Page 51 - Clinical Biochemistry 08PB804
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Figure 18: Serum HBV DNA level

Realtime PCR:     Threshold Cycle

accumulation of PCR product

Fluorescent probes

Standard curve

                                         Figure 19: Standard curve

                                                              50
                                                              40
                                                              30
                                                              20
                                                              10

                                                               0
                                                                         123456

                                                 Concentration log 10

Role in HBV diagnosis and management:

• Staging / work up of chronic hepatitis B virus infection
• Response to therapy.
• blood safety (TMA; Transcription-mediated amplification)

CHB stage                          Serum HBV DNA (IU/mL)                         HBsAg log10 IU/mL
                                   >2X106-7                                      4.5-5.0
Immune tolerant                    2X104-5                                       3.0-4.5

Immune clearance                   <2X103                                        1.5-3.0
(HBeAg pos)

Inactive carrier
   46   47   48   49   50   51   52   53   54   55   56