Strain-specific responsiveness of hepatitis D virus to interferon-alpha treatment.

ADAR, adenosine deaminase ADF, adefovir AG, antigenomic Actb, actin beta Antiviral BSA, bovine serum albumin CHD, chronic hepatitis D CK18, cytokeratin 18 CXCL10, C-X-C motif chemokine ligand 10 Eef2, eukaryotic elongation factor FCS, foetal calf serum GAPDH, glyceraldehyde-3-phosphate dehydrogenase Genotype HBsAg, hepatitis B virus surface antigen HDAg, hepatitis delta antigen (S, small, L, large) HDV HLA, human leucocyte antigen HSA, uman serum albumin Human liver chimeric mice IFNα, interferon α ISGs, interferon stimulated genes LAM, lamivudine LLoD, lower limit of detection MDA5, melanoma differentiation-associated protein 5 MOI, multiplicity of infection Mavs, mitochondrial antiviral-signalling protein MoA, mode of action MxA, myxovirus resistance gene A NTCP, sodium (Na+) taurocholate co-transporting polypeptide NUCs, nucleos(t)ide analogues OAS1, 2′-5′-oligoadenylatsynthetase 1 PEG, polyethylene glycol PHHs, primary human hepatocytes RNP, ribonucleoprotein Resistance Rig-I, retinoic acid-inducible gene I SCID, severe combined immunodeficiency STAT1, signal transducers and activators of transcription 1 TGFβ, transforming growth factor-β USG, uPA/SCID/beige/IL2RG-/- casp, caspase hAAT, human alpha antitrypsin pegIFNα, pegylated interferon alpha pgRNA, pregenomic RNA qPCR, quantitative real time polymerase chain reaction uPA, urokinase plasminogen activator

Journal

JHEP reports : innovation in hepatology
ISSN: 2589-5559
Titre abrégé: JHEP Rep
Pays: Netherlands
ID NLM: 101761237

Informations de publication

Date de publication:
Apr 2023
Historique:
received: 29 06 2022
revised: 02 12 2022
accepted: 03 01 2023
entrez: 13 3 2023
pubmed: 14 3 2023
medline: 14 3 2023
Statut: epublish

Résumé

Pegylated interferon alpha (pegIFNα) is commonly used for the treatment of people infected with HDV. However, its mode of action in HDV-infected cells remains elusive and only a minority of people respond to pegIFNα therapy. Herein, we aimed to assess the responsiveness of three different cloned HDV strains to pegIFNα PegIFNα was administered to human liver chimeric mice infected with HBV and the different HDV strains or to HBV/HDV infected human hepatocytes isolated from chimeric mice. Virological parameters and host responses were analysed by qPCR, sequencing, immunoblotting, RNA PegIFNα treatment efficiently reduced HDV RNA viraemia (∼2-log) and intrahepatic HDV markers both in mice infected with HBV/HDV-1p and HBV/HDV-3. In contrast, HDV parameters remained unaffected by pegIFNα treatment both in mice (up to 9 weeks) and in isolated cells infected with HBV/HDV-1a. Notably, HBV viraemia was efficiently lowered (∼2-log) and human interferon-stimulated genes similarly induced in all three HBV/HDV-infected mouse groups receiving pegIFNα. Genome sequencing revealed highly conserved ribozyme and L-hepatitis D antigen post-translational modification sites among all three isolates. Our comparative study indicates the ability of pegIFNα to lower HDV loads in stably infected human hepatocytes Understanding factors counteracting HDV infections is paramount to develop curative therapies. We compared the responsiveness of three different cloned HDV strains to pegylated interferon alpha in chronically infected mice. The different responsiveness of these HDV isolates to treatment highlights a previously underestimated heterogeneity among HDV strains.

Sections du résumé

Background & Aims UNASSIGNED
Pegylated interferon alpha (pegIFNα) is commonly used for the treatment of people infected with HDV. However, its mode of action in HDV-infected cells remains elusive and only a minority of people respond to pegIFNα therapy. Herein, we aimed to assess the responsiveness of three different cloned HDV strains to pegIFNα
Methods UNASSIGNED
PegIFNα was administered to human liver chimeric mice infected with HBV and the different HDV strains or to HBV/HDV infected human hepatocytes isolated from chimeric mice. Virological parameters and host responses were analysed by qPCR, sequencing, immunoblotting, RNA
Results UNASSIGNED
PegIFNα treatment efficiently reduced HDV RNA viraemia (∼2-log) and intrahepatic HDV markers both in mice infected with HBV/HDV-1p and HBV/HDV-3. In contrast, HDV parameters remained unaffected by pegIFNα treatment both in mice (up to 9 weeks) and in isolated cells infected with HBV/HDV-1a. Notably, HBV viraemia was efficiently lowered (∼2-log) and human interferon-stimulated genes similarly induced in all three HBV/HDV-infected mouse groups receiving pegIFNα. Genome sequencing revealed highly conserved ribozyme and L-hepatitis D antigen post-translational modification sites among all three isolates.
Conclusions UNASSIGNED
Our comparative study indicates the ability of pegIFNα to lower HDV loads in stably infected human hepatocytes
Impact and implications UNASSIGNED
Understanding factors counteracting HDV infections is paramount to develop curative therapies. We compared the responsiveness of three different cloned HDV strains to pegylated interferon alpha in chronically infected mice. The different responsiveness of these HDV isolates to treatment highlights a previously underestimated heterogeneity among HDV strains.

Identifiants

pubmed: 36908749
doi: 10.1016/j.jhepr.2023.100673
pii: S2589-5559(23)00004-6
pmc: PMC9996322
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100673

Informations de copyright

© 2023 The Author(s).

Déclaration de conflit d'intérêts

The authors declare no competing interests. Please refer to the accompanying ICMJE disclosure forms for further details.

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Auteurs

Katja Giersch (K)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Paulina Perez-Gonzalez (P)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Lennart Hendricks (L)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Nora Goldmann (N)

Institute of Medical Virology, National Reference Center for Hepatitis B Viruses and Hepatitis D Viruses, Justus Liebig University Giessen, Giessen, Germany.

Jonathan Kolbe (J)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Lennart Hermanussen (L)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Jan-Hendrick Bockmann (JH)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
German Center of Infection Research (DZIF), Hamburg-Lübeck-Borstel-Riems and Giessen-Marburg-Langen Partner Sites, Germany.

Tassilo Volz (T)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Annika Volmari (A)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Lena Allweiss (L)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
German Center of Infection Research (DZIF), Hamburg-Lübeck-Borstel-Riems and Giessen-Marburg-Langen Partner Sites, Germany.

Joerg Petersen (J)

IFI Institute for Interdisciplinary Medicine at Asklepios Clinic St. Georg, Hamburg, Germany.

Dieter Glebe (D)

Institute of Medical Virology, National Reference Center for Hepatitis B Viruses and Hepatitis D Viruses, Justus Liebig University Giessen, Giessen, Germany.
German Center of Infection Research (DZIF), Hamburg-Lübeck-Borstel-Riems and Giessen-Marburg-Langen Partner Sites, Germany.

Marc Lütgehetmann (M)

German Center of Infection Research (DZIF), Hamburg-Lübeck-Borstel-Riems and Giessen-Marburg-Langen Partner Sites, Germany.
Department of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Maura Dandri (M)

Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
German Center of Infection Research (DZIF), Hamburg-Lübeck-Borstel-Riems and Giessen-Marburg-Langen Partner Sites, Germany.

Classifications MeSH