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PLoS One. 2015 Dec 29;10(12):e0145465. doi: 10.1371/journal.pone.0145465. eCollection 2015.
Duck Hepatitis B Virus cccDNA Amplification Efficiency in Natural Infection Is Regulated by Virus Secretion Efficiency.
Zhang YY1.
Author information
1HBVtech, Germantown, Maryland, United States of America.
Abstract
Previous mutation based studies showed that ablating synthesis of viral envelope proteins led to elevated hepadnaviral covalently closed circular DNA (cccDNA) amplification, but it remains unknown how cccDNA amplification is regulated in natural hepadnaviral infection because of a lack of research system. In this study we report a simple procedure to prepare two identical duck hepatitis B virus inocula, but they possess 10-100-fold difference in cccDNA amplification in infected cell culture. We demonstrate that the infected cells with higher cccDNA amplification significantly reduce the virus secretion efficiency that results in higher accumulation of relaxed circular DNA (rcDNA) and DHBsAg in the cells. The infected cells with lower cccDNA amplification significantly increase the virus secretion efficiency that leads to lower intracellular rcDNA and DHBsAg accumulation. In contrast with the findings generated in the mutation based experimental system, the regulation of cccDNA amplification in natural hepadnaviral infection bypasses direct regulation of the cellular envelope proteins concentration, instead it modulates virus secretion efficiency that ultimately impacts the intracellular rcDNA concentration, an important factor determining the destination of the synthesized rcDNA in infected cells.
PMID:
26713436
[PubMed - in process]
Free full text
Discussion
The purpose of this study was to investigate cccDNA amplification in a cell culture system, which resembles natural hepadnaviral infection in which the synthesis of envelope proteins was not experimentally ablated and the experimental manipulation was kept at minimum.
The previous studies identified the envelope proteins as a regulatory molecule for cccDNA amplification [12, 15–18] in the mutation based system. However, it remains unknown how cccDNA amplification is regulated during natural infection. In humans, chronic HBV infection produces and maintains a huge pool of envelope proteins, the majority of which are presented as HBsAg subviral particles that also contain both M and L proteins in addition to S major component. The ratio of HBsAg subviral particle to HBV virion is about 1000–10,000:1 [21] and a stable serum HBsAg level can be as high as 10,000 ng/ml [39]. The presence of high HBsAg level makes regulation of HBsAg level inefficient. It raises a question whether HBsAg or other viral molecules including virions are used to regulate cccDNA amplification in natural HBV infection. This study demonstrates that virion secretion efficiency, but not cellular envelope proteins level, is used to regulate cccDNA amplification efficiency in natural hepadnaviral infection.
In infected cells with higher cccDNA amplification, we found that the relative virus secretion efficiency was significantly lower, while the converse was true in infected cells with lower cccDNA amplification. The direct impact of changed virus secretion efficiency is exerted on the intracellular rcDNA level. Reduced virus secretion leads to increased rcDNA accumulation in the cells while increased virus secretion leads to reduced intracellular accumulation of rcDNA.
We detected a higher portion of free nucleocapsids that were captured by the anti-DHBc antibody in the cells with higher cccDNA amplification efficiency, suggesting more available nucleocapsids for the intracellular pathway once the secretion efficiency is down-regulated. Our results also suggest that the intracellular rcDNA level is an important factor determining the destination of the synthesized rcDNA and occupies the central position in regulating cccDNA amplification. The higher intracellular rcDNA level the more rcDNA molecules are available for cccDNA amplification. The role of the intracellular rcDNA level in regulating cccDNA level is consistent with the observed impact of nucleos(t)ide analogues (NA) on cccDNA level in treated patients. The NAs do not directly inhibit the cccDNA synthesis, but they do impact the cccDNA level through lowering intracellular rcDNA level in inhibiting DNA replication. Approximately 100 fold and 98% reduction of intracellular viral DNA in the NA-treated livers was detected, respectively, which was accompanied by approximately 100 fold and 84% reduction of cccDNA level, respectively [23, 40]. Another study showed that median intrahepatic total HBV DNA and cccDNA were decreased by 2.2 and 2.4log10 at the end of 48 weeks of antiviral therapy, respectively [24].
We also found that the intracellular DHBsAg accumulation was higher in cells with higher accumulation of rcDNA and cccDNA amplification, and cells with lower cccDNA amplification had lower rcDNA and DHBsAg accumulation (Fig 4C). This finding that is opposite to the inverse relationship between the envelope proteins and cccDNA amplification level observed in the mutation based system, suggests that the cellular envelope proteins concentration is not the direct target of regulation, but the virion level is in WT infected cells. Nonetheless, this study provides a new clue to studying cccDNA regulation in natural infection and a simple approach to prepare two DHBV serum inocula that are identical in all aspects except cccDNA amplification.
Initially, we thought that DHBV virions were damaged at 4 C storage. However, when a small volume (150 μl) of normal duck serum was added to the treated inoculum infected cells, both replicative intermediates and cccDNA were restored to the comparable levels detected in the standard inoculum infected cells. This observation led to the conclusion that the functionality of virions was not significantly compromised at 4C. A possible reason for reduced cccDNA amplification was that serum component(s) that may involve in down-regulating the efficiency of virion secretion, was damaged or degraded at 4C storage, because an inclusion of small volume of the normal duck serum can restore the cccDNA amplification efficiency.
Our data suggest that the virion and DHBsAg secretion efficiency from infected cells is subjected to regulation by an unknown serum factor, which may bind to the cellular membrane and negatively affect secretion of virions and subviral particles (Fig 4C) though the mechanism for such down-regulation is not known this time. The capacity to restore cccDNA amplification varies with different normal duck serum added (Fig 3B). Thus regulation of cccDNA amplification in WT infected cells involves both the host and viral molecules. The excessive accumulation of envelope proteins in the cells is reported in clinical HBV infection [41]. For instance, the Ground-Glass cells can be detected in the livers of patients with chronic HBV infection. The cytopathic appearance of Ground Glass cell results from excessive accumulation of viral envelope proteins[42], which can be caused by increased synthesis of envelope proteins, but not accompanied by corresponding increase of secretion efficiency or accompanied by reduced secretion efficiency. Either scenario implicates the involvement of host factors.
Understanding of regulation of cellular membrane secretion efficiency is not only important for HBV secretion and cccDNA amplification, but also is valuable for illustrating why biological molecules like fat or bile acids can be excessively accumulated in the hepatocytes, which cause fatty liver disease or cholestasis. The serum factors involved in regulating the virus secretion can be identified with proteomic analysis in the future. We believe that publication of this study will facilitate collective efforts in the field to identify this serum factor.
Conclusions
In this study we report a simple procedure to prepare two identical duck hepatitis B virus inocula, but they possess 10-100-fold difference in cccDNA amplification in infected cell culture. We demonstrate that the infected cells with higher cccDNA amplification significantly reduce the virus secretion efficiency that results in higher accumulation of relaxed circular DNA (rcDNA) and DHBsAg in the cells. The infected cells with lower cccDNA amplification significantly increase the virus secretion efficiency that leads to lower intracellular rcDNA and DHBsAg accumulation. The regulation of cccDNA amplification in natural hepadnaviral infection bypasses direct regulation of the cellular envelope proteins concentration, instead it modulates virus secretion efficiency that ultimately impacts the intracellular rcDNA concentration, an important factor determining the destination of the synthesized rcDNA in infected cells.
Acknowledgments
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