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Detection of Low Copy Number Integrated Viral DNA Formed by In Vitro Hepatitis B Infection
Published on: November 7, 2018
Inflammatory Gene Expression Associates with Hepatitis B Virus cccDNA- but Not Integrant-Derived Transcripts in HBeAg
Andrea Magri1, James M Harris1, Valentina D'Arienzo1
1Nuffield Department of Medicine, University of Oxford, Oxford OX3 7FZ, UK.
Insights
Chronic hepatitis B (CHB) involves interplay between the hepatitis B virus (HBV) and host immunity. This study reveals distinct transcript origins and identifies an immune gene signature linked to HBV covalently closed circular DNA (cccDNA) transcription and viral persistence.
Area of Science:
- Hepatology
- Virology
- Immunology
Background:
- Chronic hepatitis B (CHB) is a global health issue with diverse liver disease presentations.
- Hepatitis B virus (HBV) genomes exist as episomal covalently closed circular DNA (cccDNA) or chromosomal integrants.
- The contribution of these distinct HBV DNA forms to viral gene expression in CHB is not fully understood.
Purpose of the Study:
- To develop and apply a quantitative PCR (qPCR) method for estimating HBV cccDNA- and integrant-derived viral transcripts.
- To investigate the relationship between viral transcript origins, patient age, and inflammatory status in CHB.
- To identify host immune genes associated with cccDNA transcriptional activity.
Main Methods:
- Development of a novel qPCR assay to quantify transcripts originating from HBV cccDNA and integrated HBV DNA.
- Application of the assay to a cohort of HBe antigen-negative CHB patients.
- Analysis of the hepatic transcriptome to identify host genes correlated with cccDNA transcription.
Main Results:
- Variable patterns of HBV transcripts were observed, with preS1/S2 mRNAs predominating.
- Integrant-derived mRNA expression correlated with increasing patient age, but not inflammatory status.
- cccDNA-derived transcripts were associated with markers of liver inflammation, and 24 immune genes were significantly linked to cccDNA transcriptional activity.
Conclusions:
- This study differentiates transcript origins in CHB, highlighting distinct associations with host factors.
- An immune gene signature associated with HBV cccDNA transcription provides insights into viral persistence mechanisms.
- Understanding these viral-host interactions is crucial for managing CHB and developing therapeutic strategies.
Abstract:
Chronic hepatitis B virus (HBV) infection is a global health problem that presents as a spectrum of liver disease, reflecting an interplay between the virus and the host immune system. HBV genomes exist as episomal covalently closed circular DNA (cccDNA) or chromosomal integrants. The relative contribution of these genomes to the viral transcriptome in chronic hepatitis B (CHB) is not well-understood. We developed a qPCR method to estimate the abundance of HBV cccDNA- and integrant-derived viral transcripts and applied this to a cohort of patients diagnosed with CHB in the HBe antigen negative phase of disease. We noted a variable pattern of HBV transcripts from both DNA templates, with preS1/S2 mRNAs predominating and a significant association between increasing age and the expression of integrant-derived mRNAs, but not with inflammatory status. In contrast, cccDNA-derived transcripts were associated with markers of liver inflammation. Analysis of the inflammatory hepatic transcriptome identified 24 genes significantly associated with cccDNA transcriptional activity. Our study uncovers an immune gene signature that associates with HBV cccDNA transcription and increases our understanding of viral persistence.
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