1. Enhanced antiviral benefit of combination therapy with anti-HBV and anti-PD1 gRNA/cas9 produces a synergistic antiviral effect in HBV infection
- Author
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Xu Li, Xiaoqian Tuo, Shuai Zhen, Xiling Yang, Rong Qiang, and Jiaojiao Lu
- Subjects
0301 basic medicine ,Hepatitis B virus ,HBsAg ,Combination therapy ,medicine.medical_treatment ,Programmed Cell Death 1 Receptor ,Immunology ,Mice, Transgenic ,medicine.disease_cause ,Antiviral Agents ,Targeted therapy ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Interferon ,medicine ,Animals ,Humans ,Molecular Biology ,Gene Editing ,Mice, Inbred BALB C ,Tumor microenvironment ,business.industry ,Drug Synergism ,Genetic Therapy ,Hep G2 Cells ,Hepatitis B ,Combined Modality Therapy ,digestive system diseases ,Immune checkpoint ,030104 developmental biology ,Cancer research ,Female ,CRISPR-Cas Systems ,business ,CD80 ,RNA, Guide, Kinetoplastida ,030215 immunology ,medicine.drug - Abstract
Targeted therapy for patients with hepatitis B virus (HBV) infection can lead to objective responses, although response times may be short. At the same time, the response rate to programmed cell death-1 (PD-1) treatment was more durable. It is speculated that HBV targeted therapy can synergistically enhance the antitumor activity with PD-1 blockade. To test this hypothesis, we evaluated the effect of crispr-cas9 on HBV and PD-1 in vitro and in vivo. We found that HBV targeting gRNA/cas9 induced a decrease in the expression of HBsAg, while the PD-1 gene could be knocked out by electroporation targeting gRNA / cas9 by polymerase chain reaction. In HBV transgenic mice, the immunophenotype and cytokine expression of human dendritic cells (DCS) were detected by crispr-cas9 system stimulation, flow cytometry and polymerase chain reaction. These results indicate that gRNA/cas9 treatment upregulates the expression of CD80, CD83 and CD86, and significantly increases the mRNA levels of IL-6, IL-12, IL-23 and tumor necrosis factor alpha. The combination of anti HBV and anti PD-1 therapy can inhibit HBV expression and significantly improve the survival of HBV transgenic mice. In addition, the combination therapy increased the production of interferon by T cells, and then enhanced the expression of Th1 related immunostimulatory genes, thereby reducing the transcription of regulatory / inhibitory immune genes. In general, this response can reshape the tumor microenvironment from immunosuppression to immune stimulation. Finally, anti HBV therapy can induce the expression of interferon dependent programmed cell death ligand-1 in HBV transgenic mice in vivo. To sum up, these results demonstrate that the combination of HBV targeted therapy and PD-1 immune checkpoint block has a strong synergistic effect, thus supporting the transformation potential of this combined therapy strategy in clinical treatment of HBV infection.
- Published
- 2021
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