ASSOCIATION OF GENETIC BACKGROUND WITH NON-ANDHYPORESPONSIVENESS TO HEPATITIS B VACCINE

ItwasestimatedthatafterthebasicimmunizationseriesofhepatitisBvaccine,about5%--10%ofthevaccinesfailedtodevelopdetectableanti--HBsorhadaminimalantibodyresponse(anti--HBsS/Nratiolessthan10),andbecameso-callednonrespondersandhyporesponders.Forthesepeoplethevaccinationwasa~.nailynoteffectiveandprotective.Accordingtothepublisheddata.thepoorresponsivenesswasrelatedtovariousfactorsandgeneticswasoneofthevariablesconcernedtl.2).However,theassociationofgeneticbackgroundwiththepoorresponsivenessstillla…

ASSOCIATION OF GENETIC BACKGROUND WITH NON-ANDHYPORESPONSIVENESS TO HEPATITIS B VACCINE

HBV infection data of so first degree relatives from hepatitis B vaccine nonresponderand hyporesponder families stere compared 'vith those of 79 first degree relatives from high responder families. For further observation of their antibody response. those without the vaccination lwfore, and negative for HBsAg, anti-HBs and anti-HBc, or 'vith isolated ic'v anti-HBs (S/N M 10 )were given three 10 ig doses of hepatitis B vaccine at 0, 1 .6 months. The results Showed that. in thefirst degree relatives of nonresponders and hyporesponders, anti-HBs seroconversion rate and GMTwere lower (P > 0. 05), and the distribution or detected anti-HBs levels was significantly differentfrom that of the rirst degree relatives or high respondrs. In addition, before the vaccination. theHBV infection rate or the former was remarkably higher (33. 75% VS 15. 19% ), and the antibodyGMT of those positive ror anti-HBs was significantly ic'ver. This finding suggested that genetic background may play an important role in the n on -a nd-typo res ponsi yeness to hepat it is B vacc me.