Hypoxia‐Inducible Factor 1 Alpha–Mediated RelB/APOBEC3B Down‐regulation Allows Hepatitis B Virus Persistence

Background and Aims Therapeutic strategies against HBV focus, among others, on the activation of the immune system to enable the infected host to eliminate HBV. Hypoxia‐inducible factor 1 alpha (HIF1α) stabilization has been associated with impaired immune responses. HBV pathogenesis triggers chroni...

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Veröffentlicht in:Hepatology (Baltimore, Md.) Md.), 2021-10, Vol.74 (4), p.1766-1781
Hauptverfasser: Riedl, Tobias, Faure‐Dupuy, Suzanne, Rolland, Maude, Schuehle, Svenja, Hizir, Zohier, Calderazzo, Silvia, Zhuang, Xiaodong, Wettengel, Jochen, Lopez, Martin Alexander, Barnault, Romain, Mirakaj, Valbona, Prokosch, Sandra, Heide, Danijela, Leuchtenberger, Corinna, Schneider, Martin, Heßling, Bernd, Stottmeier, Benjamin, Wessbecher, Isabel M., Schirmacher, Peter, McKeating, Jane A, Protzer, Ulrike, Durantel, David, Lucifora, Julie, Dejardin, Emmanuel, Heikenwalder, Mathias
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container_issue 4
container_start_page 1766
container_title Hepatology (Baltimore, Md.)
container_volume 74
creator Riedl, Tobias
Faure‐Dupuy, Suzanne
Rolland, Maude
Schuehle, Svenja
Hizir, Zohier
Calderazzo, Silvia
Zhuang, Xiaodong
Wettengel, Jochen
Lopez, Martin Alexander
Barnault, Romain
Mirakaj, Valbona
Prokosch, Sandra
Heide, Danijela
Leuchtenberger, Corinna
Schneider, Martin
Heßling, Bernd
Stottmeier, Benjamin
Wessbecher, Isabel M.
Schirmacher, Peter
McKeating, Jane A
Protzer, Ulrike
Durantel, David
Lucifora, Julie
Dejardin, Emmanuel
Heikenwalder, Mathias
description Background and Aims Therapeutic strategies against HBV focus, among others, on the activation of the immune system to enable the infected host to eliminate HBV. Hypoxia‐inducible factor 1 alpha (HIF1α) stabilization has been associated with impaired immune responses. HBV pathogenesis triggers chronic hepatitis‐related scaring, leading inter alia to modulation of liver oxygenation and transient immune activation, both factors playing a role in HIF1α stabilization. Approach and Results We addressed whether HIF1α interferes with immune‐mediated induction of the cytidine deaminase, apolipoprotein B mRNA editing enzyme catalytic subunit 3B (APOBEC3B; A3B), and subsequent covalently closed circular DNA (cccDNA) decay. Liver biopsies of chronic HBV (CHB) patients were analyzed by immunohistochemistry and in situ hybridization. The effect of HIF1α induction/stabilization on differentiated HepaRG or mice ± HBV ± LTβR‐agonist (BS1) was assessed in vitro and in vivo. Induction of A3B and subsequent effects were analyzed by RT‐qPCR, immunoblotting, chromatin immunoprecipitation, immunocytochemistry, and mass spectrometry. Analyzing CHB highlighted that areas with high HIF1α levels and low A3B expression correlated with high HBcAg, potentially representing a reservoir for HBV survival in immune‐active patients. In vitro, HIF1α stabilization strongly impaired A3B expression and anti‐HBV effect. Interestingly, HIF1α knockdown was sufficient to rescue the inhibition of A3B up‐regulation and ‐mediated antiviral effects, whereas HIF2α knockdown had no effect. HIF1α stabilization decreased the level of v‐rel reticuloendotheliosis viral oncogene homolog B protein, but not its mRNA, which was confirmed in vivo. Noteworthy, this function of HIF1α was independent of its partner, aryl hydrocarbon receptor nuclear translocator. Conclusions In conclusion, inhibiting HIF1α expression or stabilization represents an anti‐HBV strategy in the context of immune‐mediated A3B induction. High HIF1α, mediated by hypoxia or inflammation, offers a reservoir for HBV survival in vivo and should be considered as a restricting factor in the development of immune therapies.
doi_str_mv 10.1002/hep.31902
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Hypoxia‐inducible factor 1 alpha (HIF1α) stabilization has been associated with impaired immune responses. HBV pathogenesis triggers chronic hepatitis‐related scaring, leading inter alia to modulation of liver oxygenation and transient immune activation, both factors playing a role in HIF1α stabilization. Approach and Results We addressed whether HIF1α interferes with immune‐mediated induction of the cytidine deaminase, apolipoprotein B mRNA editing enzyme catalytic subunit 3B (APOBEC3B; A3B), and subsequent covalently closed circular DNA (cccDNA) decay. Liver biopsies of chronic HBV (CHB) patients were analyzed by immunohistochemistry and in situ hybridization. The effect of HIF1α induction/stabilization on differentiated HepaRG or mice ± HBV ± LTβR‐agonist (BS1) was assessed in vitro and in vivo. Induction of A3B and subsequent effects were analyzed by RT‐qPCR, immunoblotting, chromatin immunoprecipitation, immunocytochemistry, and mass spectrometry. Analyzing CHB highlighted that areas with high HIF1α levels and low A3B expression correlated with high HBcAg, potentially representing a reservoir for HBV survival in immune‐active patients. In vitro, HIF1α stabilization strongly impaired A3B expression and anti‐HBV effect. Interestingly, HIF1α knockdown was sufficient to rescue the inhibition of A3B up‐regulation and ‐mediated antiviral effects, whereas HIF2α knockdown had no effect. HIF1α stabilization decreased the level of v‐rel reticuloendotheliosis viral oncogene homolog B protein, but not its mRNA, which was confirmed in vivo. Noteworthy, this function of HIF1α was independent of its partner, aryl hydrocarbon receptor nuclear translocator. Conclusions In conclusion, inhibiting HIF1α expression or stabilization represents an anti‐HBV strategy in the context of immune‐mediated A3B induction. High HIF1α, mediated by hypoxia or inflammation, offers a reservoir for HBV survival in vivo and should be considered as a restricting factor in the development of immune therapies.</description><identifier>ISSN: 0270-9139</identifier><identifier>EISSN: 1527-3350</identifier><identifier>DOI: 10.1002/hep.31902</identifier><identifier>PMID: 33991110</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health, Inc</publisher><subject>Amino Acids, Dicarboxylic - pharmacology ; Animals ; Apolipoprotein B ; Cell Line ; Chromatin ; Circular DNA ; Cytidine deaminase ; Cytidine Deaminase - genetics ; Cytidine Deaminase - metabolism ; DNA, Circular - metabolism ; Down-Regulation ; Gene Knockdown Techniques ; Hepatitis B ; Hepatitis B virus ; Hepatitis B, Chronic - genetics ; Hepatitis B, Chronic - metabolism ; Hepatitis B, Chronic - virology ; Hepatology ; Humans ; Hybridization ; Hypoxia ; Hypoxia - genetics ; Hypoxia - metabolism ; Hypoxia-Inducible Factor 1, alpha Subunit - genetics ; Immune response ; Immunoblotting ; Immunocytochemistry ; Immunohistochemistry ; Immunoprecipitation ; Liver ; Liver - metabolism ; Lymphotoxin beta Receptor - agonists ; Mass spectroscopy ; Mice ; Microbial Viability ; Minor Histocompatibility Antigens - genetics ; Minor Histocompatibility Antigens - metabolism ; mRNA ; Oxygenation ; RelB protein ; RNA editing ; RNA, Messenger - metabolism ; Survival ; Transcription Factor RelB - drug effects ; Transcription Factor RelB - genetics ; Transcription Factor RelB - metabolism</subject><ispartof>Hepatology (Baltimore, Md.), 2021-10, Vol.74 (4), p.1766-1781</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of American Association for the Study of Liver Diseases</rights><rights>2021 The Authors. Hepatology published by Wiley Periodicals LLC on behalf of American Association for the Study of Liver Diseases.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4542-29abb385e2af02f64c99bf3456394f36cb4d26721364c237c725ff92b8dc1bd93</citedby><cites>FETCH-LOGICAL-c4542-29abb385e2af02f64c99bf3456394f36cb4d26721364c237c725ff92b8dc1bd93</cites><orcidid>0000-0002-8858-8915 ; 0000-0003-0482-7809 ; 0000-0003-4855-1242 ; 0000-0001-7898-6795 ; 0000-0001-5618-2817 ; 0000-0002-9421-1911 ; 0000-0002-9226-3419 ; 0000-0002-3135-2274 ; 0000-0003-3236-4442</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhep.31902$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhep.31902$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33991110$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Riedl, Tobias</creatorcontrib><creatorcontrib>Faure‐Dupuy, Suzanne</creatorcontrib><creatorcontrib>Rolland, Maude</creatorcontrib><creatorcontrib>Schuehle, Svenja</creatorcontrib><creatorcontrib>Hizir, Zohier</creatorcontrib><creatorcontrib>Calderazzo, Silvia</creatorcontrib><creatorcontrib>Zhuang, Xiaodong</creatorcontrib><creatorcontrib>Wettengel, Jochen</creatorcontrib><creatorcontrib>Lopez, Martin Alexander</creatorcontrib><creatorcontrib>Barnault, Romain</creatorcontrib><creatorcontrib>Mirakaj, Valbona</creatorcontrib><creatorcontrib>Prokosch, Sandra</creatorcontrib><creatorcontrib>Heide, Danijela</creatorcontrib><creatorcontrib>Leuchtenberger, Corinna</creatorcontrib><creatorcontrib>Schneider, Martin</creatorcontrib><creatorcontrib>Heßling, Bernd</creatorcontrib><creatorcontrib>Stottmeier, Benjamin</creatorcontrib><creatorcontrib>Wessbecher, Isabel M.</creatorcontrib><creatorcontrib>Schirmacher, Peter</creatorcontrib><creatorcontrib>McKeating, Jane A</creatorcontrib><creatorcontrib>Protzer, Ulrike</creatorcontrib><creatorcontrib>Durantel, David</creatorcontrib><creatorcontrib>Lucifora, Julie</creatorcontrib><creatorcontrib>Dejardin, Emmanuel</creatorcontrib><creatorcontrib>Heikenwalder, Mathias</creatorcontrib><title>Hypoxia‐Inducible Factor 1 Alpha–Mediated RelB/APOBEC3B Down‐regulation Allows Hepatitis B Virus Persistence</title><title>Hepatology (Baltimore, Md.)</title><addtitle>Hepatology</addtitle><description>Background and Aims Therapeutic strategies against HBV focus, among others, on the activation of the immune system to enable the infected host to eliminate HBV. Hypoxia‐inducible factor 1 alpha (HIF1α) stabilization has been associated with impaired immune responses. HBV pathogenesis triggers chronic hepatitis‐related scaring, leading inter alia to modulation of liver oxygenation and transient immune activation, both factors playing a role in HIF1α stabilization. Approach and Results We addressed whether HIF1α interferes with immune‐mediated induction of the cytidine deaminase, apolipoprotein B mRNA editing enzyme catalytic subunit 3B (APOBEC3B; A3B), and subsequent covalently closed circular DNA (cccDNA) decay. Liver biopsies of chronic HBV (CHB) patients were analyzed by immunohistochemistry and in situ hybridization. The effect of HIF1α induction/stabilization on differentiated HepaRG or mice ± HBV ± LTβR‐agonist (BS1) was assessed in vitro and in vivo. Induction of A3B and subsequent effects were analyzed by RT‐qPCR, immunoblotting, chromatin immunoprecipitation, immunocytochemistry, and mass spectrometry. Analyzing CHB highlighted that areas with high HIF1α levels and low A3B expression correlated with high HBcAg, potentially representing a reservoir for HBV survival in immune‐active patients. In vitro, HIF1α stabilization strongly impaired A3B expression and anti‐HBV effect. Interestingly, HIF1α knockdown was sufficient to rescue the inhibition of A3B up‐regulation and ‐mediated antiviral effects, whereas HIF2α knockdown had no effect. HIF1α stabilization decreased the level of v‐rel reticuloendotheliosis viral oncogene homolog B protein, but not its mRNA, which was confirmed in vivo. Noteworthy, this function of HIF1α was independent of its partner, aryl hydrocarbon receptor nuclear translocator. Conclusions In conclusion, inhibiting HIF1α expression or stabilization represents an anti‐HBV strategy in the context of immune‐mediated A3B induction. High HIF1α, mediated by hypoxia or inflammation, offers a reservoir for HBV survival in vivo and should be considered as a restricting factor in the development of immune therapies.</description><subject>Amino Acids, Dicarboxylic - pharmacology</subject><subject>Animals</subject><subject>Apolipoprotein B</subject><subject>Cell Line</subject><subject>Chromatin</subject><subject>Circular DNA</subject><subject>Cytidine deaminase</subject><subject>Cytidine Deaminase - genetics</subject><subject>Cytidine Deaminase - metabolism</subject><subject>DNA, Circular - metabolism</subject><subject>Down-Regulation</subject><subject>Gene Knockdown Techniques</subject><subject>Hepatitis B</subject><subject>Hepatitis B virus</subject><subject>Hepatitis B, Chronic - genetics</subject><subject>Hepatitis B, Chronic - metabolism</subject><subject>Hepatitis B, Chronic - virology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Hybridization</subject><subject>Hypoxia</subject><subject>Hypoxia - genetics</subject><subject>Hypoxia - metabolism</subject><subject>Hypoxia-Inducible Factor 1, alpha Subunit - genetics</subject><subject>Immune response</subject><subject>Immunoblotting</subject><subject>Immunocytochemistry</subject><subject>Immunohistochemistry</subject><subject>Immunoprecipitation</subject><subject>Liver</subject><subject>Liver - metabolism</subject><subject>Lymphotoxin beta Receptor - agonists</subject><subject>Mass spectroscopy</subject><subject>Mice</subject><subject>Microbial Viability</subject><subject>Minor Histocompatibility Antigens - genetics</subject><subject>Minor Histocompatibility Antigens - metabolism</subject><subject>mRNA</subject><subject>Oxygenation</subject><subject>RelB protein</subject><subject>RNA editing</subject><subject>RNA, Messenger - metabolism</subject><subject>Survival</subject><subject>Transcription Factor RelB - drug effects</subject><subject>Transcription Factor RelB - genetics</subject><subject>Transcription Factor RelB - metabolism</subject><issn>0270-9139</issn><issn>1527-3350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp10UFv0zAUB3ALMbFucOALIEtc4JDVfk7i-tiWjk4aWoWAa-Q4L8yTG2d2otLbPgIS35BPMm8dHJA4Wdb7vb8s_wl5zdkZZwym19ifCa4YPCMTXoDMhCjYczJhIFmmuFDH5CTGG8aYymH2ghwLoRTnnE1IWO97_8Pq33c_L7pmNLZ2SM-1GXygnM5df51Gvz5hY_WADf2MbjGdb64Wq6VY0A9-16XFgN9Hpwfru7Tg_C7SNfbpPthIF_SbDWOkGwzRxgE7gy_JUatdxFdP5yn5er76slxnl1cfL5bzy8zkRQ4ZKF3XYlYg6JZBW-ZGqboVeVEKlbeiNHXeQCmBizQCIY2Eom0V1LPG8LpR4pS8O-T2wd-OGIdqa6NB53SHfowVFDDjUpayTPTtP_TGj6FLr0tKFkpIJSGp9wdlgo8xYFv1wW512FecVQ9FVKmI6rGIZN88JY71Fpu_8s_PJzA9gJ11uP9_UrVebQ6R9_xlkx4</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Riedl, Tobias</creator><creator>Faure‐Dupuy, Suzanne</creator><creator>Rolland, Maude</creator><creator>Schuehle, Svenja</creator><creator>Hizir, Zohier</creator><creator>Calderazzo, Silvia</creator><creator>Zhuang, Xiaodong</creator><creator>Wettengel, Jochen</creator><creator>Lopez, Martin Alexander</creator><creator>Barnault, Romain</creator><creator>Mirakaj, Valbona</creator><creator>Prokosch, Sandra</creator><creator>Heide, Danijela</creator><creator>Leuchtenberger, Corinna</creator><creator>Schneider, Martin</creator><creator>Heßling, Bernd</creator><creator>Stottmeier, Benjamin</creator><creator>Wessbecher, Isabel M.</creator><creator>Schirmacher, Peter</creator><creator>McKeating, Jane A</creator><creator>Protzer, Ulrike</creator><creator>Durantel, David</creator><creator>Lucifora, Julie</creator><creator>Dejardin, Emmanuel</creator><creator>Heikenwalder, Mathias</creator><general>Wolters Kluwer Health, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8858-8915</orcidid><orcidid>https://orcid.org/0000-0003-0482-7809</orcidid><orcidid>https://orcid.org/0000-0003-4855-1242</orcidid><orcidid>https://orcid.org/0000-0001-7898-6795</orcidid><orcidid>https://orcid.org/0000-0001-5618-2817</orcidid><orcidid>https://orcid.org/0000-0002-9421-1911</orcidid><orcidid>https://orcid.org/0000-0002-9226-3419</orcidid><orcidid>https://orcid.org/0000-0002-3135-2274</orcidid><orcidid>https://orcid.org/0000-0003-3236-4442</orcidid></search><sort><creationdate>202110</creationdate><title>Hypoxia‐Inducible Factor 1 Alpha–Mediated RelB/APOBEC3B Down‐regulation Allows Hepatitis B Virus Persistence</title><author>Riedl, Tobias ; Faure‐Dupuy, Suzanne ; Rolland, Maude ; Schuehle, Svenja ; Hizir, Zohier ; Calderazzo, Silvia ; Zhuang, Xiaodong ; Wettengel, Jochen ; Lopez, Martin Alexander ; Barnault, Romain ; Mirakaj, Valbona ; Prokosch, Sandra ; Heide, Danijela ; Leuchtenberger, Corinna ; Schneider, Martin ; Heßling, Bernd ; Stottmeier, Benjamin ; Wessbecher, Isabel M. ; Schirmacher, Peter ; McKeating, Jane A ; Protzer, Ulrike ; Durantel, David ; Lucifora, Julie ; Dejardin, Emmanuel ; Heikenwalder, Mathias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4542-29abb385e2af02f64c99bf3456394f36cb4d26721364c237c725ff92b8dc1bd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Amino Acids, Dicarboxylic - pharmacology</topic><topic>Animals</topic><topic>Apolipoprotein B</topic><topic>Cell Line</topic><topic>Chromatin</topic><topic>Circular DNA</topic><topic>Cytidine deaminase</topic><topic>Cytidine Deaminase - genetics</topic><topic>Cytidine Deaminase - metabolism</topic><topic>DNA, Circular - metabolism</topic><topic>Down-Regulation</topic><topic>Gene Knockdown Techniques</topic><topic>Hepatitis B</topic><topic>Hepatitis B virus</topic><topic>Hepatitis B, Chronic - genetics</topic><topic>Hepatitis B, Chronic - metabolism</topic><topic>Hepatitis B, Chronic - virology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Hybridization</topic><topic>Hypoxia</topic><topic>Hypoxia - genetics</topic><topic>Hypoxia - metabolism</topic><topic>Hypoxia-Inducible Factor 1, alpha Subunit - genetics</topic><topic>Immune response</topic><topic>Immunoblotting</topic><topic>Immunocytochemistry</topic><topic>Immunohistochemistry</topic><topic>Immunoprecipitation</topic><topic>Liver</topic><topic>Liver - metabolism</topic><topic>Lymphotoxin beta Receptor - agonists</topic><topic>Mass spectroscopy</topic><topic>Mice</topic><topic>Microbial Viability</topic><topic>Minor Histocompatibility Antigens - genetics</topic><topic>Minor Histocompatibility Antigens - metabolism</topic><topic>mRNA</topic><topic>Oxygenation</topic><topic>RelB protein</topic><topic>RNA editing</topic><topic>RNA, Messenger - metabolism</topic><topic>Survival</topic><topic>Transcription Factor RelB - drug effects</topic><topic>Transcription Factor RelB - genetics</topic><topic>Transcription Factor RelB - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Riedl, Tobias</creatorcontrib><creatorcontrib>Faure‐Dupuy, Suzanne</creatorcontrib><creatorcontrib>Rolland, Maude</creatorcontrib><creatorcontrib>Schuehle, Svenja</creatorcontrib><creatorcontrib>Hizir, Zohier</creatorcontrib><creatorcontrib>Calderazzo, Silvia</creatorcontrib><creatorcontrib>Zhuang, Xiaodong</creatorcontrib><creatorcontrib>Wettengel, Jochen</creatorcontrib><creatorcontrib>Lopez, Martin Alexander</creatorcontrib><creatorcontrib>Barnault, Romain</creatorcontrib><creatorcontrib>Mirakaj, Valbona</creatorcontrib><creatorcontrib>Prokosch, Sandra</creatorcontrib><creatorcontrib>Heide, Danijela</creatorcontrib><creatorcontrib>Leuchtenberger, Corinna</creatorcontrib><creatorcontrib>Schneider, Martin</creatorcontrib><creatorcontrib>Heßling, Bernd</creatorcontrib><creatorcontrib>Stottmeier, Benjamin</creatorcontrib><creatorcontrib>Wessbecher, Isabel M.</creatorcontrib><creatorcontrib>Schirmacher, Peter</creatorcontrib><creatorcontrib>McKeating, Jane A</creatorcontrib><creatorcontrib>Protzer, Ulrike</creatorcontrib><creatorcontrib>Durantel, David</creatorcontrib><creatorcontrib>Lucifora, Julie</creatorcontrib><creatorcontrib>Dejardin, Emmanuel</creatorcontrib><creatorcontrib>Heikenwalder, Mathias</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Hepatology (Baltimore, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Riedl, Tobias</au><au>Faure‐Dupuy, Suzanne</au><au>Rolland, Maude</au><au>Schuehle, Svenja</au><au>Hizir, Zohier</au><au>Calderazzo, Silvia</au><au>Zhuang, Xiaodong</au><au>Wettengel, Jochen</au><au>Lopez, Martin Alexander</au><au>Barnault, Romain</au><au>Mirakaj, Valbona</au><au>Prokosch, Sandra</au><au>Heide, Danijela</au><au>Leuchtenberger, Corinna</au><au>Schneider, Martin</au><au>Heßling, Bernd</au><au>Stottmeier, Benjamin</au><au>Wessbecher, Isabel M.</au><au>Schirmacher, Peter</au><au>McKeating, Jane A</au><au>Protzer, Ulrike</au><au>Durantel, David</au><au>Lucifora, Julie</au><au>Dejardin, Emmanuel</au><au>Heikenwalder, Mathias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypoxia‐Inducible Factor 1 Alpha–Mediated RelB/APOBEC3B Down‐regulation Allows Hepatitis B Virus Persistence</atitle><jtitle>Hepatology (Baltimore, Md.)</jtitle><addtitle>Hepatology</addtitle><date>2021-10</date><risdate>2021</risdate><volume>74</volume><issue>4</issue><spage>1766</spage><epage>1781</epage><pages>1766-1781</pages><issn>0270-9139</issn><eissn>1527-3350</eissn><abstract>Background and Aims Therapeutic strategies against HBV focus, among others, on the activation of the immune system to enable the infected host to eliminate HBV. Hypoxia‐inducible factor 1 alpha (HIF1α) stabilization has been associated with impaired immune responses. HBV pathogenesis triggers chronic hepatitis‐related scaring, leading inter alia to modulation of liver oxygenation and transient immune activation, both factors playing a role in HIF1α stabilization. Approach and Results We addressed whether HIF1α interferes with immune‐mediated induction of the cytidine deaminase, apolipoprotein B mRNA editing enzyme catalytic subunit 3B (APOBEC3B; A3B), and subsequent covalently closed circular DNA (cccDNA) decay. Liver biopsies of chronic HBV (CHB) patients were analyzed by immunohistochemistry and in situ hybridization. The effect of HIF1α induction/stabilization on differentiated HepaRG or mice ± HBV ± LTβR‐agonist (BS1) was assessed in vitro and in vivo. Induction of A3B and subsequent effects were analyzed by RT‐qPCR, immunoblotting, chromatin immunoprecipitation, immunocytochemistry, and mass spectrometry. Analyzing CHB highlighted that areas with high HIF1α levels and low A3B expression correlated with high HBcAg, potentially representing a reservoir for HBV survival in immune‐active patients. In vitro, HIF1α stabilization strongly impaired A3B expression and anti‐HBV effect. Interestingly, HIF1α knockdown was sufficient to rescue the inhibition of A3B up‐regulation and ‐mediated antiviral effects, whereas HIF2α knockdown had no effect. HIF1α stabilization decreased the level of v‐rel reticuloendotheliosis viral oncogene homolog B protein, but not its mRNA, which was confirmed in vivo. Noteworthy, this function of HIF1α was independent of its partner, aryl hydrocarbon receptor nuclear translocator. Conclusions In conclusion, inhibiting HIF1α expression or stabilization represents an anti‐HBV strategy in the context of immune‐mediated A3B induction. High HIF1α, mediated by hypoxia or inflammation, offers a reservoir for HBV survival in vivo and should be considered as a restricting factor in the development of immune therapies.</abstract><cop>United States</cop><pub>Wolters Kluwer Health, Inc</pub><pmid>33991110</pmid><doi>10.1002/hep.31902</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-8858-8915</orcidid><orcidid>https://orcid.org/0000-0003-0482-7809</orcidid><orcidid>https://orcid.org/0000-0003-4855-1242</orcidid><orcidid>https://orcid.org/0000-0001-7898-6795</orcidid><orcidid>https://orcid.org/0000-0001-5618-2817</orcidid><orcidid>https://orcid.org/0000-0002-9421-1911</orcidid><orcidid>https://orcid.org/0000-0002-9226-3419</orcidid><orcidid>https://orcid.org/0000-0002-3135-2274</orcidid><orcidid>https://orcid.org/0000-0003-3236-4442</orcidid><oa>free_for_read</oa></addata></record>
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subjects Amino Acids, Dicarboxylic - pharmacology
Animals
Apolipoprotein B
Cell Line
Chromatin
Circular DNA
Cytidine deaminase
Cytidine Deaminase - genetics
Cytidine Deaminase - metabolism
DNA, Circular - metabolism
Down-Regulation
Gene Knockdown Techniques
Hepatitis B
Hepatitis B virus
Hepatitis B, Chronic - genetics
Hepatitis B, Chronic - metabolism
Hepatitis B, Chronic - virology
Hepatology
Humans
Hybridization
Hypoxia
Hypoxia - genetics
Hypoxia - metabolism
Hypoxia-Inducible Factor 1, alpha Subunit - genetics
Immune response
Immunoblotting
Immunocytochemistry
Immunohistochemistry
Immunoprecipitation
Liver
Liver - metabolism
Lymphotoxin beta Receptor - agonists
Mass spectroscopy
Mice
Microbial Viability
Minor Histocompatibility Antigens - genetics
Minor Histocompatibility Antigens - metabolism
mRNA
Oxygenation
RelB protein
RNA editing
RNA, Messenger - metabolism
Survival
Transcription Factor RelB - drug effects
Transcription Factor RelB - genetics
Transcription Factor RelB - metabolism
title Hypoxia‐Inducible Factor 1 Alpha–Mediated RelB/APOBEC3B Down‐regulation Allows Hepatitis B Virus Persistence
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