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Stem Cell-Derived Viral Ag-Specific T Lymphocytes Suppress HBV Replication in Mice
Published on: September 25, 2019
AAV-mediated delivery of CRISPR/Cas9 targeting conserved overlapping ORFs efficiently suppresses HBV replication in
Pattida Kongsomboonchoke1, Yongyut Pewkliang2, Piyanoot Thongsri2
1Department of Biotechnology, Faculty of Science, Mahidol University, Bangkok, 10400, Thailand.
Insights
A novel CRISPR/Cas9 gene therapy delivered by adeno-associated virus (AAV) effectively targets chronic hepatitis B virus (HBV) by reducing viral DNA and cccDNA. This approach shows promise for a new generation of HBV treatments.
Area of Science:
- Molecular Biology
- Virology
- Gene Therapy
Background:
- Chronic hepatitis B virus (HBV) infection is a significant global health issue.
- Persistent covalently closed circular DNA (cccDNA) hinders current antiviral therapies.
Purpose of the Study:
- To develop and evaluate an adeno-associated virus (AAV)-delivered CRISPR/Cas9 system for targeting HBV.
- To assess the efficacy of different guide RNAs (gRNAs) in reducing HBV components.
Main Methods:
- CRISPR/Cas9 system delivered via AAV targeting conserved HBV regions.
- Evaluation of three gRNAs (gRNA1-3) in cell lines (HepG2.2.15) and HBV-infected cells (imHCs).
- Comparison with a reverse transcriptase-targeting gRNA and tenofovir alafenamide.
Main Results:
- All tested gRNAs reduced intracellular and extracellular HBV DNA and HBsAg secretion.
- gRNA2 induced a frameshift mutation, showing superior efficacy.
- gRNA2 significantly reduced cccDNA, viral DNA, viral RNA, HBcAg, and HBsAg, with sustained suppression for 12 days.
Conclusions:
- AAV-mediated CRISPR/Cas9 gene therapy is a promising strategy against chronic HBV infection.
- gRNA2 demonstrated potent antiviral activity by targeting essential HBV genes.
Abstract:
Chronic hepatitis B virus (HBV) infection remains a major global health burden due to the persistence of covalently closed circular DNA (cccDNA), which limits current antiviral therapies. We developed an adeno-associated virus (AAV)-delivered CRISPR/Cas9 system targeting conserved regions of the HBV genome. Three guide RNAs (gRNA1-3) targeting overlapping open reading frames of the surface antigen and polymerase genes were evaluated in HepG2.2.15 cells and HBV-infected hepatocyte-like cells (imHCs), with a reverse transcriptase-targeting gRNA and tenofovir alafenamide as controls. All gRNAs significantly reduced intracellular and extracellular HBV DNA levels and moderately decreased HBsAg secretion. Notably, gRNA2 induced a frameshift mutation and demonstrated superior antiviral efficacy, markedly reducing cccDNA levels, viral DNA levels, viral RNA levels, HBcAg expression, and HBsAg secretion with suppression maintained for up to 12 days. These findings highlight AAV-mediated CRISPR/Cas9 as a promising gene-based therapy for chronic HBV infection.
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