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Hepatitis B virus infection enhances susceptibility towards adeno-associated viral vector transduction in vitro and in vivo.
Hepatology 59, 2110-2120 (2014)
Gene therapy has become an accepted concept for the treatment of a variety of different diseases. In contrast to pre-clinical models, subjects enrolled in clinical trials including gene therapy possess a history of infection with microbes that may influence its safety and efficacy. Especially viruses that establish chronic infections in the liver, one of the main targets for in vivo gene therapy, raise important concerns. Amongst them is the Hepatitis B virus (HBV), which has chronically infected more than 350 million people worldwide. Here, we investigated the impact of HBV on Adeno-associated viral (AAV) vectors, the most frequently applied gene transfer vehicles for in vivo gene therapy. Unexpectedly we found that HBV greatly improved AAV transduction in cells replicating HBV and identified HBx as a key factor. While HBV-positive and -negative cells were indistinguishable with respect to cell entry efficiency, significantly higher numbers of AAV vector genomes were successfully delivered to the nucleus in the presence of HBV. The HBV-promoting effect was abolished by inhibitors of phosphatidylinositol-3-kinase (PI3K). PI3K was required for efficient trafficking of AAV to the nucleus and was enhanced in HBV-replicating cells and upon HBx expression. Enhancement of AAV transduction was confirmed in vivo using HBV-transgenic mice and could successfully be applied to inhibit HBV progeny release. Conclusion: Our results demonstrate that acute as well as chronic infections with unrelated viruses change the intracellular milieu thereby likely influencing gene therapy outcomes. In case of HBV, the HBx-mediated enhancement of AAV transduction is an advantage that could be exploited for the development of novel treatments of HBV infection.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Schlagwörter
HBx protein; anti-HBV treatment strategies; gene therapy; host-vector-interaction; viral vector transduction; Gene-transfer; X Protein; Immune-response; Replication; Type-2; Endocytosis; Activation; Integrin; Mouse; Liver
ISSN (print) / ISBN
0270-9139
e-ISSN
1527-3350
Zeitschrift
Hepatology
Quellenangaben
Band: 59,
Heft: 6,
Seiten: 2110-2120
Verlag
Wiley
Verlagsort
Hoboken, NJ
Nichtpatentliteratur
Publikationen
Begutachtungsstatus
Peer reviewed
Institut(e)
Institute of Virology (VIRO)