1.Hepatitis B virus X protein promotes podocyte pyroptosis in hepatitis B virus-associated glomerulonephritis by down-regulating microRNA -223 targeting NLRP3 inflammasome.
Ya Ni YU ; Yue Qi CHEN ; Bao Shuang LI ; Xiao Qian YANG ; Mo Xuan FENG ; Wei JIANG
Chinese Journal of Hepatology 2023;39(1):20-31
		                        		
		                        			
		                        			Objective:b> To investigate the potential function and related mechanism of microRNA-223 (miRNA-223) in the podocyte pyroptosis of hepatitis B virus (HBV)-associated glomerulonephritis induced by HBV X protein (HBx). Methods:b> HBx-overexpressing lentivirus was transfected into human renal podocytes to mimic the pathogenesis of HBV-GN. Real-time fluorescence quantitative PCR and Western blotting experiments were used to detect the mRNA and protein expression of pyroptosis-related proteins [nucleotide-binding oligomerization domain-like receptor protein 3 (NLRP3), apoptosis-associated speck-like protein containing a CARD (ASC) and caspase-1], and inflammatory factors (interleukin-1β and interleukin-18), respectively.TUNEL staining and flow cytometry were used to detect the number of pyroptosis cells. Immunofluorescence staining was used to detect the expression of podocytes biomarkers desmin and nephrin; Hoechst 33342 staining was used to observe the morphological and quantitative changes of podocyte nuclei. Enzyme-linked immunosorbent assay was used to measure caspase-1 activity. The dual luciferase reporter gene assay was used to verify the downstream target of miRNA-223. Podocytes were divided into the following nine groups: control group (no special treatment), empty plasmid group (transfected with empty plasmid), HBx overexpression group (transfected with HBx overexpression lentivirus), HBx overexpression+miRNA-223 mimic group (transfected with HBx overexpression lentivirus and miRNA-223 mimic), HBx overexpression+miRNA-223 inhibitor group (transfected with HBx overexpression lentivirus and miRNA-223 inhibitor), HBx overexpression+miRNA-223 mimic+NLRP3 group (transfected with HBx overexpression lentivirus, miRNA-223 mimic and NLRP3 overexpression plasmid), HBx overexpression+miRNA-223 mimic+ NLRP3 siRNA group (transfected with HBx overexpression lentivirus, miRNA-223 mimic and NLRP3 siRNA), HBx overexpression+miRNA-223 inhibitor+NLRP3 group (transfected with HBx overexpression lentivirus, miRNA-223 inhibitor and NLRP3 overexpression plasmid), HBx overexpression+miRNA-223 inhibitor+NLRP3 siRNA group (transfected with HBx overexpression lentivirus, miRNA-223 inhibitor and NLRP3 siRNA). Results:b> miRNA-223 was down-regulated in HBx overexpression group compared with the control group (P < 0.05). TUNEL and immunofluorescence staining showed that NLRP3 knockdown attenuated podocyte injury and pyroptosis induced by HBx overexpression (P < 0.05). Dual luciferase reporter gene assay demonstrated that NLRP3 was one of the downstream targets of miRNA-223. Rescue experiments revealed that NLRP3 overexpression weakened the protective effect of miRNA-223 in podocyte injury (P < 0.05). The addition of miRNA-223 mimic and NLRP3 siRNA decreased the expression of NLRP3 inflammasome and cytokines, and reduced the number of pyroptosis cells induced by HBx overexpression (all P < 0.05); The addition of miRNA-223 inhibitor and NLRP3 overexpression plasmid significantly increased the expression of NLRP3 inflammasome and cytokines, caspase-1 activity, and the number of pyroptosis cells (all P < 0.05). Conclusion:b> HBx may promote podocyte pyroptosis of HBV-GN via downregulating miRNA-223 targeting NLRP3 inflammasome, suggesting that miRNA-223 is expected to be a potential target for the treatment of HBV-GN.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Inflammasomes/metabolism*
		                        			;
		                        		
		                        			NLR Family, Pyrin Domain-Containing 3 Protein/metabolism*
		                        			;
		                        		
		                        			Pyroptosis
		                        			;
		                        		
		                        			Podocytes/metabolism*
		                        			;
		                        		
		                        			Hepatitis B virus/genetics*
		                        			;
		                        		
		                        			Caspase 1/metabolism*
		                        			;
		                        		
		                        			Cytokines/metabolism*
		                        			;
		                        		
		                        			Carrier Proteins/metabolism*
		                        			;
		                        		
		                        			MicroRNAs/genetics*
		                        			;
		                        		
		                        			Glomerulonephritis/metabolism*
		                        			;
		                        		
		                        			RNA, Small Interfering
		                        			
		                        		
		                        	
2.TRIM25 inhibits HBV replication by promoting HBx degradation and the RIG-I-mediated pgRNA recognition.
Hongxiao SONG ; Qingfei XIAO ; Fengchao XU ; Qi WEI ; Fei WANG ; Guangyun TAN
Chinese Medical Journal 2023;136(7):799-806
		                        		
		                        			BACKGROUND:
		                        			The hepatitis B virus (HBV) vaccine has been efficiently used for decades. However, hepatocellular carcinoma caused by HBV is still prevalent globally. We previously reported that interferon (IFN)-induced tripartite motif-containing 25 (TRIM25) inhibited HBV replication by increasing the IFN expression, and this study aimed to further clarify the anti-HBV mechanism of TRIM25.
		                        		
		                        			METHODS:
		                        			The TRIM25-mediated degradation of hepatitis B virus X (HBx) protein was determined by detecting the expression of HBx in TRIM25-overexpressed or knocked-out HepG2 or HepG2-NTCP cells via Western blotting. Co-immunoprecipitation was performed to confirm the interaction between TRIM25 and HBx, and colocalization of TRIM25 and HBx was identified via immunofluorescence; HBV e-antigen and HBV surface antigen were qualified by using an enzyme-linked immunosorbent assay (ELISA) kit from Kehua Biotech. TRIM25 mRNA, pregenomic RNA (pgRNA), and HBV DNA were detected by quantitative real-time polymerase chain reaction. The retinoic acid-inducible gene I (RIG-I) and pgRNA interaction was verified by RNA-binding protein immunoprecipitation assay.
		                        		
		                        			RESULTS:
		                        			We found that TRIM25 promoted HBx degradation, and confirmed that TRIM25 could enhance the K90-site ubiquitination of HBx as well as promote HBx degradation by the proteasome pathway. Interestingly, apart from the Really Interesting New Gene (RING) domain, the SPRY domain of TRIM25 was also indispensable for HBx degradation. In addition, we found that the expression of TRIM25 increased the recognition of HBV pgRNA by interacting with RIG-I, which further increased the IFN production, and SPRY, but not the RING domain is critical in this process.
		                        		
		                        			CONCLUSIONS
		                        			The study found that TRIM25 interacted with HBx and promoted HBx-K90-site ubiquitination, which led to HBx degradation. On the other hand, TRIM25 may function as an adaptor, which enhanced the recognition of pgRNA by RIG-I, thereby further promoting IFN production. Our study can contribute to a better understanding of host-virus interaction.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hepatitis B virus
		                        			;
		                        		
		                        			DEAD Box Protein 58/metabolism*
		                        			;
		                        		
		                        			RNA
		                        			;
		                        		
		                        			Liver Neoplasms
		                        			;
		                        		
		                        			Virus Replication
		                        			;
		                        		
		                        			Tripartite Motif Proteins/genetics*
		                        			;
		                        		
		                        			Transcription Factors
		                        			;
		                        		
		                        			Ubiquitin-Protein Ligases/genetics*
		                        			
		                        		
		                        	
3.HBV-upregulated Lnc-HUR1 inhibits the apoptosis of liver cancer cells.
Yongchen CHEN ; Jinyan WEN ; Dandan QI ; Xiaomei TONG ; Ningning LIU ; Xin YE
Chinese Journal of Biotechnology 2022;38(9):3501-3514
		                        		
		                        			
		                        			Lnc-HUR1 is an HBV-related long non-coding RNA, which can promote the proliferation of hepatoma cells and the occurrence and development of liver cancer. In this study we explored the effect of lnc-HUR1 on the apoptosis of hepatocellular carcinoma cells by taking the approach of immunoblotting, quantitative real time PCR, luciferase reporter assay, chromatin immunoprecipitation (ChIP) and flow cytometry. We found that overexpression of lnc-HUR1 significantly reduced the activity of caspase3/7 and the cleavage of PARP-1, while knocking down of lnc-HUR1 significantly increased the activity of caspase3/7 and promoted the cleavage of PARP-1 in HepG2 cells treated with TGF-β, pentafluorouracil or staurosporine. Consistently, the data from Annexin-V/PI staining showed that overexpression of lnc-HUR1 inhibited apoptosis, while knockdown of lnc-HUR1 promoted apoptosis. Moreover, overexpression of lnc-HUR1 up-regulated the apoptosis inhibitor Bcl-2 and down-regulated the pro-apoptotic factor BAX at both RNA and protein levels. In the CCL4-induced acute liver injury mice model, the expression of Bcl-2 in the liver tissue of lnc-HUR1 transgenic mice was higher than that of the control mice. The data from ChIP assay indicated that lnc-HUR1 reduced the enrichment of p53 on Bcl-2 and BAX promoters. All these results indicated that lnc-HUR1 inhibited the apoptosis by promoting the expression of apoptosis inhibitor Bcl-2 and inhibiting the expression of apoptosis promoting factor BAX. Further studies showed that lnc-HUR1 regulated the transcription of Bcl-2 and BAX in HCT116 cells, but had no effect on the expression of Bcl-2 and BAX in HCT116 p53-/- cells, indicating that lnc-HUR1 regulates the transcription of Bcl-2 and BAX dependent upon the activity of p53. In conclusion, HBV upregulated lnc-HUR1 can inhibit the apoptosis of hepatoma cells. Lnc-HUR1 inhibits apoptosis by inhibiting the transcriptional activity of p53. These results suggest that lnc-HUR1 plays an important role in the occurrence and development of HBV-related hepatocellular carcinoma.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Annexins/pharmacology*
		                        			;
		                        		
		                        			Apoptosis
		                        			;
		                        		
		                        			Carcinoma, Hepatocellular/genetics*
		                        			;
		                        		
		                        			Cell Proliferation
		                        			;
		                        		
		                        			Hep G2 Cells
		                        			;
		                        		
		                        			Hepatitis B virus/metabolism*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Liver Neoplasms/genetics*
		                        			;
		                        		
		                        			Mice
		                        			;
		                        		
		                        			Poly(ADP-ribose) Polymerase Inhibitors/pharmacology*
		                        			;
		                        		
		                        			Proto-Oncogene Proteins c-bcl-2/pharmacology*
		                        			;
		                        		
		                        			RNA, Long Noncoding/metabolism*
		                        			;
		                        		
		                        			Staurosporine/pharmacology*
		                        			;
		                        		
		                        			Transforming Growth Factor beta/pharmacology*
		                        			;
		                        		
		                        			Tumor Suppressor Protein p53/pharmacology*
		                        			;
		                        		
		                        			bcl-2-Associated X Protein/pharmacology*
		                        			
		                        		
		                        	
4.The Role of HBx Gene Mutations in PLA R Positive Hepatitis-B-associated Membranous Nephropathy.
Hui DONG ; Yan XU ; Ting XU ; Jing Yi SUN ; Quan Dong BU ; Yan Fei WANG ; Lin CHE ; Long ZHAO ; Wei JIANG
Biomedical and Environmental Sciences 2020;33(4):269-272
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Gene Expression
		                        			;
		                        		
		                        			Glomerulonephritis, Membranous
		                        			;
		                        		
		                        			etiology
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			Hepatitis B
		                        			;
		                        		
		                        			complications
		                        			;
		                        		
		                        			Hepatitis B virus
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Mutation
		                        			;
		                        		
		                        			Receptors, Phospholipase A2
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Trans-Activators
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Viral Regulatory and Accessory Proteins
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			metabolism
		                        			
		                        		
		                        	
5.Transcription and regulation of hepatitis B virus genes in host sperm cells.
Ying ZHONG ; Dong-Ling LIU ; Mohamed Morsi M AHMED ; Peng-Hao LI ; Xiao-Ling ZHOU ; Qing-Dong XIE ; Xiao-Qing XU ; Ting-Ting HAN ; Zhi-Wei HOU ; Ji-Hua HUANG ; Lan XU ; Tian-Hua HUANG
Asian Journal of Andrology 2018;20(3):284-289
		                        		
		                        			
		                        			To investigate whether transcription of hepatitis B virus (HBV) gene occurs in human sperm, total RNA was extracted from sperm of patients with chronic HBV infection (test-1), from donor sperm transfected with a plasmid containing the full-length HBV genome (test-2), and from nontransfected donor sperm (control), used as the template for reverse transcription-polymerase chain reaction (RT-PCR). Positive bands for HBV DNA were observed in the test groups but not in the control. Next, to identify the role of host genes in regulating viral gene transcription in sperm, total RNA was extracted from 2-cell embryos derived from hamster oocytes fertilized in vitro by HBV-transfected (test) or nontransfected (control) human sperm and successively subjected to SMART-PCR, suppression subtractive hybridization, T/A cloning, bacterial amplification, microarray hybridization, sequencing and the Basic Local Alignment Search Tool (BLAST) search to isolate differentially expressed genes. Twenty-nine sequences showing significant identity to five human gene families were identified, with chorionic somatomammotropin hormone 2 (CSH2), eukaryotic translation initiation factor 4 gamma 2 (EIF4G2), pterin-4 alpha-carbinolamine dehydratase 2 (PCBD2), pregnancy-specific beta-1-glycoprotein 4 (PSG4) and titin (TTN) selected to represent target genes. Using real-time quantitative RT-PCR (qRT-PCR), when CSH2 and PCBD2 (or EIF4G2, PSG4 and TTN) were silenced by RNA interference, transcriptional levels of HBV s and x genes significantly decreased (or increased) (P < 0.05). Silencing of a control gene in sperm did not significantly change transcription of HBV s and x genes (P > 0.05). This study provides the first experimental evidence that transcription of HBV genes occurs in human sperm and is regulated by host genes.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Connectin/genetics*
		                        			;
		                        		
		                        			Cricetinae
		                        			;
		                        		
		                        			Eukaryotic Initiation Factor-4G/genetics*
		                        			;
		                        		
		                        			Gene Expression Regulation/genetics*
		                        			;
		                        		
		                        			Gene Silencing
		                        			;
		                        		
		                        			Growth Hormone/genetics*
		                        			;
		                        		
		                        			Hepatitis B Surface Antigens/genetics*
		                        			;
		                        		
		                        			Hepatitis B virus/genetics*
		                        			;
		                        		
		                        			Hepatitis B, Chronic/virology*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hydro-Lyases/metabolism*
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Pregnancy-Specific beta 1-Glycoproteins/genetics*
		                        			;
		                        		
		                        			RNA, Viral/analysis*
		                        			;
		                        		
		                        			Spermatozoa/virology*
		                        			;
		                        		
		                        			Trans-Activators/genetics*
		                        			;
		                        		
		                        			Transcription, Genetic
		                        			;
		                        		
		                        			Transfection
		                        			;
		                        		
		                        			Viral Regulatory and Accessory Proteins
		                        			
		                        		
		                        	
6.Comparative Analysis of Liver Injury-Associated Cytokines in Acute Hepatitis A and B.
So Youn SHIN ; Sook Hyang JEONG ; Pil Soo SUNG ; Jino LEE ; Hyung Joon KIM ; Hyun Woong LEE ; Eui Cheol SHIN
Yonsei Medical Journal 2016;57(3):652-657
		                        		
		                        			
		                        			PURPOSE: Acute hepatitis A (AHA) and acute hepatitis B (AHB) are caused by an acute infection of the hepatitis A virus and the hepatitis B virus, respectively. In both AHA and AHB, liver injury is known to be mediated by immune cells and cytokines. In this study, we measured serum levels of various cytokines and T-cell cytotoxic proteins in patients with AHA or AHB to identify liver injury-associated cytokines. MATERIALS AND METHODS: Forty-six patients with AHA, 16 patients with AHB, and 14 healthy adults were enrolled in the study. Serum levels of 17 cytokines and T-cell cytotoxic proteins were measured by enzyme-linked immunosorbent assays or cytometric bead arrays and analyzed for correlation with serum alanine aminotransferase (ALT) levels. RESULTS: Interleukin (IL)-18, IL-8, CXCL9, and CXCL10 were significantly elevated in both AHA and AHB. IL-6, IL-22, granzyme B, and soluble Fas ligand (sFasL) were elevated in AHA but not in AHB. In both AHA and AHB, the serum level of CXCL10 significantly correlated with the peak ALT level. Additionally, the serum level of granzyme B in AHA and the serum level of sFasL in AHB correlated with the peak ALT level. CONCLUSION: We identified cytokines and T-cell cytotoxic proteins associated with liver injury in AHA and AHB. These findings deepen the existing understanding of immunological mechanisms responsible for liver injury in acute viral hepatitis.
		                        		
		                        		
		                        		
		                        			Acute Disease
		                        			;
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Alanine Transaminase/blood
		                        			;
		                        		
		                        			Biomarkers/blood
		                        			;
		                        		
		                        			Cytokines/*blood
		                        			;
		                        		
		                        			Enzyme-Linked Immunosorbent Assay
		                        			;
		                        		
		                        			Fas Ligand Protein/blood
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Hepatitis A/blood/virology
		                        			;
		                        		
		                        			Hepatitis A virus/*genetics/immunology
		                        			;
		                        		
		                        			Hepatitis B/blood/virology
		                        			;
		                        		
		                        			Hepatitis B virus/*genetics/immunology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Interleukin-6/blood
		                        			;
		                        		
		                        			Interleukin-8/blood
		                        			;
		                        		
		                        			Interleukins/blood
		                        			;
		                        		
		                        			Liver Failure/immunology/metabolism/*pathology
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			T-Lymphocytes, Cytotoxic/immunology/*metabolism
		                        			
		                        		
		                        	
7.Molecular cloning, characterization and expression analysis of woodchuck retinoic acid-inducible gene I.
Qi YAN ; Qin LIU ; Meng-Meng LI ; Fang-Hui LI ; Bin ZHU ; Jun-Zhong WANG ; Yin-Ping LU ; Jia LIU ; Jun WU ; Xin ZHENG ; Meng-Ji LU ; Bao-Ju WANG ; Dong-Liang YANG
Journal of Huazhong University of Science and Technology (Medical Sciences) 2016;36(3):335-343
		                        		
		                        			
		                        			Cytosolic retinoic acid-inducible gene I (RIG-I) is an important innate immune RNA sensor and can induce antiviral cytokines, e.g., interferon-β (IFN-β). Innate immune response to hepatitis B virus (HBV) plays a pivotal role in viral clearance and persistence. However, knowledge of the role that RIG-I plays in HBV infection is limited. The woodchuck is a valuable model for studying HBV infection. To characterize the molecular basis of woodchuck RIG-I (wRIG-I), we analyzed the complete coding sequences (CDSs) of wRIG-I, containing 2778 base pairs that encode 925 amino acids. The deduced wRIG-I protein was 106.847 kD with a theoretical isoelectric point (pI) of 6.07, and contained three important functional structures [caspase activation and recruitment domains (CARDs), DExD/H-box helicases, and a repressor domain (RD)]. In woodchuck fibroblastoma cell line (WH12/6), wRIG-I-targeted small interfering RNA (siRNA) down-regulated RIG-I and its downstrean effector-IFN-β transcripts under RIG-I' ligand, 5'-ppp double stranded RNA (dsRNA) stimulation. We also measured mRNA levels of wRIG-I in different tissues from healthy woodchucks and in the livers from woodchuck hepatitis virus (WHV)-infected woodchucks. The basal expression levels of wRIG-I were abundant in the kidney and liver. Importantly, wRIG-I was significantly up-regulated in acutely infected woodchuck livers, suggesting that RIG-I might be involved in WHV infection. These results may characterize RIG-I in the woodchuck model, providing a strong basis for further study on RIG-I-mediated innate immunity in HBV infection.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Cell Line, Tumor
		                        			;
		                        		
		                        			Cloning, Molecular
		                        			;
		                        		
		                        			DEAD Box Protein 58
		                        			;
		                        		
		                        			antagonists & inhibitors
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			Fibroblasts
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			Gene Expression
		                        			;
		                        		
		                        			Hepatitis B
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			veterinary
		                        			;
		                        		
		                        			Hepatitis B Virus, Woodchuck
		                        			;
		                        		
		                        			Immunity, Innate
		                        			;
		                        		
		                        			Interferon-beta
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			Isoelectric Point
		                        			;
		                        		
		                        			Kidney
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			virology
		                        			;
		                        		
		                        			Liver
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			virology
		                        			;
		                        		
		                        			Marmota
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			virology
		                        			;
		                        		
		                        			Open Reading Frames
		                        			;
		                        		
		                        			Protein Domains
		                        			;
		                        		
		                        			RNA, Double-Stranded
		                        			;
		                        		
		                        			RNA, Small Interfering
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Rodent Diseases
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			immunology
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			virology
		                        			
		                        		
		                        	
8.The efficacy of tenofovir-based therapy in patients showing suboptimal response to entecavir-adefovir combination therapy.
Jeong Han KIM ; Sung Hyun AHN ; Soon Young KO ; Won Hyeok CHOE ; Kyun Hwan KIM ; So Young KWON
Clinical and Molecular Hepatology 2016;22(2):241-249
		                        		
		                        			
		                        			BACKGROUND/AIMS: Before tenofovir (TDF) become available in South Korea, combination therapy with entecavir (ETV) and adefovir (ADV) was the most potent regimen for chronic hepatitis B (CHB) patients who fail to respond to rescue therapy for drug resistance. We analyzed the efficacy of ETV-ADV combination therapy and investigated the clinical and clonal results of TDF-based rescue therapy in CHB patients refractory to this combination. METHODS: We retrospectively reviewed the medical records of CHB patients treated for up to 3 years with ETV-ADV combination therapy as a rescue therapy for drug resistance. In cases refractory to this combination, clinical and clonal analyses were performed for TDF-based rescue therapy. RESULTS: The analysis was performed on 48 patients. Twelve patients achieved a virological response (VR) within 3 years. A VR was subsequently achieved in nine of the ten patients without a VR who switched to TDF monotherapy. A VR was also achieved in six of the seven patients who switched to lamivudine-TDF combination therapy, and in two of the two patients who switched to ETV-TDF combination therapy. In an in vitro susceptibility test, viral replication was detected with TDF monotherapy but not with ETV-TDF combination therapy. CONCLUSIONS: The efficacy of ETV-ADV combination therapy was insufficient in CHB patients who were refractory to rescue therapy. A more potent regimen such as ETV-TDF combination therapy may be considered in such refractory cases.
		                        		
		                        		
		                        		
		                        			Adenine/*analogs & derivatives/therapeutic use
		                        			;
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Antiviral Agents/*therapeutic use
		                        			;
		                        		
		                        			DNA, Viral/analysis/metabolism
		                        			;
		                        		
		                        			Drug Resistance, Viral
		                        			;
		                        		
		                        			Drug Therapy, Combination
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Guanine/*analogs & derivatives/therapeutic use
		                        			;
		                        		
		                        			Hepatitis B virus/genetics/isolation & purification
		                        			;
		                        		
		                        			Hepatitis B, Chronic/*drug therapy/virology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Organophosphonates/*therapeutic use
		                        			;
		                        		
		                        			Polymerase Chain Reaction
		                        			;
		                        		
		                        			Republic of Korea
		                        			;
		                        		
		                        			Retrospective Studies
		                        			;
		                        		
		                        			Tenofovir/*therapeutic use
		                        			;
		                        		
		                        			Treatment Outcome
		                        			
		                        		
		                        	
9.The efficacy of tenofovir-based therapy in patients showing suboptimal response to entecavir-adefovir combination therapy.
Jeong Han KIM ; Sung Hyun AHN ; Soon Young KO ; Won Hyeok CHOE ; Kyun Hwan KIM ; So Young KWON
Clinical and Molecular Hepatology 2016;22(2):241-249
		                        		
		                        			
		                        			BACKGROUND/AIMS: Before tenofovir (TDF) become available in South Korea, combination therapy with entecavir (ETV) and adefovir (ADV) was the most potent regimen for chronic hepatitis B (CHB) patients who fail to respond to rescue therapy for drug resistance. We analyzed the efficacy of ETV-ADV combination therapy and investigated the clinical and clonal results of TDF-based rescue therapy in CHB patients refractory to this combination. METHODS: We retrospectively reviewed the medical records of CHB patients treated for up to 3 years with ETV-ADV combination therapy as a rescue therapy for drug resistance. In cases refractory to this combination, clinical and clonal analyses were performed for TDF-based rescue therapy. RESULTS: The analysis was performed on 48 patients. Twelve patients achieved a virological response (VR) within 3 years. A VR was subsequently achieved in nine of the ten patients without a VR who switched to TDF monotherapy. A VR was also achieved in six of the seven patients who switched to lamivudine-TDF combination therapy, and in two of the two patients who switched to ETV-TDF combination therapy. In an in vitro susceptibility test, viral replication was detected with TDF monotherapy but not with ETV-TDF combination therapy. CONCLUSIONS: The efficacy of ETV-ADV combination therapy was insufficient in CHB patients who were refractory to rescue therapy. A more potent regimen such as ETV-TDF combination therapy may be considered in such refractory cases.
		                        		
		                        		
		                        		
		                        			Adenine/*analogs & derivatives/therapeutic use
		                        			;
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Antiviral Agents/*therapeutic use
		                        			;
		                        		
		                        			DNA, Viral/analysis/metabolism
		                        			;
		                        		
		                        			Drug Resistance, Viral
		                        			;
		                        		
		                        			Drug Therapy, Combination
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Guanine/*analogs & derivatives/therapeutic use
		                        			;
		                        		
		                        			Hepatitis B virus/genetics/isolation & purification
		                        			;
		                        		
		                        			Hepatitis B, Chronic/*drug therapy/virology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Organophosphonates/*therapeutic use
		                        			;
		                        		
		                        			Polymerase Chain Reaction
		                        			;
		                        		
		                        			Republic of Korea
		                        			;
		                        		
		                        			Retrospective Studies
		                        			;
		                        		
		                        			Tenofovir/*therapeutic use
		                        			;
		                        		
		                        			Treatment Outcome
		                        			
		                        		
		                        	
10.IL28B Is Associated with Outcomes of Chronic HBV Infection.
Xiaodong SHI ; Xiumei CHI ; Yu PAN ; Yanhang GAO ; Wanyu LI ; Chen YANG ; Jin ZHONG ; Damo XU ; Manna ZHANG ; Gerald MINUK ; Jing JIANG ; Junqi NIU
Yonsei Medical Journal 2015;56(3):625-633
		                        		
		                        			
		                        			PURPOSE: The role of IL28B gene variants and expression in hepatitis B virus (HBV) infections are not well understood. Here, we evaluated whether IL28B gene expression and rs12979860 variations are associated with HBV outcomes. MATERIALS AND METHODS: IL28B genetic variations (rs12979860) were genotyped by pyrosequencing of DNA samples from 137 individuals with chronic HBV infection [50 inactive carriers (IC), 34 chronic hepatitis B (CHB), 27 cirrhosis, 26 hepatocellular carcinoma (HCC)], and 19 healthy controls. IL28A/B mRNA expression in peripheral blood mononuclear cells was determined by qRT-PCR, and serum IL28B protein was measured by ELISA. RESULTS: Patients with IL28B C/C genotype had greater IL28A/B mRNA expression and higher IL28B protein levels than C/T patients. Within the various disease stages, compared to IC and healthy controls, IL28B expression was reduced in the CHB, cirrhosis, and HCC cohorts (CHB vs. IC, p=0.02; cirrhosis vs. IC, p=0.01; HCC vs. IC, p=0.001; CHB vs. controls, p<0.01; cirrhosis vs. controls, p<0.01; HCC vs. controls, p<0.01). When stratified with respect to serum HBV markers in the IC and CHB cohorts, IL28B mRNA and protein levels were higher in HBeAg-positive than negative individuals (p=0.01). Logistic regression analysis revealed that factors associated with high IL28B protein levels were C/C versus C/T genotype [p=0.016, odds ratio (OR)=0.25, 95% confidence interval (CI)=0.08-0.78], high alanine aminotransferase values (p<0.001, OR=8.02, 95% CI=2.64-24.4), and the IC stage of HBV infection (p<0.001). CONCLUSION: Our data suggest that IL28B genetic variations may play an important role in long-term development of disease in chronic HBV infections.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Alanine Transaminase/blood
		                        			;
		                        		
		                        			Asian Continental Ancestry Group/*genetics
		                        			;
		                        		
		                        			Biological Markers/blood
		                        			;
		                        		
		                        			Carcinoma, Hepatocellular/genetics
		                        			;
		                        		
		                        			Case-Control Studies
		                        			;
		                        		
		                        			China
		                        			;
		                        		
		                        			DNA, Viral/blood
		                        			;
		                        		
		                        			Enzyme-Linked Immunosorbent Assay
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Genotype
		                        			;
		                        		
		                        			Hepatitis B virus/genetics
		                        			;
		                        		
		                        			Hepatitis B, Chronic/ethnology/*genetics/immunology/*virology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Interleukins/blood/*genetics/metabolism
		                        			;
		                        		
		                        			Leukocytes, Mononuclear
		                        			;
		                        		
		                        			Liver Cirrhosis/blood
		                        			;
		                        		
		                        			Liver Neoplasms/genetics
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			RNA, Messenger/*genetics
		                        			;
		                        		
		                        			Reverse Transcriptase Polymerase Chain Reaction
		                        			
		                        		
		                        	
            
Result Analysis
Print
Save
E-mail