Target intelligence / Profile preview

Hepatitis B virus surface antigen, small (HBsAg (S))

Target
HBsAg (S)
Molecular classification
Viral structural protein, Membrane protein, Glycoprotein, Other
01

Overview

Hepatitis B virus surface antigen, small (HBsAg or S-HBsAg), is a glycosylated integral membrane protein that forms the outer envelope of hepatitis B virus (HBV). It is essential for viral entry into host hepatocytes, virion assembly, and immune evasion, as it is produced in large excess as non-infectious subviral particles to act as a decoy for the immune system. HBsAg is used as the principal diagnostic marker for HBV infection, and recombinant S-HBsAg forms the basis of current prophylactic hepatitis B vaccines[1][2][3][5][6]. HBsAg also plays a role in modulating host immune responses and is implicated in the pathogenesis of both acute and chronic HBV infection, as well as related liver diseases such as cirrhosis and hepatocellular carcinoma[3][5].

Other names
HBsAgAustralia antigenHepatitis B surface antigenSmall Hepatitis B surface antigenS-HBsAg
02

Mechanism of action

Neutralization by vaccine-induced antibodies (prevention of infection); Blocking viral attachment/entry via antibody binding; Passive immunization (HBIG).

03

Biological functions

Viral entry/binding to host receptorInduction of immune responseImmune evasion (by decoy subviral particles)Structural role in virion assemblyOther
04

Disease associations

Infection (Hepatitis B virus infection)Liver disease (hepatitis, cirrhosis, hepatocellular carcinoma)CancerOther
05

Safety considerations

HBsAg accumulation can induce endoplasmic reticulum stress and potential liver injuryImmunogenicity leading to possible anaphylaxis (rare, vaccine context)Generation of immune tolerance contributing to chronic infection
06

Interacting drugs

Hepatitis B vaccine (recombinant HBsAg)

2 more in the full profile.

07

Biomarkers

HBsAg (serum): marker for active hepatitis B virus infectionHBsAg clearance: endpoint for functional cure in HBV infectionHBsAg quantification: monitoring response to therapy

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