Human apolipoprotein H (apo H) was found to bind specifically to hepatitis
B surface antigen (HBsAg) from hepatitis B virus (HBV)-infected individuals
. We used recombinant HBsAg proteins to analyze HBV domains recognized by a
po H. We showed that the myristylated pre-Si domain of HBsAg strongly inter
acted with apo H, This binding involved phospholipid components of the HBV
envelope because their removal by detergent prevented apo H-HBsAg interacti
on. The opposite effects of iron and zinc metal ions on binding suggest tha
t the oxidation of phospholipids also affects apo H-HBsAg interaction. Afte
r fractionation of viral particles on a sucrose gradient, and their additio
n to microtiter plates coated with apo H or anti-HBsAg, we observed that th
e maximal anti-HBsAg capture activity corresponded to a sucrose concentrati
on of 36%, whereas the maximal apo H capture activity corresponded to a con
centration of 39%. Electron microscopy and polymerase chain reaction (PCR)
Southern blot studies of these fractions showed that the fraction with maxi
mal apo H binding predominantly contained full Dane particles. Finally, we
studied apo H-HBsAg binding relative to the presence of hepatitis B virus m
arkers and observed that apo H binding activity for HBsAg was higher in ser
a from patients in the active virus replication phase.