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These antigens are recognized by antibody proteins that bind specifically to one of these surface proteins. The full-length HBsAg is called the L (for "large") form. It consists of a preS loop, a first transmembrane helix (TM1), a cytosolic loop (CYL), another TM helix (TM2), an antigenic loop (AGL), followed by two TM helices (TM3 and TM4).
The first correct description of the antigen-antibody reaction was given by Richard J. Goldberg at the University of Wisconsin in 1952. [1] [2] It came to be known as "Goldberg's theory" (of antigen-antibody reaction). [3] There are several types of antibodies and antigens, and each antibody is capable of binding only to a specific antigen.
Viral hepatitis is primarily diagnosed through blood tests for levels of viral antigens (such as the hepatitis B surface or core antigen), anti-viral antibodies (such as the anti-hepatitis B surface antibody or anti-hepatitis A antibody), or viral DNA/RNA. [17] [32] In early infection (i.e. within 1 week), IgM antibodies are found in the blood ...
The antibody or antigen is only detectable in the blood when there is substantially more of one than the other. Standard techniques require a high enough concentration of antibody or antigen to detect the amount of antibody or antigen; therefore, they cannot detect the small amount that is not bound during seroconversion. [10]
If the host is able to clear the infection, eventually the HBsAg will become undetectable and will be followed by IgG antibodies to the hepatitis B surface antigen and core antigen (anti-HBs and anti HBc IgG). [39] The time between the removal of the HBsAg and the appearance of anti-HBs is called the window period. A person negative for HBsAg ...
Anti-mitochondrial antibodies - rare except for overlap syndromes with primary biliary cholangitis; Anti-soluble liver antigen/liver pancreas antibody antigen - 20% of people; Anti-double stranded DNA - 30% of people; Atypical perinuclear anti-neutrophil cytoplasmic antibodies (p-ANCA) Type 2 autoimmune hepatitis. Positive antibodies include: [21]
In immunology, cross-reactivity has a more narrow meaning of the reaction between an antibody and an antigen that differs from the immunogen. It is sometimes also referred to as cross-immunity or cross-protective immunity, [2] although cross-reactivity does not necessarily confer cross-protection. In some cases, the cross-reactivity can be ...
An antibody can be called monospecific if it has specificity for a single antigen or epitope, [74] or bispecific if it has affinity for two different antigens or two different epitopes on the same antigen. [75] A group of antibodies can be called polyvalent (or unspecific) if they have affinity for various antigens [76] or microorganisms. [76]