Hepatitis B surface antibody (HBsAb) is a protein that is produced by the immune system in response to the hepatitis B virus (HBV). It is a critical component of the body's defense against HBV infection and is used as a marker to determine if someone has been vaccinated against the virus or has recovered from an infection. In this article, we will delve into the details of HBsAb, its role in the immune system, and its clinical significance.
What is Hepatitis B Surface Antibody?

Hepatitis B surface antibody, also known as anti-HBs, is a type of antibody that is produced by the immune system in response to the HBV surface antigen (HBsAg). HBsAg is a protein that is found on the surface of the HBV virus and is used by the virus to attach to and enter liver cells. When the immune system detects HBsAg, it produces HBsAb to neutralize the virus and prevent it from causing infection. HBsAb is a key component of the body’s immune response to HBV and is used as a marker to determine if someone has been vaccinated against the virus or has recovered from an infection.
How is Hepatitis B Surface Antibody Measured?
Hepatitis B surface antibody is typically measured using a blood test called an enzyme-linked immunosorbent assay (ELISA). This test detects the presence and level of HBsAb in the blood and is used to determine if someone has been vaccinated against HBV or has recovered from an infection. The results of the test are usually reported as a quantitative value, which indicates the level of HBsAb in the blood. A positive result indicates that the person has been vaccinated or has recovered from an infection, while a negative result indicates that they are not immune to the virus.
| HBsAb Level | Interpretation |
|---|---|
| < 10 mIU/mL | Negative, not immune |
| 10-100 mIU/mL | Positive, immune |
| > 100 mIU/mL | Highly positive, strongly immune |

Clinical Significance of Hepatitis B Surface Antibody

The clinical significance of HBsAb lies in its ability to protect against HBV infection. Individuals who have been vaccinated against HBV or have recovered from an infection develop HBsAb, which provides long-term immunity against the virus. This is especially important for individuals who are at high risk of HBV infection, such as healthcare workers, individuals with multiple sexual partners, and those who share needles or other equipment for injecting drugs.
HBsAb and Vaccination
Hepatitis B vaccination is the primary method of preventing HBV infection. The vaccine is typically administered in a series of three doses, and it stimulates the production of HBsAb. The level of HBsAb after vaccination can vary, but it is generally considered protective if the level is above 10 mIU/mL. Individuals who have been vaccinated against HBV should have their HBsAb levels checked to ensure that they have developed immunity against the virus.
Key Points
- Hepatitis B surface antibody (HBsAb) is a protein that is produced by the immune system in response to the hepatitis B virus (HBV).
- HBsAb is used as a marker to determine if someone has been vaccinated against the virus or has recovered from an infection.
- The level of HBsAb can decrease over time, especially in individuals who have been vaccinated.
- HBsAb provides long-term immunity against HBV infection.
- Hepatitis B vaccination is the primary method of preventing HBV infection, and it stimulates the production of HBsAb.
FAQs
What is the normal range for HBsAb levels?
+The normal range for HBsAb levels is typically above 10 mIU/mL. However, the level of HBsAb can vary depending on the individual and the laboratory that performs the test.
Can HBsAb levels decrease over time?
+Yes, HBsAb levels can decrease over time, especially in individuals who have been vaccinated. This is why it’s essential to interpret the results in the context of the individual’s vaccination history and clinical presentation.
What is the significance of HBsAb in clinical practice?
+Hepatitis B surface antibody is a critical component of the body’s defense against HBV infection. It provides long-term immunity against the virus and is used as a marker to determine if someone has been vaccinated against the virus or has recovered from an infection.
In conclusion, hepatitis B surface antibody is a crucial component of the immune system’s response to HBV infection. Its level and presence are used to determine if someone has been vaccinated against the virus or has recovered from an infection. Understanding the clinical significance of HBsAb is essential for healthcare professionals to provide effective care and prevention strategies against HBV infection.