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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1991-8-27
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pubmed:abstractText |
Intrahepatic hepatitis D virus (HDV) antigen (HDAg) and serum HDV RNA are excellent markers of active HDV replication but the relation of IgM anti-HDV to HDV replication and histological activity is less certain. To further elucidate the significance of serum IgM anti-HDV, 90 paired sera and liver biopsies from 64 patients seropositive for total antibody to HDV were analysed for IgM anti-HDV, intrahepatic HDAg expression, and histological inflammatory activity. IgM anti-HDV was strongly associated with intrahepatic HDAg expression with a sensitivity of 94.1% but the assay lacked specificity since 14 out of 22 cases negative for intrahepatic HDAg were also positive for IgM anti-HDV. In 20 patients in whom follow-up biopsies and paired sera were available, two patients lost intrahepatic HDAg but paired serum remained IgM anti-HDV positive. Although the presence of serum IgM anti-HDV correlated significantly with a higher histological inflammatory activity (P = 0.001), there was a considerable overlap with the group seronegative for IgM anti-HDV, again indicating a poor specificity. This lack of specificity of IgM anti-HDV for both HDV replication and histological activity indicates that this assay provides no additional information over and above assay for total antibody to HDV.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antigens, Viral,
http://linkedlifedata.com/resource/pubmed/chemical/Hepatitis Antibodies,
http://linkedlifedata.com/resource/pubmed/chemical/Hepatitis delta Antigens,
http://linkedlifedata.com/resource/pubmed/chemical/Immunoglobulin M,
http://linkedlifedata.com/resource/pubmed/chemical/hepatitis delta virus large antigen
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
|
pubmed:issn |
0146-6615
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
273-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1856706-Antigens, Viral,
pubmed-meshheading:1856706-Female,
pubmed-meshheading:1856706-Hepatitis, Chronic,
pubmed-meshheading:1856706-Hepatitis Antibodies,
pubmed-meshheading:1856706-Hepatitis D,
pubmed-meshheading:1856706-Hepatitis Delta Virus,
pubmed-meshheading:1856706-Hepatitis delta Antigens,
pubmed-meshheading:1856706-Humans,
pubmed-meshheading:1856706-Immunoglobulin M,
pubmed-meshheading:1856706-Liver,
pubmed-meshheading:1856706-Male,
pubmed-meshheading:1856706-Sensitivity and Specificity,
pubmed-meshheading:1856706-Virus Replication
|
pubmed:year |
1991
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pubmed:articleTitle |
Significance of IgM anti-hepatitis D virus (HDV) in chronic HDV infection.
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pubmed:affiliation |
Institute of Liver Studies, King's College Hospital, London, England, United Kingdom.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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