Ra. Heijtink et al., Anti-HBs characteristics after hepatitis B immunisation with plasma-derived and recombinant DNA-derived vaccines, VACCINE, 18(15), 2000, pp. 1531-1538
Hepatitis B surface antigen derived from chronic hepatitis B carriers has b
een replaced almost completely by recombinant DNA-derived HBsAg for use as
hepatitis B vaccine. Similarly, recombinant DNA-derived HBsAg is replacing
plasma-derived HBsAg in standard anti-HBs assays. We analysed the influence
of a change from plasma-derived HBsAg to recombinant DNA-derived HBsAg on
antigen presentation in immunoassays and the characteristics of the anti-HB
s antibodies after immunisation. Antigens and/or antibodies were subjected
to three types of experiments: (a) binding of 'a'-loop specific monoclonal
(anti-S) antibody conjugates to immobilised vaccine-HBsAg; (b) binding of p
ost-vaccination anti-HBs to immobilised (vaccine-)HBsAg and (c) inhibition
of HBsAg binding to immobilised monoclonal anti-HBs after pre-incubation wi
th post-vaccination antibodies. Our results show that, in both antigen pres
entation and anti-HBs binding properties, yeast recombinant HBsAg and relat
ed antibodies could be clearly distinguished from plasma-derived HBsAg and
related antibodies. Divergent results were also obtained in the inhibition
assay with recombinant DNA-derived HBsAg but not with serum HBsAg from the
vaccine HBsAg subtype. It is concluded that both antigen presentation in va
ccines and in anti-HBs assays can markedly influence the quantitation anti-
HBs response. It is suggested that a challenge with an heterologous hepatit
is B virus may encounter reduced efficacy of vaccine antibodies. (C) 2000 E
lsevier Science Ltd. All rights reserved.