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O-109
Host and viral determinants for differential hepatitis B virus
clearance between genotypes
Keigo Kawashima1, Masanori Isogawa1, Susumu Tsutsumi1,
Shuko Murakami1, Satoru Saito2, Atsushi Nakajima2, Yasuhito
Tanaka1
1Department of Virology and Liver Unit, Nagoya City University
Graduate School of Medical Science, Nagoya, Japan; 2Department of
Gastroenterology and Hepatology, Yokohama City University School
of Medicine, Yokohama, Japan
Background: Hepatitis B virus (HBV) is categorized into nine
genotypes (A–H, J), and the clinical characteristics differ among
genotypes. Very little is known about the immunological basis for
such difference.
Methods: To examine whether differential HBV clearance rate
between genotypes is associated with HBV-specific CD8 T cell
responses in the liver, HBV genotype C and D were introduced into
C57BL/6J mice by hydrodynamic injection of plasmids containing a
replication competent 1.24-fold HBV-DNA. Serum HBs antigen
(HBsAg) was monitored on days 1, 4 and 14 after hydrodynamic
injections, and intrahepatic expressions of HBV-DNA, HBV-mRNA,
and HBcAg were examined on days 4 and 14. HBV-specific CD8 T
cell responses in the liver was examined on day 14 to correlate with
the aforementioned viral parameters.
Results: Serum HBsAg as well as intrahepatic HBV-DNA and HBVmRNA
expressions persisted longer in the mice expressing genotype
C than genotype D. The delayed clearance of genotype C was associated
with the weaker intrahepatic CD8 T cells on day 14, and the
lower intrahepatic HBcAg expression on day 4. Interestingly, when its
cognate HBcAg expression was transcomplemented by a plasmid
expressing only HBcAg, the clearance of genotype C was accelerated
in association with robust induction of HBV-specific CD8 T cell
responses.
Conclusions: The rate of HBV clearance could differ between
genotypes. The differential clearance rate is associated with the
HBcAg expression levels that determine the magnitude of HBVspecific
CD8 T cell responses.
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