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Multiple Choice

Anti-HBe indicates what in hepatitis B serology?

Anti-HBe marks a shift from active viral replication to a lower level of replication. When the immune system clears HBeAg and produces anti-HBe, HBV DNA levels typically fall, reducing infectivity. So this antibody indicates decreased viral load rather than no infection or acute infection. It doesn’t guarantee complete clearance of the virus, since HBsAg can remain positive in chronic infection, and anti-HBe isn’t associated with increased viral load.

Anti-HBe marks a shift from active viral replication to a lower level of replication. When the immune system clears HBeAg and produces anti-HBe, HBV DNA levels typically fall, reducing infectivity. So this antibody indicates decreased viral load rather than no infection or acute infection. It doesn’t guarantee complete clearance of the virus, since HBsAg can remain positive in chronic infection, and anti-HBe isn’t associated with increased viral load.