A new antigenic specificity for HBsAg is described, and its usefulness as an
epidemiological marker is discussed. This specificity, l , was found in specimens from all geographic
areas studied (United States, Latin America, South Africa, the Solomon Islands, and
New Guinea). In these areas, l was strongly associated with HBsAg/ay; y-positive, l-negative
samples were observed only among specimens from United States volunteer blood donors.
This determinant allowed a distinction of HBsAg/ad classes. Thus, the l determinant was
detected in 51.4% of HBsAg/adw4, 44.1% of HBsAg/adw(non-w4), and 50% of HBsAg/adr.
The association of l and other HBsAg determinants with HBeAg or anti-HBe was also investigated.
HBeAg was found to be associated with the presence of the l determinant and with the
r determinant. Anti-HBe was associated with the presence of the d and w determinants and
with the absence of the l specificity.