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Lack of immunological DNA sensing in hepatocytes facilitates hepatitis B virus infection
Martin K. Thomsen1,2, Ramya Nandakumar1,2, Daniela Stadler3, Antje Malo3, Roser Marin Valls1, Fan Wang1, Line S. Reinert1,2, Frederik Dagnæs-Hansen1, Anne Kruse Hollensen1, Jacob Giehm Mikkelsen1,2, Ulrike Protzer3 andSøren R. Paludan1,2,*
1 Department of Biomedicine and, University of Aarhus, Aarhus, Denmark
2 Aarhus Research Center for Innate Immunology, University of Aarhus, Aarhus, Denmark
3 Institute of Virology, Technical University of Munich/Helmholtz Zentrum München, Munich, Germany
Version of Record online: 26 JUL 2016
DOI: 10.1002/hep.28685
© 2016 by the American Association for the Study of Liver Diseases.
Issue
Hepatology
Volume 64, Issue 3, pages 746–759, September 2016
Article has an altmetric score of 4
Supported by the Danish Medical Research Council (12-124330), Fabrikant Einar Willumsens Mindelegat, Fhv. Dir. Leo Nielsen og Hustru Karen Margrethe Nielsens Legat for Lægevidenskabelig Grundforskning, the Aarhus University Research Foundation, and a DFF-Mobilex postdoctoral fellowship (to M.K.T.) funded through the European Union's 7th Framework program.
Abstract
Hepatitis B virus (HBV) is a major human pathogen, and about one third of the global population will be exposed to the virus in their lifetime. HBV infects hepatocytes, where it replicates its DNA and infection can lead to acute and chronic hepatitis with a high risk of liver cirrhosis and hepatocellular carcinoma. Despite this, there is limited understanding of how HBV establishes chronic infections. In recent years it has emerged that foreign DNA potently stimulates the innate immune response, particularly type 1 interferon (IFN) production; and this occurs through a pathway dependent on the DNA sensor cyclic guanosine monophosphate-adenosine monophosphate synthase and the downstream adaptor protein stimulator of IFN genes (STING). In this work we describe that human and murine hepatocytes do not express STING. Consequently, hepatocytes do not produce type 1 IFN in response to foreign DNA or HBV infection and mice lacking STING or cyclic guanosine monophosphate-adenosine monophosphate synthase exhibit unaltered ability to control infection in an adenovirus-HBV model. Stimulation of IFN production in the murine liver by administration of synthetic RNA decreases virus infection, thus demonstrating that IFN possesses anti-HBV activity in the liver. Importantly, introduction of STING expression specifically in hepatocytes reconstitutes the DNA sensing pathway, which leads to improved control of HBV in vivo. Conclusion: The lack of a functional innate DNA-sensing pathway in hepatocytes hampers efficient innate control of HBV infection; this may explain why HBV has adapted to specifically replicate in hepatocytes and could contribute to the weak capacity of this cell type to clear HBV infection. (Hepatology 2016;64:746-759)
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