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13 protocols using elecsys hbsag 2 assay

1

HBx Detection and HBsAg Quantification

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HBx was detected using anti-HBx mouse monoclonal antibodies (Abcam, Cambridge, UK) and HRP-conjugated anti-mouse IgG secondary antibodies (Cell Signaling Technology, Danvers, MA, USA) by SDS-PAGE and Western Blot. β-actin and histone H3 were used as the protein loading controls for total cell lysate and nuclear protein fraction, respectively. HBsAg in the culture medium was detected by the Elecsys HBsAg II assay (Roche Diagnostics, Indianapolis, IN, USA).
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2

Hepatitis B Viral Load Quantification

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HBV DNA levels were measured by use of the COBAS AmpliPrep/COBAS TaqMan HBV Test, v2.0 assay (Roche Molecular Systems Inc, Pleasanton, CA) according to manufacturer’s protocols. HBsAg concentrations were measured by use of Elecsys HBsAg II assay (Roche Diagnostics GmbH, Mannheim, Germany).
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3

Serum Biochemical Analyses for HBV

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Serum biochemical studies were performed using a systemic multiautoanalyzer (Technicon SMAC, Technicon Instruments Corp., Tarrytown, NY). The serum ALT ULN was set by the laboratory at 40 U/L for both males and females. The serum samples were tested for the presence of HBeAg and anti-HBe antibody using radio-immunoassay (Abott Laboratories, North Chicago, IL). HBV DNA was determined by Roche Cobas Tagman HBV DNA assay (detection limit of 12 IU/mL, Roche Diagnostics, Basel, Switzerland), whereas HBsAg levels were quantified using the Elecsys HBsAg II assay (detection limit of 0.05 IU/mL, Roche Diagnostics GmbH, Mannheim, Germany).
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4

Evaluating Hepatitis B Biomarkers

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Fasting plasma was collected from all participants before the initiation of IFN-α treatment. Plasma samples were analyzed for clinical indicators, including the levels of HBsAg, HBeAg, ALT, HBV DNA and HBV genotype. The expression levels of HBsAg and HBeAg were measured by Elecsys HBsAg II assay (Roche Diagnostics, Mannheim, Germany) and Elecsys HBeAg assay (Roche Diagnostics, Mannheim, Germany), respectively, both using an electro-chemiluminescence instrument (E601, Roche). Plasma ALT levels were measured with an automatic biochemical analyzer (P800, Roche). HBV DNA was quantified by a quantitative PCR assay (Qiagen, Shenzhen, China) according to the recommended protocol. HBV genotyping was performed using type A through F genotype specific PCR primers (Biosune, Shanghai, China) .
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5

Routine Blood Tests for Hepatitis B

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Routine complete blood counts and biochemical tests were performed using a systemic multi-autoanalyzer (Technicon SMAC, Technicon Instruments Corp., Tarrytown, NY) at baseline and monthly during therapy. The serum HBeAg and anti-HBe antibody levels were measured by radio-immunoassay (Abott Laboratories, North Chicago, IL). HBsAg was quantified by Elecsys HBsAg II assay (Roche Diagnostics GmbH, Mannheim, Germany). HBV viral load was determined by a PCR-based method, namely the Roche Cobas Taqman HBV DNA assay (detection limit of 12 IU/mL, Roche Diagnostics, Switzerland).
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6

Sensitive HBsAg Detection in OBI

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We confirmed negative HBsAg serology in all samples with detectable HBV DNA using a chemiluminescent microparticle immunoassay (Architect, Abbott; LOD, 0.1 IU/L) or the ultrasensitive Elecsys HBsAg II assay (Roche; LOD, 0.05 IU/L). All OBI-positive samples were tested for anti-HBc using an enzyme-linked immunosorbent assay (ELISA; Abnova).
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7

Quantitative Detection of HBV Markers

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Serum HBV-DNA was quantified by COBAS AmpliPrep-Cobas TaqMan HBV test (Roche, Basel, CH). HBsAg quantification was carried out by Elecsys®HBsAgII assay (Roche, Basel, CH), with a lower limit of detection of 0.05 IU/ml while HBeAg qualitative detection by Elecsys®HBeAg (Roche, Basel, CH).
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8

Comprehensive HBV Resistance Profiling

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Serum HBV DNA levels were measured using Cobas Taqman assay (Roche Diagnostics, Branchburg, NJ) with the lower limit of detection of 20 IU/ml. Resistance profile was performed using a line probe assay (Innogenetics NV, Gent, Belgium), with both line probe assay DR version 2 and 3 used to identify the amino acids at codons rt173, rt180, rt240 and rt184, and rt202 and rt250, respectively. Genotypic resistance to entecavir was defined by the presence of three viral mutations: rtL180M, rtM204V/I, and one of the following: rtT184S/C/G/A, rtS202G/C/I, or rtM250V. Serum HBeAg, antibody to HBeAg and antibody to HBsAg were measured by the Architect Immunoassays (Abbott Laboratories, Chicago, IL). Serum HBsAg levels were performed using Elecsys HBsAg II Assay (Roche Diagnostics, Branchburg, NJ), with a linear range of 0.05–52,000 IU/ml. Samples with levels higher than 52,000 IU/ml were tested at a dilution of 1:100 according to the manufacturer’s instruction. The HBcrAg levels were determined by the Lumipulse G HBcrAg Chemiluminescence Enzyme Immunoassay (Fujirebio, Tokyo, Japan). The dynamic range of the assay ranges from 1 to 1 × 104 kU/ml. Samples with HBcrAg>104 kU/ml were retested at dilution of 1:100 according to the manufacturer’s instruction. In the present study, the lower cutoff value of HBcrAg concentration is 1 kU/ml.
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9

Hepatitis B Virus Biomarkers in Chemotherapy

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The following parameters were collected: age, sex, body mass index (BMI), diabetes mellitus (DM), hypertension, cancer types, duration and regimen of chemotherapy, serum HBV DNA, HBsAg, HBeAg, BUN, creatinine, albumin, total bilirubin, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Serum biochemistry tests were performed using a systemic multi-autoanalyzer (Technicon SMAC, Technicon Instruments Corp., Tarrytown, NY, USA). HBV DNA levels were determined by Roche Cobas Taqman HBV DNA assay (detection limit of 20 IU/mL, Roche Diagnostics, Switzerland). Quantitative HBsAg level was measured by the Elecsys HBsAg II assay (Roche Diagnostics, Mannheim, Germany) or Abbott Architect HBsAg assay (Abbott Diagnostics, Abbott Park, IL, USA) with a detection limit of 0.05 IU/mL.
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10

Quantification of HBV-DNA and HBsAg

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Serum HBV-DNA was quantified using the COBAS AmpliPrep-COBAS TaqMan HBV test (Roche Diagnostics, Basel, CH, Switzerland), with a lower limit of detection of 20 IU/mL and HBsAg was quantified using the Elecsys®HBsAgII assay (Roche Diagnostics, Basel, CH, Switzerland), with a lower limit of detection of 0.05 IU/mL. HDV infection was diagnosed by the presence of anti-HDV antibodies and HDV RNA in plasma, as previously described [23 (link)]. Liver function tests were performed by standard commercial methods.
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