Nucleos(t)ide analogs for hepatitis B virus infection differentially regulate the growth factor signaling in hepatocytes

Recent clinical studies have suggested that the risk of developing HCC might be lower in patients with chronic hepatitis B receiving tenofovir disoproxil fumarate than in patients receiving entecavir, although there is no difference in biochemical and virological remission between the 2 drugs. The e...

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Veröffentlicht in:Hepatology communications 2024-01, Vol.8 (1)
Hauptverfasser: Shimizu, Ryogo, Murai, Kazuhisa, Tanaka, Kensuke, Sato, Yuga, Takeda, Naho, Nakasyo, Saki, Shirasaki, Takayoshi, Kawaguchi, Kazunori, Shimakami, Tetsuro, Nio, Kouki, Nakaya, Yuki, Kagiwada, Harumi, Horimoto, Katsuhisa, Mizokami, Masashi, Kaneko, Shuichi, Murata, Kazumoto, Yamashita, Taro, Honda, Masao
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container_title Hepatology communications
container_volume 8
creator Shimizu, Ryogo
Murai, Kazuhisa
Tanaka, Kensuke
Sato, Yuga
Takeda, Naho
Nakasyo, Saki
Shirasaki, Takayoshi
Kawaguchi, Kazunori
Shimakami, Tetsuro
Nio, Kouki
Nakaya, Yuki
Kagiwada, Harumi
Horimoto, Katsuhisa
Mizokami, Masashi
Kaneko, Shuichi
Murata, Kazumoto
Yamashita, Taro
Honda, Masao
description Recent clinical studies have suggested that the risk of developing HCC might be lower in patients with chronic hepatitis B receiving tenofovir disoproxil fumarate than in patients receiving entecavir, although there is no difference in biochemical and virological remission between the 2 drugs. The effects of nucleoside analogs (NsAs; lamivudine and entecavir) or nucleotide analogs (NtAs; adefovir disoproxil, tenofovir disoproxil fumarate, and tenofovir alafenamide) on cell growth and the expression of growth signaling molecules in hepatoma cell lines and PXB cells were investigated in vitro. The tumor inhibitory effects of NsAs or NtAs were evaluated using a mouse xenograft model, and protein phosphorylation profiles were investigated. The binding of NsAs or NtAs to the insulin receptor (INSR) was investigated by thermal shift assays. NtAs, but not NsAs, showed direct growth inhibitory effects on hepatoma cell lines in vitro and a mouse model in vivo. A phosphoprotein array revealed that INSR signaling was impaired and the levels of phosphorylated (p)-INSRβ and downstream molecules phosphorylated (p)-IRS1, p-AKT, p-Gab1, and p-SHP2 were substantially reduced by NtAs. In addition, p-epidermal growth factor receptor and p-AKT levels were substantially reduced by NtAs. Similar findings were also found in PXB cells and nontumor lesions of liver tissues from patients with chronic hepatitis B. Prodrug NtAs, but not their metabolites (adefovir, adefovir monophosphate, adefovir diphosphate, tenofovir, tenofovir monophosphate, and tenofovir diphosphate), had such effects. A thermal shift assay showed the binding of NtAs to INSRβ. NtAs (adefovir disoproxil, tenofovir disoproxil fumarate, and tenofovir alafenamide), which are adenine derivative acyclic nucleotide analogs, potentially bind to the ATP-binding site of growth factor receptors and inhibit their autophosphorylation, which might reduce the risk of HCC in patients with chronic hepatitis B.
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The effects of nucleoside analogs (NsAs; lamivudine and entecavir) or nucleotide analogs (NtAs; adefovir disoproxil, tenofovir disoproxil fumarate, and tenofovir alafenamide) on cell growth and the expression of growth signaling molecules in hepatoma cell lines and PXB cells were investigated in vitro. The tumor inhibitory effects of NsAs or NtAs were evaluated using a mouse xenograft model, and protein phosphorylation profiles were investigated. The binding of NsAs or NtAs to the insulin receptor (INSR) was investigated by thermal shift assays. NtAs, but not NsAs, showed direct growth inhibitory effects on hepatoma cell lines in vitro and a mouse model in vivo. A phosphoprotein array revealed that INSR signaling was impaired and the levels of phosphorylated (p)-INSRβ and downstream molecules phosphorylated (p)-IRS1, p-AKT, p-Gab1, and p-SHP2 were substantially reduced by NtAs. In addition, p-epidermal growth factor receptor and p-AKT levels were substantially reduced by NtAs. Similar findings were also found in PXB cells and nontumor lesions of liver tissues from patients with chronic hepatitis B. Prodrug NtAs, but not their metabolites (adefovir, adefovir monophosphate, adefovir diphosphate, tenofovir, tenofovir monophosphate, and tenofovir diphosphate), had such effects. A thermal shift assay showed the binding of NtAs to INSRβ. NtAs (adefovir disoproxil, tenofovir disoproxil fumarate, and tenofovir alafenamide), which are adenine derivative acyclic nucleotide analogs, potentially bind to the ATP-binding site of growth factor receptors and inhibit their autophosphorylation, which might reduce the risk of HCC in patients with chronic hepatitis B.</description><identifier>ISSN: 2471-254X</identifier><identifier>EISSN: 2471-254X</identifier><identifier>DOI: 10.1097/HC9.0000000000000351</identifier><identifier>PMID: 38180972</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Carcinoma, Hepatocellular - drug therapy ; Hepatitis B - complications ; Hepatitis B - drug therapy ; Hepatitis B virus ; Hepatitis B, Chronic - complications ; Hepatitis B, Chronic - drug therapy ; Hepatocytes ; Humans ; Intercellular Signaling Peptides and Proteins ; Liver Neoplasms - drug therapy ; Nucleotides ; Original ; Proto-Oncogene Proteins c-akt ; Tenofovir - pharmacology ; Tenofovir - therapeutic use</subject><ispartof>Hepatology communications, 2024-01, Vol.8 (1)</ispartof><rights>Copyright © 2024 The Author(s). 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subjects Carcinoma, Hepatocellular - drug therapy
Hepatitis B - complications
Hepatitis B - drug therapy
Hepatitis B virus
Hepatitis B, Chronic - complications
Hepatitis B, Chronic - drug therapy
Hepatocytes
Humans
Intercellular Signaling Peptides and Proteins
Liver Neoplasms - drug therapy
Nucleotides
Original
Proto-Oncogene Proteins c-akt
Tenofovir - pharmacology
Tenofovir - therapeutic use
title Nucleos(t)ide analogs for hepatitis B virus infection differentially regulate the growth factor signaling in hepatocytes
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