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Journal of Virology, April 2008, p. 3814-3821, Vol. 82, No. 8
0022-538X/08/$08.00+0 doi:10.1128/JVI.02507-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Department of Microbiology and Immunology, College of Medicine, University of Illinois at Chicago, 909 South Wolcott Avenue, Chicago, Illinois 60612
Received 22 November 2007/ Accepted 24 January 2008
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(RXR
) plus peroxisome proliferator-activated receptor
(PPAR
) heterodimer support hepatitis B virus (HBV) pregenomic RNA synthesis and viral replication in nonhepatoma cells. Small heterodimer partner (SHP), an orphan nuclear hormone receptor lacking a DNA binding domain, inhibits nuclear hormone receptor-mediated viral transcription and replication. The inhibition of HBV replication by SHP is dependent on the presence of nuclear hormone receptors. HBV replication that is dependent on HNF4 is considerably more sensitive to SHP-mediated inhibition than RXR
/PPAR
-directed viral biosynthesis. SHP inhibition of HBV biosynthesis in HepG2 cells suggests that multiple nuclear hormone receptors mediate viral replication in this human hepatoma cell line. These observations suggest that the physiological regulation of HBV biosynthesis by SHP in the liver will depend on both the level of SHP expression and the relative contribution of HNF4 and RXR
/PPAR
, plus potentially additional nuclear hormone receptors, to HBV RNA synthesis and replication. |
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(RXR
)/ peroxisome proliferator-activated receptor
(PPAR
) have been shown to have the capacity to support HBV pregenomic RNA synthesis and viral biosynthesis in nonhepatoma cells (43). These observations suggest that the liver-specific tropism of this hepadnavirus is determined, in part, by these particular transcription factors (43). In addition, the physiological regulation of the activities of these nuclear hormone receptors is likely to have an important role in determining the level of HBV pregenomic RNA and subsequent replication observed in the infected liver (38).
In this study, the potential role of the small heterodimer partner (SHP), a known physiological regulator of several nuclear hormone receptors (36), in the control of HBV transcription and replication was examined. In an attempt to establish the potential physiological relevance of SHP to the regulation of HBV transcription and replication, the effect of expressing SHP in the human hepatoma cell line HepG2, which supports HBV biosynthesis independently of the expression of additional transcription factors, was examined (41). HBV transcription and replication were inhibited in a dose-dependent manner by SHP in HepG2 cells, suggesting that SHP might be a relevant regulator of HBV biosynthesis in the livers of infected individuals under certain physiological circumstances. To address the transcription factor activities that might be susceptible to modulation by SHP, the effect of SHP on HNF4- and RXR
/PPAR
-mediated HBV transcription and replication was analyzed in nonhepatoma cells. This analysis demonstrated that HBV replication directed by HNF4 was highly sensitive to SHP modulation, whereas HBV replication directed by RXR
/PPAR
was relatively insensitive to SHP modulation. In addition, it was apparent that the inhibition of HBV replication by SHP in HepG2 cells was intermediate between HNF4- and RXR
/PPAR
-mediated HBV biosynthesis in nonhepatoma cells. This suggests that either HNF4 and RXR
/PPAR
contribute approximately equally to supporting HBV replication in HepG2 cells or additional nuclear hormone receptors that are sensitive to modulation by SHP govern HBV biosynthesis in these cells. Interestingly, the level of SHP in the liver can be modulated by the levels of cytokines such as tumor necrosis alpha (TNF-
) and bile acids, suggesting that multiple physiological stimuli modulate HBV transcription and replication by activating SHP gene expression and thereby modulating the activities of the nuclear hormone receptors that govern HBV biosynthesis (8, 12, 17, 21).
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FIG. 1. Structure of the HBV constructs supporting viral transcription and replication in human hepatoblastoma HepG2 and embryonic kidney 293T cells. (A) Structure of the HBV DNA (4.1-kbp) construct used in transient transfection analysis. The 4.1-kbp greater-than-genome-length HBV DNA sequence in this construct spans positions 1072 to 3182 and 1 to 1990 of the HBV genome (subtype ayw). The locations of the HBV 3.5-kb, 2.4-kb, 2.1-k, and 0.7-kb transcripts are indicated. EnhI/Xp, enhancer I/X gene promoter region; Cp, nucleocapsid or core promoter; pA, polyadenylation site; PS1p, presurface antigen promoter; Sp, major surface antigen promoter; X, X gene; S, surface antigen gene; C, core gene; P, polymerase gene; ORF, open reading frame. (B) Structure of the pCMVHBV DNA construct used in transient transfection analyses. The CMV immediate-early promoter (CMVp) (region at positions –522 to –1) directs the expression of the HBV pregenomic 3.5-kb RNA from the greater-than-genome-length HBV DNA sequence in this construct that spans positions 1821 to 3182 and 1 to 1990 of the HBV genome (subtype ayw). The locations of the HBV 3.5-kb, 2.4-kb, 2.1-kb, and 0.7-kb transcripts are the same as those indicated for the HBV DNA (4.1-kbp) construct.
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, and pCMVPPAR
-G vectors express SHP, HNF4, RXR
, and PPAR
-G polypeptides from mouse SHP, rat HNF4, human RXR
, and mouse PPAR
-G cDNAs, respectively, using the CMV immediate-early promoter (pCMX and pCMV) or the Rous sarcoma virus long terminal repeat (pRS) (6, 23, 25, 30, 32, 33). The PPAR
-G polypeptide contains a mutation in PPAR
cDNA, changing Glu282 to Gly, that may decrease the affinity of the receptor for the endogenous ligand. Consequently, this mutation increases the peroxisome proliferator-dependent (i.e., clofibric acid-dependent) activation of transcription from a peroxisome proliferator response element-containing promoter (25) and was used in this study to demonstrate the peroxisome proliferator-dependent transcriptional transactivation of the nucleocapsid promoter.
Cells and transfections.
The human embryonic kidney 293T and hepatoblastoma HepG2 cell lines were grown in RPMI 1640 medium and 10% fetal bovine serum at 37°C in 5% CO2-air. Transfections for viral RNA and DNA analysis were performed as previously described (24) by using 10-cm plates containing approximately 1 x 106 cells. Isolation of DNA and RNA was performed 3 days posttransfection. The transfected DNA mixture was composed of 5 µg of HBV DNA (4.1 kbp) plus 1.5 µg of the liver-enriched transcription factor expression vectors pCMVHNF4, pRS-hRXR
, and pCMVPPAR
-G and various amounts of the pCMXSHP expression vector (6, 23, 25, 30, 32, 33, 43). Controls were derived from cells transfected with HBV DNA and the pCMV expression vector lacking a liver-enriched transcription factor cDNA insert (32). All-trans retinoic acid and clofibric acid at 1 µM and 1 mM, respectively, were used to activate the nuclear hormone receptors RXR
and PPAR
(43).
Characterization of HBV transcripts and viral replication intermediates. Transfected cells from a single plate were divided equally and used for the preparation of total cellular RNA and viral DNA replication intermediates as described previously (40), with minor modifications. For RNA isolation (9), the cells were lysed in a solution containing 1.8 ml of 25 mM sodium citrate (pH 7.0), 4 M guanidinium isothiocyanate, 0.5% (vol/vol) sarcosyl, and 0.1 M 2-mercaptoethanol. After the addition of 0.18 ml of 2 M sodium acetate (pH 4.0), the lysate was extracted with 1.8 ml of water-saturated phenol plus 0.36 ml of chloroform-isoamyl alcohol (49:1). After centrifugation for 30 min at 3,000 rpm in a Sorval RT6000 centrifuge, the aqueous layer was precipitated with 1.8 ml of isopropanol. The precipitate was resuspended in 0.3 ml of a solution containing 25 mM sodium citrate (pH 7.0), 4 M guanidinium isothiocyanate, 0.5% (vol/vol) sarcosyl, and 0.1 M 2-mercaptoethanol and precipitated with 0.6 ml of ethanol. After centrifugation for 20 min at 14,000 rpm in an Eppendorf 5417C microcentrifuge, the precipitate was resuspended in 0.3 ml of a solution containing 10 mM Tris hydrochloride (pH 8.0), 5 mM EDTA, and 0.1% (wt/vol) sodium lauryl sulfate and precipitated with 45 µl of 2 M sodium acetate plus 0.7 ml of ethanol.
For the isolation of viral DNA replication intermediates, the cells were lysed in a solution containing 0.4 ml of 100 mM Tris hydrochloride (pH 8.0) plus 0.2% (vol/vol) NP-40. The lysate was centrifuged for 1 min at 14,000 rpm in an Eppendorf 5417C microcentrifuge to pellet the nuclei. The supernatant was adjusted to 6.75 mM magnesium acetate plus 200 µg/ml DNase I and incubated for 1 h at 37°C to remove transfected plasmid DNA. The supernatant was readjusted to contain 100 mM NaCl, 10 mM EDTA, 0.8% (wt/vol) sodium lauryl sulfate, and 1.6 mg/ml pronase and incubated for an additional 1 h at 37°C. The supernatant was extracted twice with phenol, precipitated with 2 volumes of ethanol, and resuspended in 100 µl of a solution containing 10 mM Tris hydrochloride (pH 8.0) and 1 mM EDTA. RNA (Northern) and DNA (Southern) filter hybridization analyses were performed using 10 µg of total cellular RNA and 30 µl of viral DNA replication intermediates, respectively, as described previously (34).
RNase protection assays were performed using the Pharmingen Riboquant kit, and riboprobes were synthesized using the Ambion Maxiscript kit according to instructions provided by the manufacturers. Transcription initiation sites for the HBV 3.5-kb transcripts were examined using 20 µg of total cellular RNA and a 333 (HBV positions 1990 to 1658)-nucleotide-long 32P-labeled HBV riboprobe. This riboprobe contains additional flanking vector sequences of 46 nucleotides that are not protected by HBV RNA.
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FIG. 2. Modulation of HBV transcription and replication by SHP. Human hepatoblastoma HepG2 cells were transiently transfected with the HBV DNA (4.1-kbp) construct plus 0, 1, 2, 5, and 10 µg of the SHP expression vector (lanes 1 to 5, respectively). (A) RNA (Northern) filter hybridization analysis of HBV transcripts. The glyceraldehyde-3-phosphate dehydrogenase (GAPDH) transcript was used as an internal control for RNA loading per lane. (B) DNA (Southern) filter hybridization analysis of HBV replication intermediates. HBV RC DNA, HBV relaxed circular DNA; HBV SS DNA, HBV single-stranded DNA. (C) Quantitative analysis of the 3.5-kb HBV RNA and HBV DNA replication intermediates. The levels of the 3.5-kb HBV RNA and total HBV DNA replication intermediates are reported relative to the HBV DNA (4.1-kbp) construct in the absence of SHP expression (lane 1), which are designated as having a relative activity of 1.0. The mean RNA and DNA levels plus standard deviations from three independent analyses are shown.
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/PPAR
-mediated HBV transcription and replication by SHP in human embryonic kidney 293T cells.
To investigate how SHP inhibits HBV transcription and replication in hepatoma cells, the effect of SHP on RXR
/PPAR
-mediated viral biosynthesis was examined in the nonhepatoma 293T cell line (Fig. 3). Increasing the level of SHP expression had only a very modest effect on HBV transcription and replication. HBV transcription was not obviously modulated by SHP expression (Fig. 3A and C). At the highest levels of SHP expression, viral replication was reduced approximately twofold (Fig. 3B and C). These observations suggest that HBV transcription and replication mediated by RXR
/PPAR
are largely resistant to inhibition by SHP. This indicates that HBV transcription and replication in HepG2 cells are not mediated primarily by RXR
/PPAR
.
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FIG. 3. Modulation of RXR -PPAR -dependent HBV transcription and replication by SHP. Human embryonic kidney 293T cells were transiently transfected with the HBV DNA (4.1kbp) construct (lanes 1 to 6) plus the RXR -PPAR expression vector and 0, 1, 2, 5, and 10 µg of the SHP expression vectors (lanes 2 to 6, respectively). (A) RNA (Northern) filter hybridization analysis of HBV transcripts. The glyceraldehyde-3-phosphate dehydrogenase (GAPDH) transcript was used as an internal control for RNA loading per lane. (B) DNA (Southern) filter hybridization analysis of HBV replication intermediates. HBV RC DNA, HBV relaxed circular DNA; HBV SS DNA, HBV single-stranded DNA. (C) Quantitative analysis of the 3.5-kb HBV RNA and total HBV DNA replication intermediates. The levels of the 3.5-kb HBV RNA and HBV DNA replication intermediates are reported relative to those of the HBV DNA (4.1-kbp) construct in the presence of RXR -PPAR expression (lane 2), which are designated as having a relative activity of 1.0. All-trans retinoic acid and clofibric acid at 1 µM and 1 mM, respectively, were used to activate the nuclear hormone receptors RXR and PPAR . The mean RNA and DNA levels plus standard deviations from three independent analyses are shown.
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/PPAR
-mediated viral biosynthesis, SHP inhibited HNF4-mediated HBV transcription and replication in the nonhepatoma 293T cell line (Fig. 4). HBV transcription was reduced approximately threefold at the highest level of SHP expression (Fig. 4A and C). However, at the highest levels of SHP expression, viral replication was almost undetectable (Fig. 4B and C). These observations indicate that HBV transcription and replication mediated by HNF4 are highly sensitive to inhibition by SHP. This finding is consistent with the suggestion that HNF4 may contribute to HBV transcription and replication in HepG2 cells (Fig. 2 and 4). In addition, the observation that HNF4-mediated HBV replication is more sensitive to SHP inhibition than HBV 3.5-kb RNA synthesis, as also seen in HepG2 cells, suggests that SHP may be preferentially inhibiting HBV 3.5-kb pregenomic RNA compared to HBV 3.5-kb precore RNA under both conditions.
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FIG. 4. Modulation of HNF4-dependent HBV transcription and replication by SHP. Human embryonic kidney 293T cells were transiently transfected with the HBV DNA (4.1kbp) construct plus the HNF4 expression vector and 0, 1, 2, 5, and 10 µg of the SHP expression vectors (lanes 1 to 5, respectively). (A) RNA (Northern) filter hybridization analysis of HBV transcripts. The glyceraldehyde-3-phosphate dehydrogenase (GAPDH) transcript was used as an internal control for RNA loading per lane. (B) DNA (Southern) filter hybridization analysis of HBV replication intermediates. HBV RC DNA, HBV relaxed circular DNA; HBV SS DNA, HBV single-stranded DNA. (C) Quantitative analysis of the 3.5-kb HBV RNA and total HBV DNA replication intermediates. The levels of the 3.5-kb HBV RNA and HBV DNA replication intermediates are reported relative to the HBV DNA (4.1-kbp) construct in the presence of HNF4 expression (lane 1), which are designated as having a relative activity of 1.0. The mean RNA and DNA levels plus standard deviations from three independent analyses are shown.
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FIG. 5. Effect of SHP on the relative levels of precore and pregenomic RNA syntheses. Human embryonic kidney 293T cells were transiently transfected with the HBV DNA (4.1-kbp) construct, the HNF4 expression vector (lanes 2 to 6), and 0, 1, 2, 5, and 10 µg of the SHP expression vector (lanes 1 to 6) as indicated. (A) RNase protection analysis was performed to map the transcription initiation sites of the HBV precore (PC) and pregenomic or core (C) transcripts. The HBV probe also protected a fragment (pA) derived from the 3' ends of all the HBV RNAs that terminated at the HBV polyadenylation site. (B) Quantitative analysis of the 3.5-kb HBV precore and core RNA levels. The ratios of the 3.5-kb HBV precore to core RNA levels are reported relative to the precore/core RNA ratio transcribed from the HBV DNA (4.1-kbp) construct in the presence of HNF4 expression but in the absence of SHP expression (lane 2), which is designated as having a relative precore-to-core ratio of 1.0. Quantitative analyses of lanes 2 to 6 (A) are shown.
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/PPAR
-mediated HBV transcription and replication (Fig. 3 and 4). In an attempt to determine if SHP is inhibiting HBV transcription and replication by interacting directly with HNF4 or by an alternative mechanism involving the indirect inhibition of pregenomic RNA synthesis, the effect of SHP expression on viral biosynthesis from the pCMVHBVayw construct was investigated. The construct, pCMVHBVayw, directs the expression of the pregenomic RNA from the CMV immediate-early promoter (44). Viral replication occurs from the pregenomic RNA synthesized from this construct in the absence of nuclear hormone receptors in human embryonic kidney 293T cells (Fig. 6, lane 1). The expression of SHP in 293T cells does not inhibit viral transcription or replication (Fig. 6). These observations suggest that SHP inhibits HNF4-mediated HBV 3.5-kb pregenomic RNA synthesis by acting as a corepressor that binds directly to HNF4, as previously suggested for several other HNF4-regulated genes (11, 20, 27, 37, 46). In contrast to HNF3, SHP does not appear to greatly modulate HBV transcription and replication directed by RXR
/PPAR
from the nucleocapsid promoter or from a heterologous promoter such as the CMV immediate-early promoter. Therefore, SHP appears to preferentially modulate HBV transcription that is controlled by HNF4, suggesting that HBV biosynthesis may be sensitive or insensitive to SHP expression depending on the physiological state of the hepatocytes and the nuclear hormone receptors occupying the nucleocapsid promoter.
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FIG. 6. SHP requires the nucleocapsid promoter to inhibit HBV pregenomic RNA synthesis and viral replication in human embryonic kidney 293T cells. Cells were transiently transfected with the pCMVHBV DNA construct and 0, 1, 2, 5, and 10 µg of the SHP expression vector (lanes 1 to 5, respectively), as indicated. (A) RNA (Northern) filter hybridization analysis of HBV transcripts. The glyceraldehyde-3-phosphate dehydrogenase (GAPDH) transcript was used as an internal control for RNA loading per lane. (B) DNA (Southern) filter hybridization analysis of HBV replication intermediates. HBV RC DNA, HBV relaxed circular DNA; HBV SS DNA, HBV single-stranded DNA. (C) Quantitative analysis of the 3.5-kb HBV RNA and total HBV DNA replication intermediates. The levels of the 3.5-kb HBV RNA and HBV DNA replication intermediates are reported relative to those of the pCMVHBV DNA construct in the absence of SHP expression (lane 1), which are designated as having a relative activity of 1.0. The mean RNA and DNA levels plus standard deviations from two independent analyses are shown.
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/PPAR
(43). These nuclear hormone receptors are restricted to the liver, kidney, pancreas, stomach, and intestine (19, 39) and may therefore contribute to a significant degree to the liver-specific tropism of HBV biosynthesis (43). In addition, the activities of nuclear hormone receptors are modulated by their ligands and a variety of signal transduction pathways so that they can support the necessary physiological demands faced by the various tissues as part of the overall homeostatic regulation of the whole organism (3). In this context, SHP has been shown to modulate the activities of a number of nuclear hormone receptors as part of the network of interactions that self-limit the response to changing physiological conditions mediated by these transcription factors (2). In particular, SHP has been reported to modulate the activities of both HNF4 and RXR/PPAR (11, 26, 37, 46).
As it was previously demonstrated that SHP could modulate the activities of HNF4 and RXR/PPAR, it was of interest to establish if the orphan nuclear hormone receptor might influence the ability of HNF4 and RXR
/PPAR
to mediate HBV transcription and replication. Initially, the effect of SHP on HBV biosynthesis in the human hepatoma HepG2 cell line was investigated (Fig. 2). SHP inhibited both HBV transcription and replication in a dose-dependent manner in HepG2 cells. As HBV transcription in HepG2 cells is mediated by endogenous transcription factors, this observation suggested that the activities of these factors were sensitive to SHP inhibition and indicated that the endogenous nuclear hormone receptors present in HepG2 cells were directing HBV RNA synthesis.
The nuclear hormone receptors known to support HBV transcription and replication in nonhepatoma cells are HNF4 and RXR
/PPAR
(43). Consequently, the susceptibility of RXR
/PPAR
- and HNF4-dependent viral replication to SHP-mediated inhibition was examined in human embryonic kidney 293T cells (Fig. 3 and 4). SHP inhibited RXR
/PPAR
-dependent viral replication to a very modest extent, which suggests that this mode of HBV transcription and replication is relatively insensitive to the presence of SHP. In contrast, HNF4-dependent viral replication was highly sensitive to SHP-mediated inhibition in human embryonic kidney 293T cells (Fig. 4). Importantly, the inhibition of nuclear hormone receptor-dependent viral replication appears to be occurring at the level of transcription initiation rather that at a latter stage of the RNA synthesis process, as pregenomic RNA production and viral biosynthesis directed by the immediate-early CMV promoter were insensitive to SHP expression (Fig. 6). This distinguished the mechanism of SHP inhibition of HBV RNA synthesis from that of HNF3, which appears to inhibit viral transcription at the stage of RNA elongation (44). This is consistent with previous suggestions that SHP binds to nuclear hormone receptors directly and inhibits their activities by acting as a corepressor (20, 28, 35, 36). Even though the mechanisms of action of SHP and HNF3 in reducing HBV transcription appear to be different, both decrease HBV 3.5-kb RNA synthesis to a greater extent than viral DNA synthesis (Fig. 2 to 4) (1, 44). It appears that in both cases, the synthesis of HBV 3.5-kb pregenomic RNA is inhibited to a greater extent than is HBV 3.5-kb precore RNA, accounting for the greater effect on HBV DNA synthesis than on HBV 3.5-kb RNA synthesis (Fig. 5) (1, 44).
Quantitative analysis of the degree to which SHP inhibits viral replication in HepG2 and 293T cells indicates that the observed inhibition in human hepatoma cells cannot be explained by the inhibition of either HNF4 or RXR
/PPAR
alone (Fig. 7A). This suggests that either HNF4 or RXR
/PPAR
must contribute approximately equally to the level of HBV biosynthesis in HepG2 cells or additional transcription factors, possibly nuclear hormone receptors because they must be sensitive to SHP inhibition, contribute to viral pregenomic RNA transcription. Under normal physiological conditions in the HBV transgenic mouse, RXR
/PPAR
contributes very little to the level of HBV biosynthesis (14). In addition, the level and activity of RXR
/PPAR
in HepG2 cells are believed to be extremely low (18). Together, these observations suggest that RXR
/PPAR
probably does not contribute to a large extent to the level of HBV transcription and replication in HepG2 cells. Consequently, it appears possible that additional nuclear hormone receptors contribute to the level of HBV biosynthesis in HepG2 cells. Further analysis will be required to validate this suggestion.
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FIG. 7. Multiple transcription factors are targets of SHP inhibition in the human hepatoma HepG2 cell line. (A) Effect of SHP on the relative levels of total HBV DNA replication intermediates in 293T cells in the presence of RXR /PPAR (RXR/PPAR), 293T cells in the presence of HNF4 (HNF4), and HepG2 cells (HepG2). The levels of the total HBV DNA replication intermediates are reported relative to those of the HBV DNA (4.1-kbp) construct in the absence of SHP expression, which are designated as having a relative activity of 1.0. The mean DNA levels plus standard deviations from Fig. 2 to 4 are shown. A theoretical curve showing the effect of SHP inhibition on total HBV DNA replication intermediates expected if 44% and 56% of the replication were mediated by RXR /PPAR and HNF4, respectively, is shown. (B) Potential pathways regulating SHP expression in the liver. Cytokines such as TNF- can activate c-Jun (AP1) through JNK to increase the level of SHP expression, and bile acids can activate FXR to activate the level of SHP expression. The modulation of SHP expression could differentially affect HNF4 - and RXR /PPAR -mediated HBV transcription and replication in hepatocytes.
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have been shown to modulate HBV biosynthesis in vivo (5, 13, 15, 16). The mechanism of action of theses cytokines, however, has not been clearly established. It is possible that TNF-
might modulate HBV biosynthesis by activating the JNK signaling cascade, leading to the activation of c-Jun (AP1), which subsequently increases SHP gene expression (Fig. 7B) (8, 17). In this manner, the level of HBV pregenomic RNA and viral biosynthesis might be down-regulated in response to TNF-
signaling. As very limited alterations in HBV transcription were previously shown to have large effects on HBV replication in the transgenic mouse model of chronic HBV infection (1, 14, 31), it is possible that even a small increase in SHP expression might significantly affect nuclear hormone receptor-dependent viral transcription and, subsequently, HBV replication. Additional studies will be required to establish the importance of this TNF-
signal transduction pathway to HBV biosynthesis. Alternatively, the farnesoid X receptor (FXR) can directly activate SHP expression in the liver (Fig. 7B) (12, 21). FXR is activated by its ligands, bile acids (22, 29, 45). Conditions associated with elevated bile acid levels within the liver include choleostatic liver diseases or increased dietary cholesterol uptake (7). Under these conditions, the levels of SHP may be elevated, and consequently, HBV pregenomic RNA expression directed by nuclear hormone receptors might be decreased. This suggests that the therapeutic activation of FXR with appropriate ligands might represent a potential approach to inhibiting HBV replication in chronic carriers, although the effects of FXR activation on lipid homeostasis would need to be addressed.
-G, Ronald M. Evans (The Salk Institute, La Jolla, CA) for plasmid pRS-hRXR
, and David Mangelsdorf (Southwestern Medical Center, Dallas, TX) for plasmid pCMX-mSHP. This work was supported by Public Health Service grant AI30070 from the National Institutes of Health.
Published ahead of print on 30 January 2008. ![]()
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