Hepatitis Virus B

C. elegansÌýas a new animal model for treating HBV

Hepatitis B Virus (HBV) is the smallest human DNA virus and the major cause of acute and chronic liver disease including hepatocellular carcinoma (HCC) worldwide. There are ~ 400 million HBV chronic carriers and 600,000 deaths every year. Little is known about how HBV infection causes liver injuries and induces the development of liver cancer, partly due to the lack of an effective animal model amenable to genetic analysis. Neither is there an effective treatment for this disease. HBV infection causes liver injuries by inducing liver cell necrosis and apoptosis, which could cause cycles of inflammatory cytokine release, local liver damage, and compensatory regeneration, leading to the continual acquisition of oncogenic mutations and the development of HCC. We tested the possibility of usingÌý°ä.Ìý±ð±ô±ð²µ²¹²Ô²õÌýas an animal model to study the mechanisms of HBV-induced cell degeneration. We found that expression of the HBV X protein (HBx) inÌýC.elegansÌýinduces mostly necrosis and some apoptosis, mimicking the early event of liver infection by HBV.ÌýThe mechanisms of action ofÌýHBxÌýare unknown, butÌýin vitroÌýit can activate multiple signaling pathways and interact with many different proteins. Transgenic mice expressingÌýHBxÌýin the liver display widespread liver cell deaths and later develop liverÌýcirrhosis and HCC.ÌýÌýTo identifyÌýin vivoÌýtargets and signaling pathways ofÌýHBx,Ìýwe carried out genetic screens to isolate suppressors ofÌýHBx-induced cell death and obtained 31 mutations, which define at least ten genes (hids-1Ìý³Ù´ÇÌýhids-10;Ìý±áµþ³æ-¾±²Ô»å³Ü³¦±ð»åÌý»å±ð²¹³Ù³óÌý²õ³Ü±è±è°ù±ð²õ²õ´Ç°ù²õ).

In parallel to the genetic suppressor screens, we performed genetic and biochemical analyses ofÌýHBx-induced cell death inÌý°ä.Ìý±ð±ô±ð²µ²¹²Ô²õÌýand found unexpectedly thatHBxÌýinteracts directly with CED-9, a human Bcl-2 homolog, through a Bcl-2 homology 3 (BH3)-like motif and this interaction triggers both cytosolic Ca2+increase and cell death. Similarly, two mammalian Bcl-2 family proteins, Bcl-2 andÌýBcl-xL, also interact withÌýHBxÌýthrough the same BH3 motif in human hepatocytes. Importantly, mutations in the BH3-like motif that preventÌýHBxÌýbinding to the Bcl-2 proteins abrogate cytosolic calcium elevation and cell death induced byÌýHBxÌýexpression in hepatocytes and severely impair HBV viral replication.ÌýRNAiÌýknockdown of Bcl-2 orÌýBcl-xLÌýalso results in decreased viral replication in hepatocytes. TheÌý°ä.Ìý±ð±ô±ð²µ²¹²Ô²õÌýand the human studies togetherÌýindicate thatÌýHBxÌýtargets Bcl-2 proteins to promote cytosolic calcium elevation, cell death, and viral replication during HBV infection, which may present an excellent therapeutic intervention point in treating chronic HBV patients. These studies alsoÌývalidate the use ofÌý°ä.Ìý±ð±ô±ð²µ²¹²Ô²õÌýas an animal model of HBV.Ìý

We are in the process of mapping and cloning theÌýhidsÌýgenes.ÌýÌýWe also initiated a large-scale drug screen inÌý°ä.Ìý±ð±ô±ð²µ²¹²Ô²õÌýto isolate compounds that inhibitÌýHBx-induced cell death using a new drug screen strategy that we developed (KokelÌýet al. Nature Chemical Biology 2006). These studies will provide important insights into whatÌýHBxÌýhost targets and signaling pathways are and howÌýHBxÌýcauses cell death and promotes viral replication and pathogenesis in hepatocytes.

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Publications

Ìý1.ÌýGeng, X., Harry, B.L., Zhou, Q.H., Skeen-Gaar, R.B.,ÌýGe, X., Lee, E.S.,ÌýMitani, S., and Xue, D. (2012). Hepatitis B Virus X protein targets the Bcl-2 protein CED-9 to induce intracellular Ca2+Ìýincrease and cell death inÌý°ä.Ìý±ð±ô±ð²µ²¹²Ô²õ.ÌýProc. Natl. Acad. Sci. USAÌý109: 18465-18470. (ÌýandÌýPDF)

2. Geng, X., Huang, C.H., Qin, Y.,ÌýMcComb, J., Yuan, Q., Harry, B.L., Palmer, A., Xia, N.S., and Xue, D. (2012). Hepatitis B virus X protein targets Bcl-2 proteins to increase cytosolic Ca2+, required for virus replication and cell death induction.ÌýProc. Natl. Acad. Sci. USAÌý109, 18471-18476. (ÌýandÌýPDF)

3. Zhang, T.Y.*, Chen, H.Y.*, Cao, J.L.*, Xiong, H.L., Mo, X.B., Li, T.L., KANG, X.Z., Zhao, J.H., Yin, B., Zhao, X., Huang, C.H., Yuan, Q.#, Xue, D.#, Xia, N.S.#, and Yuan, Y.A. (2019). Structural and functional analyses of Hepatitis B virus X protein BH3-like domain and Bcl-xL interaction.ÌýNature CommunicationsÌý10: 3192 (andÌý). *Equal contribution. #Co-corresponding authors

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Patents

Ding Xue and Xin Geng, US patent 9518090 (Approved 12/13/2016). Entitled “COMPOSITIONS AND METHODS FOR TREATING HEPATITIS B.�

Ding Xue and Xin Geng, US Patent 10155020 (Approved 12/18/2018). Entitled “COMPOSITIONS AND METHODS FOR TREATING HEPATITIS B.�

Ding Xue and Xin Geng, China Patent 3886093 (Approved 07/14/2020). Entitled “COMPOSITIONS AND METHODS FOR TREATING HEPATITIS B.�