., Vissoulis C., Schaffner F., Paronetto F., Popper H. Electron microscopy and immunoelectronmicroscopy of cytoplasmic hepatitis B antigen in hepatocytes. Am J Pathol. 1974 Jun;75(3):489–502. [PMC free article] [PubMed] [Google Scholar]
  6. Gudat F., Bianchi L., Sonnabend W., Thiel G., Aenishaenslin W., Stalder G. A. Pattern of core and surface expression in liver tissue reflects state of specific immune response in hepatitis B. Lab Invest. 1975 Jan;32(1):1–9. [PubMed] [Google Scholar]
  7. Mason D. Y., Farrell C., Taylor C. R. The detection of intracellular antigens in human leucocytes by immunoperoxidase staining. Br J Haematol. 1975 Nov;31(3):361–370. doi: 10.1111/j.1365-2141.1975.tb00867.x. [DOI] [PubMed] [Google Scholar]
  8. Millman I., Zavatone V., Gerstley B. J., Blumberg B. S. Australia antigen detected in the nuclei of liver cells of patients with viral hepatitis by the fluorescent antibody technic. Nature. 1969 Apr 12;222(5189):181–184. doi: 10.1038/222181b0. [DOI] [PubMed] [Google Scholar]
  9. Nayak N. C., Sachdeva R. Localization of hepatitis B surface antigen in conventional paraffin sections of the liver. Comparison of immunofluorescence, immunoperoxidase, and orcein staining methods with regard to their specificity and reliability as antigen marker. Am J Pathol. 1975 Dec;81(3):479–492. [PMC free article] [PubMed] [Google Scholar]
  10. Nowoslawski A., Brzosko W. J., Madaliński K., Krawczyński K. Cellular localisation of Australia antigen in the liver of patients with lymphoproliferative disorders. Lancet. 1970 Mar 7;1(7645):494–498. doi: 10.1016/s0140-6736(70)91580-1. [DOI] [PubMed] [Google Scholar]
  11. Portmann B., Galbraith R. M., Eddleston A. L., Zuckerman A. J., Williams R. Detection of HBSAG in fixed liver tissue - use of a modified immunofluorescent technique and comparison with histochemical methods. Gut. 1976 Jan;17(1):1–9. doi: 10.1136/gut.17.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Ray M. B., Desmet V. J., Fevery J., De Groote J., Bradburne A. F., Desmyter J. Distribution patterns of hepatitis B surface antigen (HBsAg) in the liver of hepatitis patients. J Clin Pathol. 1976 Feb;29(2):94–100. doi: 10.1136/jcp.29.2.94. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Shikata T., Uzawa T., Yoshiwara N., Akatsuka T., Yamazaki S. Staining methods of Australia antigen in paraffin section--detection of cytoplasmic inclusion bodies. Jpn J Exp Med. 1974 Feb;44(1):25–36. [PubMed] [Google Scholar]
  14. Tapp E., Jones D. M., Anfield C., Whittaker J. S., Woolf I. L., Dymock I. W. Letter: Intranuclear particles in hepatocytes of HBAg-positive blood-donors. Lancet. 1974 May 11;1(7863):934–934. doi: 10.1016/s0140-6736(74)90389-4. [DOI] [PubMed] [Google Scholar]
  15. Tapp E., Jones D. M., Hollanders D., Dymock I. W. Serial liver biopsies in blood donors with persistent HBs antigenaemia. J Clin Pathol. 1976 Oct;29(10):884–886. doi: 10.1136/jcp.29.10.884. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Trepo C., Vitvitski L., Neurath R., Hashimoto N., Schaefer R., Nemoz G. Letter: Detection of e antigen by immunofluorescence in cytoplasm of hepatocytes of HBsAg carriers. Lancet. 1976 Feb 28;1(7957):486–486. doi: 10.1016/s0140-6736(76)91510-5. [DOI] [PubMed] [Google Scholar]
  17. Woolf I. L., Boyes B. E., Jones D. M., Whittaker J. S., Tapp E., MacSween R. N., Renton P. H., Stratton F., Dymock I. W. Asymptomatic liver disease in hepatitis B antigen carriers. J Clin Pathol. 1974 May;27(5):348–352. doi: 10.1136/jcp.27.5.348. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES