Complement fixing hepatitis B core antigen immune complexes in the liver of patients with HBs antigen positive chronic disease

Gut. 1976 Nov;17(11):837-43. doi: 10.1136/gut.17.11.837.

Abstract

One hundred and fifty-two biopsies from serologically HBsAg positive and negative patients with liver disease were studied in immunofluorescence: for the presence of the surface (HBs) and the core (HBc) antigenic determinants foeterminants of the hepatitis B virus, of immunoglobulins and complement (C) deposits, and for the capacity to fix human C. Circumstantial evidence is presented suggesting that HBc immune-complexes are a relevant feature in the establishment and progression of chronic HBSAg liver disease. C fixation by liver cells was shown in all HBC positive patients with chronic hepatitis; an active form was present in every case, except two with a persistent hepatitis, an inverse ratio of HBc to C binding fluorescence being noted between active chronic hepatitis and cirrhotic patients. HBc without C fixation was observed in only three patients in the incubation phase of infectious hepatitis. IgG deposits were often found in HBc containing, C fixing nuclei. No C binding or IgG deposits were observed in acute self-limited type B hepatitis, in serologically positive patients with normal liver or minimal histological lesions, with and without HBs cytoplasmic fluorescence in their biopsy, or in serologically negative individuals.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antigen-Antibody Complex*
  • Child
  • Complement Fixation Tests
  • Female
  • Hepatitis B Core Antigens*
  • Hepatitis B Surface Antigens*
  • Humans
  • Liver / immunology
  • Liver / ultrastructure
  • Liver Diseases / immunology*
  • Liver Diseases / pathology
  • Male
  • Middle Aged

Substances

  • Antigen-Antibody Complex
  • Hepatitis B Core Antigens
  • Hepatitis B Surface Antigens