Impact of preS1 Evaluation in the Management of Chronic Hepatitis B Virus Infection

Yuka Hayashi1, Kazuto Tajiri1, Tatsuhiko Ozawa2,3

  • 1Third Department of Internal Medicine, Faculty of Medicine, Academic Assembly, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan.

PubMed

Insights

Hepatitis B surface antigen (HBsAg) measurement is key for chronic hepatitis B (CHB) management. This study shows preS1 protein expression is altered in CHB and is a promising therapeutic target.

Area of Science:

  • Hepatology
  • Virology
  • Immunology

Background:

  • Hepatitis B surface antigen (HBsAg) measurement is crucial for managing chronic hepatitis B virus (CHB) infection.
  • HBsAg comprises large, middle, and small surface proteins, but individual evaluation is uncommon clinically.

Purpose of the Study:

  • To investigate preS1 protein expression and antigenicity in CHB patients.
  • To assess the role of preS1 in the HBV infection cycle and its potential as a therapeutic target.

Main Methods:

  • Utilized seven monoclonal antibodies (mAbs) to study preS1 expression in 68 CHB patients.
  • Examined the antigenicity of preS1 across different genotypes (Gts) A to D.

Main Results:

  • Monoclonal antibodies recognized preS1 across Gts A-D, with epitopes concentrated in the aa33-47 region.
  • An aa45F substitution significantly reduced preS1 antigenicity.
  • PreS1 expression remained consistent irrespective of HBsAg levels and Gts, unlike SHBs.

Conclusions:

  • The antigenic epitope of preS1 is conserved across different HBV genotypes.
  • PreS1 expression patterns are altered during CHB, indicating its critical role in the HBV lifecycle.
  • PreS1 emerges as a potential therapeutic target for CHB.

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