title: [Humoral immune phenomena in acute and chronic viral hepatitis (author's transl)].
abstract: During HBAg positive acute viral hepatitis transitory antibodies of a low titer against smooth muscle, vascular endothelium, nuclei, and liver cell membrane antigens (polygonal pattern of immunofluorescence) occur. In HBAg positive chronic aggressive hepatitis, sometimes antibodies against nuclei or smooth muscle are associated with HBAg. Their occurrence heralds an unfavorable prognosis. High titer antibodies against nuclei and smooth muscle - a typical serology finding in lupoid chronic aggressive hepatitis - and mitochondrial antibodies have not been observed in a HBAg positive hepatitis. Subdividing chronic hepatitis in six different groups is possible with HBAg and antibodies. The predominance of histocompatability antigen HLA 8 in lupoid hepatitis and a lack of this leukocyte antigen in HGAg positive chronic aggressive hepatitis suggests that in the various forms of hepatitis, a different susceptability and capability for immune response towards microorganism is reflected. It is postulated that for course and outcome of hepatitis, the type of immune reaction plays a decisive role.
mesh_terms: D000208:Acute Disease; D000974:Antibodies, Antinuclear; D000917:Antibody Formation; D000918:Antibody Specificity; D000936:Antigen-Antibody Complex; D001323:Autoantibodies; D002908:Chronic Disease; D004727:Endothelium / Q000276:immunology; D006506:Hepatitis A / Q000276:immunology*; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007075:Immunoglobulin M / Q000032:analysis; D008099:Liver / Q000276:immunology; D008928:Mitochondria / Q000276:immunology; D009928:Organ Specificity
chemical_list: D000974:Antibodies, Antinuclear; D000936:Antigen-Antibody Complex; D001323:Autoantibodies; D007074:Immunoglobulin G; D007075:Immunoglobulin M
vernacular_title: Humorale Immunphänomene bei akuter und chronishcer Virushepatitis