Discovery and mechanistic study of Imperatorin that inhibits HBsAg expression and cccDNA transcription

Fang Ren1,2, Shiqiao Zhao1,2, Xin He3

  • 1Department of Clinical Laboratory, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.

PubMed

Insights

Imperatorin, a natural compound, effectively inhibits hepatitis B surface antigen (HBsAg) and covalently closed circular DNA (cccDNA) transcription. This compound targets the ERK-CREB pathway, offering a potential new treatment for chronic hepatitis B virus (HBV) infection.

Area of Science:

  • Virology
  • Pharmacology
  • Natural Products Chemistry

Background:

  • Chronic hepatitis B virus (HBV) infection is a major global health concern, leading to cirrhosis and hepatocellular carcinoma (HCC).
  • Current treatments inadequately suppress hepatitis B surface antigen (HBsAg) and covalently closed circular DNA (cccDNA), necessitating novel therapeutic strategies.
  • Disrupting HBsAg production from cccDNA is crucial for effective HBV management.

Purpose of the Study:

  • To identify natural compounds that inhibit HBsAg expression from cccDNA.
  • To investigate the therapeutic potential and mechanism of action of Imperatorin against HBV infection.
  • To explore Imperatorin's effects on cccDNA transcription and viral markers in vitro and in vivo.

Main Methods:

  • Screening of natural compounds from Chinese herbal medicines using ELISA and qRT-PCR.
  • Pharmacodynamic studies in HBV-infected HepG2-NTCP cells, primary human hepatocytes (PHHs), and a humanized mouse model.
  • Proteome analysis, molecular docking, and bio-layer interferometry (BLI) to elucidate the mechanism of action.
  • Assessment of HBsAg, HBV RNAs, HBV DNA, and cccDNA transcriptional activity.

Main Results:

  • Imperatorin significantly inhibited HBsAg expression and cccDNA transcriptional activity.
  • Imperatorin reduced HBV RNAs and HBV DNA levels both in vitro and in vivo.
  • Mechanistic studies revealed Imperatorin directly binds to ERK, inhibiting the ERK-CREB pathway crucial for HBV transcription.
  • The antiviral effect of Imperatorin was dependent on ERK presence.

Conclusions:

  • Imperatorin demonstrates potent antiviral activity against chronic HBV infection.
  • Imperatorin effectively suppresses HBsAg production and cccDNA transcription via the ERK-CREB signaling pathway.
  • Imperatorin represents a promising natural compound candidate for developing new HBV therapeutics.