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Targeting the multifunctional HBV core protein as a potential cure for chronic hepatitis B
Journal article   Open access   Peer reviewed

Targeting the multifunctional HBV core protein as a potential cure for chronic hepatitis B

Usha Viswanathan, Nagraj Mani, Zhanying Hu, Haiqun Ban, Yanming Du, Jin Hu, Jinhong Chang and Ju-Tao Guo
Antiviral research, v 182, 104917
01 Oct 2020
PMID: 32818519
url
https://europepmc.org/articles/pmc8050868View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Capsid cccDNA Core protein allosteric modulators Hepatitis B virus Nucleocapsid
The core (capsid) protein of hepatitis B virus (HBV) is the building block of nucleocapsids where viral DNA reverse transcriptional replication takes place and mediates virus-host cell interaction important for the persistence of HBV infection. The pleiotropic role of core protein (Cp) in HBV replication makes it an attractive target for antiviral therapies of chronic hepatitis B, a disease that affects more than 257 million people worldwide without a cure. Recent clinical studies indicate that core protein allosteric modulators (CpAMs) have a great promise as a key component of hepatitis B curative therapies. Particularly, it has been demonstrated that modulation of Cp dimer-dimer interactions by several chemical series of CpAMs not only inhibit nucleocapsid assembly and viral DNA replication, but also induce the disassembly of double-stranded DNA-containing nucleocapsids to prevent the synthesis of cccDNA. Moreover, the different chemotypes of CpAMs modulate Cp assembly by interaction with distinct amino acid residues at the HAP pocket between Cp dimer-dimer interfaces, which results in the assembly of Cp dimers into either non-capsid Cp polymers (type I CpAMs) or empty capsids with distinct physical property (type II CpAMs). The different CpAMs also differentially modulate Cp metabolism and subcellular distribution, which may impact cccDNA metabolism and host antiviral immune responses, the critical factors for the cure of chronic HBV infection. This review article highlights the recent research progress on the structure and function of core protein in HBV replication cycle, the mode of action of CpAMs, as well as the current status and perspectives on the discovery and development of core protein-targeting antivirals. This article forms part of a symposium in Antiviral Research on “Wide-ranging immune and direct-acting antiviral approaches to curing HBV and HDV infections." •Core protein is a building block of nucleocapsids and involved in multiple steps of the HBV replication.•CpAMs bind to a hydrophobic pocket between core protein dimers to misdirect nucleocapsid assembly and disassembly.•CpAMs not only block viral DNA replication, but also inhibit de novo cccDNA formation.•Targeting the multi-functional core protein is an effective antiviral approach against HBV infection.

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Web of Science research areas
Pharmacology & Pharmacy
Virology
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