Hepatitis B virus X gene impacts on the innate immunity and immune-tolerant phase in chronic hepatitis B virus infection.


Journal

Liver international : official journal of the International Association for the Study of the Liver
ISSN: 1478-3231
Titre abrégé: Liver Int
Pays: United States
ID NLM: 101160857

Informations de publication

Date de publication:
10 2022
Historique:
revised: 09 03 2022
received: 29 10 2021
accepted: 24 06 2022
pubmed: 29 6 2022
medline: 1 9 2022
entrez: 28 6 2022
Statut: ppublish

Résumé

The immunologic features involved in the immune-tolerant phase of chronic hepatitis B (CHB) virus (HBV) infection are unclear. The hepatitis B virus X (HBx) protein disrupts IFN-β induction by downregulating MAVS and may destroy subsequent HBV-specific adaptive immunity. We aimed to analyse the impacts of genetic variability of HBx in CHB patients on the immune-tolerant phase during long-term follow-up. Children with CHB in the immune-tolerant phase were recruited and followed longitudinally. HBx gene sequencing of infecting HBV strains was performed, and the effects of HBx mutations on the immune-tolerant phase were assessed. Restoration of the host immune response to end the immune-tolerant phase was investigated by immunoblotting, immunostaining, ELISA and reporter assays of MAVS/IFN-β signalling in liver cell lines, patient liver tissues and the HBV plasmid replication system. A total of 173 children (median age, 6.92 years) were recruited. Patients carrying HBx R87G, I127V and R87G + I127V double mutations exhibited higher cumulative incidences of immune-tolerant phase breakthrough (p = .011, p = .006 and p = .017 respectively). Cells transfected with HBx R87G and I127V mutants and pHBV1.3-B6.3 replicons containing the HBx R87G and I127V mutations exhibited statistically increased levels of IFN-β, especially under poly(I:C) stimulation or Flag-MAVS cotransfection. HA-HBx wild-type interacted with Flag-MAVS and enhanced its ubiquitination, but this ability was diminished in the R87G and I127V mutants. HBx suppresses IFN-β induction. R87G and I127V mutation restored IFN-β production by preventing MAVS degradation, contributing to curtailing the HBV immune-tolerant phase in CHB patients.

Sections du résumé

BACKGROUND AND AIMS
The immunologic features involved in the immune-tolerant phase of chronic hepatitis B (CHB) virus (HBV) infection are unclear. The hepatitis B virus X (HBx) protein disrupts IFN-β induction by downregulating MAVS and may destroy subsequent HBV-specific adaptive immunity. We aimed to analyse the impacts of genetic variability of HBx in CHB patients on the immune-tolerant phase during long-term follow-up.
METHODS
Children with CHB in the immune-tolerant phase were recruited and followed longitudinally. HBx gene sequencing of infecting HBV strains was performed, and the effects of HBx mutations on the immune-tolerant phase were assessed. Restoration of the host immune response to end the immune-tolerant phase was investigated by immunoblotting, immunostaining, ELISA and reporter assays of MAVS/IFN-β signalling in liver cell lines, patient liver tissues and the HBV plasmid replication system.
RESULTS
A total of 173 children (median age, 6.92 years) were recruited. Patients carrying HBx R87G, I127V and R87G + I127V double mutations exhibited higher cumulative incidences of immune-tolerant phase breakthrough (p = .011, p = .006 and p = .017 respectively). Cells transfected with HBx R87G and I127V mutants and pHBV1.3-B6.3 replicons containing the HBx R87G and I127V mutations exhibited statistically increased levels of IFN-β, especially under poly(I:C) stimulation or Flag-MAVS cotransfection. HA-HBx wild-type interacted with Flag-MAVS and enhanced its ubiquitination, but this ability was diminished in the R87G and I127V mutants.
CONCLUSIONS
HBx suppresses IFN-β induction. R87G and I127V mutation restored IFN-β production by preventing MAVS degradation, contributing to curtailing the HBV immune-tolerant phase in CHB patients.

Identifiants

pubmed: 35762289
doi: 10.1111/liv.15348
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2154-2166

Informations de copyright

© 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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Auteurs

Kai-Chi Chang (KC)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.

Huey-Huey Chua (HH)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Ya-Hui Chen (YH)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Daw-Jen Tsuei (DJ)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Mei-Hui Lee (MH)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Cheng-Lun Chiang (CL)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Yung-Ming Jeng (YM)

Department of Pathology, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Jia-Feng Wu (JF)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Huey-Ling Chen (HL)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Hepatitis Research Center, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Medical Education and Bioethics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Hong-Yuan Hsu (HY)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Medical Education and Bioethics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

Yen-Hsuan Ni (YH)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Hepatitis Research Center, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Medical Microbiota Center, College of Medicine, National Taiwan University, Taipei, Taiwan.
Center of Genomic and Precision Medicine, National Taiwan University, Taipei, Taiwan.

Mei-Hwei Chang (MH)

Department of Pediatrics, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Hepatitis Research Center, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.

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