Early Steps of Hepatitis B Life Cycle: From Capsid Nuclear Import to cccDNA Formation

João Diogo Dias1, Nazim Sarica1, Christine Neuveut1

  • 1Laboratoire de Virologie Moléculaire, Institut de Génétique Humaine, CNRS, Université de Montpellier, UMR9002 Montpellier, France.

Viruses
|April 30, 2021
PubMed

Insights

Hepatitis B virus (HBV) infection persists due to viral covalently closed circular DNA (cccDNA) resisting treatments. Understanding cccDNA formation is key to eradicating HBV.

Area of Science:

  • Hepatology
  • Virology
  • Molecular Biology

Background:

  • Hepatitis B virus (HBV) infection affects over 250 million people globally.
  • Chronic HBV infection increases the risk of liver cirrhosis and hepatocellular carcinoma.
  • Current antiviral therapies control HBV replication but do not eliminate the virus due to persistent viral DNA.

Purpose of the Study:

  • To review the current understanding of HBV infection's initial steps.
  • To focus on the formation and role of covalently closed circular DNA (cccDNA).
  • To highlight cccDNA as a critical target for HBV eradication strategies.

Main Methods:

  • Review of existing literature on HBV nuclear import and cccDNA formation.
  • Analysis of the molecular mechanisms governing HBV replication intermediates.
  • Synthesis of data on cccDNA's role in viral persistence and transcription.

Main Results:

  • Viral persistence is primarily attributed to the stable episomal HBV DNA, cccDNA.
  • cccDNA resides in the nucleus, evades immune surveillance, and resists antiviral therapies.
  • cccDNA serves as the template for all viral RNA transcription, including pgRNA, perpetuating infection.

Conclusions:

  • The establishment and expression of cccDNA are central to HBV persistence.
  • Targeting the formation or expression of cccDNA is crucial for developing curative HBV therapies.
  • Further research into the early stages of HBV infection, particularly cccDNA dynamics, is essential for achieving viral eradication.

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