背景:乙型肝炎病毒(HBV)感染是肝细胞癌(HCC)的主要原因之一。HBV感染与宿主基因组之间的关系及其潜在机制仍然未知。
方法:在本研究中,我们对300对中国HBV感染家族的同胞对进行了全基因组外显子测序分析,目的是鉴定与HBV感染有关的变异和基因.使用位点直接突变质粒来研究SNPrs76438938在KNG1中的功能。使用体外肝细胞系和体内流体动力学注射模型进行了KNG1的功能和力学研究。在用IFN-α/λ1处理的肝细胞中确定KNG1对HBV感染治疗的影响。
结果:我们对300个乙型肝炎感染家庭的全外显子关联研究发现,KNG1中的SNPrs76438938显着增加了HBV感染的风险,发现rs76438938-T等位基因通过增加KNG1mRNA的稳定性来促进HBV复制。通过将HSP90A与MAVS竞争结合,KNG1可以通过促进MAVS溶酶体降解来抑制I型和III型IFN的表达。用体内动物模型进一步证明了这种通过Kng1抑制IFN表达和促进HBV复制。最后,我们发现rs76438938-C等位基因可以提高IFN-α和-λ1在HBV感染中的治疗效果。
结论:这项研究确定了一个SNP,rs76438938,在一个新发现的宿主基因中,KNG1,通过调节细胞抗病毒过程参与HBV感染和治疗效果。
背景:本研究得到浙江大学第一附属医院传染病诊治国家重点实验室的独立任务部分支持,中国精准医学倡议(2016YFC0906300),和浙江大学大气污染与健康研究中心。
BACKGROUND: Hepatitis B virus (HBV) infection is one of the main causes of hepatocellular carcinoma (HCC). The relationship between HBV infection and the host genome as well as their underlying mechanisms remain largely unknown.
METHODS: In this study, we performed a whole-genome exon sequencing analysis of 300 sib-pairs of Chinese HBV-infected families with the goal of identifying variants and genes involved in HBV infection. A site-direct mutant plasmid was used to investigate the function of SNP rs76438938 in KNG1. The functional and mechanical studies of KNG1 were conducted with in vitro liver cell lines and a hydrodynamic injection model in vivo. The impact of KNG1 on HBV infection therapy was determined in hepatocytes treated with IFN-α/λ1.
RESULTS: Our whole-exon association study of 300 families with hepatitis B infection found that SNP rs76438938 in KNG1 significantly increased the risk for HBV infection, and the rs76438938-T allele was found to promote HBV replication by increasing the stability of KNG1 mRNA. By competitively binding HSP90A with MAVS, KNG1 can inhibit the expression of types I and III IFNs by promoting MAVS lysosomal degradation. Such suppression of IFN expression and promotion of HBV replication by Kng1 were further demonstrated with an animal model in vivo. Lastly, we showed that the rs76438938-C allele can improve the therapeutic effect of IFN-α and -λ1 in HBV infection.
CONCLUSIONS: This study identified a SNP, rs76438938, in a newly discovered host gene, KNG1, for its involvement in HBV infection and treatment effect through modulating the cellular antiviral process.
BACKGROUND: This study was supported in part by the Independent Task of State Key Laboratory for Diagnosis and Treatment of Infectious Diseases of the First Affiliated Hospital of Zhejiang University, the China Precision Medicine Initiative (2016YFC0906300), and the Research Center for Air Pollution and Health of Zhejiang University.