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Virological Basis for the Cure of Chronic Hepatitis B
Journal article   Open access

Virological Basis for the Cure of Chronic Hepatitis B

Jin Hu, Junjun Cheng, Liudi Tang, Zhanying Hu, Yue Luo, Yuhuan Li, Tianlun Zhou, Jinhong Chang and Ju-Tao Guo
ACS infectious diseases, v 5(5), pp 659-674
10 May 2019
PMID: 29893548
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8026331View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Animals Antiviral Agents - pharmacology DNA, Circular DNA, Viral Hepatitis B virus - drug effects Hepatitis B virus - genetics Hepatitis B, Chronic - drug therapy Hepatitis B, Chronic - virology Hepatocytes - virology Host Microbial Interactions Humans Virus Replication - drug effects
Hepatitis B virus (HBV) has infected one-third of world population, and 240 million people are chronic carriers, to whom a curative therapy is still not available. Similar to other viruses, persistent HBV infection relies on the virus to exploit host cell functions to support its replication and efficiently evade host innate and adaptive antiviral immunity. Understanding HBV replication and concomitant host cell interactions is thus instrumental for development of therapeutics to disrupt the virus-host interactions critical for its persistence and cure chronic hepatitis B. Although the currently available cell culture systems of HBV infection are refractory to genome-wide high throughput screening of key host cellular factors essential for and/or regulating HBV replication, classic one-gene (or pathway)-at-a-time studies in the last several decades have already revealed many aspects of HBV-host interactions. An overview of the landscape of HBV-hepatocyte interaction indicates that, in addition to more tightly suppressing viral replication by directly targeting viral proteins, disruption of key viral-host cell interactions to eliminate or inactivate the covalently closed circular (ccc) DNA, the most stable HBV replication intermediate that exists as an episomal minichromosome in the nucleus of infected hepatocyte, is essential to achieve a functional cure of chronic hepatitis B. Moreover, therapeutic targeting of integrated HBV DNA and their transcripts may also be required to induce hepatitis B virus surface antigen (HBsAg) seroclearance and prevent liver carcinogenesis.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Chemistry, Medicinal
Infectious Diseases
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