1. Amino Acid Polymorphism in Hepatitis B Virus Associated With Functional Cure
- Author
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Masaaki Shiina, Masatoshi Ishigami, Takanori Ito, Teiji Kuzuya, Asuka Kato, Norie Yamada, Takanobu Kato, Tetsuya Ishikawa, Masamichi Muramatsu, Mitsuhiro Fujishiro, Tomohisa Tanaka, Kohji Moriishi, Yoji Ishizu, Yoshiki Murakami, Hussein H. Aly, Hironori Nishitsuji, Kunitada Shimotohno, Asako Murayama, Takaji Wakita, and Takashi Honda
- Subjects
Male ,GEq, genome equivalent ,HBVcc, cell culture-generated HBV ,Clone (cell biology) ,Cell Culture Techniques ,RC799-869 ,medicine.disease_cause ,Virus Replication ,SS, single-stranded HBV DNA ,NL, NanoLuc luciferase ,PCR, polymerase chain reaction ,Genes, Reporter ,Original Research ,Infectivity ,RT, reverse transcription ,HBc ,Gastroenterology ,virus diseases ,RLU, relative light units ,cccDNA ,Transfection ,Hepatitis B ,Diseases of the digestive system. Gastroenterology ,Middle Aged ,HBsAg, hepatitis B surface antigen ,Disease Progression ,CHB, chronic hepatitis B ,Female ,cccDNA, covalently closed circular DNA ,Genetic Engineering ,wt, wild-type ,Adult ,Gene Expression Regulation, Viral ,Hepatitis B virus ,SDS, sodium dodecyl sulfate ,HBeAg, hepatitis B e antigen ,Biology ,Models, Biological ,Virus ,RC, relaxed-circular HBV DNA ,Viral Proteins ,Hepatitis B, Chronic ,HBcrAg, hepatitis B core-related antigen ,ALT, alanine aminotransferase ,medicine ,HBVcc ,Humans ,IFN, interferon ,Hepatitis ,Polymorphism, Genetic ,Hepatology ,pgRNA, pregenomic RNA ,HBc, hepatitis B core ,NA, nucleos(t)ide analog ,medicine.disease ,Virology ,digestive system diseases ,HBV, hepatitis B virus ,Amino Acid Substitution ,DNA, Viral ,SD, standard deviation ,Biomarkers ,DAPI, 4′,6-diamidino-2-phenylindole - Abstract
Background & Aims To provide an adequate treatment strategy for chronic hepatitis B, it is essential to know which patients are expected to have a good prognosis and which patients do not require therapeutic intervention. Previously, we identified the substitution of isoleucine to leucine at amino acid 97 (I97L) in the hepatitis B core region as a key predictor among patients with stable hepatitis. In this study, we attempted to identify the point at which I97L affects the hepatitis B virus (HBV) life cycle and to elucidate the underlying mechanisms governing the stabilization of hepatitis. Methods To confirm the clinical features of I97L, we used a cohort of hepatitis B e antigen–negative patients with chronic hepatitis B infected with HBV-I97 wild-type (wt) or HBV-I97L. The effects of I97L on viral characteristics were evaluated by in vitro HBV production and infection systems with the HBV reporter virus and cell culture-generated HBV. Results The ratios of reduction in hepatitis B surface antigen and HBV DNA were higher in patients with HBV-I97L than in those with HBV-I97wt. HBV-I97L exhibited lower infectivity than HBV-I97wt in both infection systems with reporter HBV and cell culture-generated HBV. HBV-I97L virions exhibiting low infectivity primarily contained a single-stranded HBV genome. The lower efficiency of cccDNA synthesis was demonstrated after infection of HBV-I97L or transfection of the molecular clone of HBV-I97L. Conclusions The I97L substitution reduces the level of cccDNA through the generation of immature virions with single-stranded genomes. This I97L-associated low efficiency of cccDNA synthesis may be involved in the stabilization of hepatitis., Graphical abstract
- Published
- 2021