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[studyforhope] meaning of 1 iu hbvdna 1 iu of HBsAg
Hbv DNA copy number basically is an indirect count of virions, Dane particles of 42 nm diameter in plasma.
It is determined by comparing a known standards signal after the pcr with the samples signal intensity.
Since the so called absolute standards are variable between labs, an international standard is sent to labs and used as a calibrator. This eliminates those variations, since mainly the calibrator determines the results.
But it is basically still a particle count, so that each iu represents between 3 to 6 virions.
The Quant hbsag does not directly count the HBsAg particles, which have a diameter of 22nd and represent each a sphere in which many hbsag protein monomers are embedded in a double layer lipid membrane, into which they were inserted during their synthesis at the endoplasmatic reticulum membrane, penetrating the membrane 4 times with hydrophobic alpha helixes. These monomers touch each other sideways and finally force the membrane into a spherical configuration, then pinch of as vesicles into the lumen of the ER. From here they are translocated via the golgi to the outside of the hepatocytes and the spheres are released into the blood stream.
What is measured is the combined weight or mass, not the particle number in the hbsag assays.
In the earlier days 1ng/ml was the standardized unit, also called Paul ehrlich units, developed by prof wolfram gerlichs lab.
Later this was replaced with an international standard to be sent to all labs, to accommodate all the variations in the procedures. The sample is basically compared with the international calibrator. One iu is roughly still close to 1ng/ml.
The absolute amount of hbsag particles contained in 1 iu is still about 100 million individual particles or spheres. Most assays cutoff is about 0.05iu/ml or 5 million particles per ml. The most sensitive ones cutoff is about 1 million hbsag particles/ml.
Thus comparing DNA iUs or copies with hbsag iUs is not meaningful and the assumption that they should be one to one in terms of molecular copies is wrong by a factor of one million.
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