Abstract
Chronic infection with hepatitis B virus (HBV) puts individuals at high risk for complicating cirrhosis and liver cancer, but available treatment to counter the virus rarely eliminates infection. Although harnessing RNA interference (RNAi) to silence HBV genes has shown the potential, achieving efficient and durable silencing of viral genes remains an important goal. Here we report on the propagation of lentiviral vectors (LVs) that successfully deliver HBV-targeting RNAi activators to liver cells. Mono- and tricistronic artificial primary microRNAs (pri-miRs) derived from pri-miR-31, placed under transcriptional control of the liver-specific modified murine transthyretin (mTTR) promoter, caused efficient inhibition of HBV replication markers. The tricistronic cassette was capable of silencing a mutant viral target and the effects were observed without disrupting the function of an endogenous miR (miR-16). The mTTR promoter stably expressed a reporter transgene in mouse livers over a study period of 1 year. Good silencing of HBV genes, without evidence of toxicity, was demonstrated following intravenous injection of LVs into neonatal HBV transgenic mice. Collectively, these data indicate that LVs may achieve sustained inhibition of HBV replication that is appealing for their therapeutic use.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
WHO. Hepatitis B Virus Fact Sheet No. 204 (Revised 2014). WHO: Geneva, Switzerland, 2000.
Arbuthnot P, Capovilla A, Kew M . Putative role of hepatitis B virus X protein in hepatocarcinogenesis: effects on apoptosis, DNA repair, mitogen-activated protein kinase and JAK/STAT pathways. J Gastroenterol Hepatol 2000; 15: 357–368.
Fung J, Lai CL, Seto WK, Yuen MF . Nucleoside/nucleotide analogues in the treatment of chronic hepatitis B. J Antimicrob Chemother 2011; 66: 2715–2725.
Lee WM . Hepatitis B virus infection. N Engl J Med 1997; 337: 1733–1745.
Ely A, Naidoo T, Mufamadi S, Crowther C, Arbuthnot P . Expressed anti-HBV primary microRNA shuttles inhibit viral replication efficiently in vitro and in vivo. Mol Ther 2008; 16: 1105–1112.
Ely A, Naidoo T, Arbuthnot P . Efficient silencing of gene expression with modular trimeric Pol II expression cassettes comprising microRNA shuttles. Nucleic Acids Res 2009; 37: e91.
Uprichard SL, Boyd B, Althage A, Chisari FV . Clearance of hepatitis B virus from the liver of transgenic mice by short hairpin RNAs. Proc Natl Acad Sci USA 2005; 102: 773–778.
Carmona S, Ely A, Crowther C, Moolla N, Salazar FH, Marion PL et al. Effective inhibition of HBV replication in vivo by anti-HBx short hairpin RNAs. Mol Ther 2006; 13: 411–421.
Crowther C, Ely A, Hornby J, Mufamadi S, Salazar F, Marion P et al. Efficient inhibition of hepatitis B virus replication in vivo, using polyethylene glycol-modified adenovirus vectors. Hum Gene Ther 2008; 19: 1325–1331.
Grimm D, Streetz KL, Jopling CL, Storm TA, Pandey K, Davis CR et al. Fatality in mice due to oversaturation of cellular microRNA/short hairpin RNA pathways. Nature 2006; 441: 537–541.
Chen CC, Sun CP, Ma HI, Fang CC, Wu PY, Xiao X et al. Comparative study of anti-hepatitis B virus RNA interference by double-stranded adeno-associated virus serotypes 7, 8, and 9. Mol Ther 2009; 17: 352–359.
Naldini L, Blomer U, Gallay P, Ory D, Mulligan R, Gage FH et al. In vivo gene delivery and stable transduction of nondividing cells by a lentiviral vector. Science 1996; 272: 263–267.
Park F, Ohashi K, Chiu W, Naldini L, Kay MA . Efficient lentiviral transduction of liver requires cell cycling in vivo. Nat Genet 2000; 24: 49–52.
Chen Y, Lin MC, Yao H, Wang H, Zhang AQ, Yu J et al. Lentivirus-mediated RNA interference targeting enhancer of zeste homolog 2 inhibits hepatocellular carcinoma growth through down-regulation of stathmin. Hepatology 2007; 46: 200–208.
Sun BS, Dong QZ, Ye QH, Sun HJ, Jia HL, Zhu XQ et al. Lentiviral-mediated miRNA against osteopontin suppresses tumor growth and metastasis of human hepatocellular carcinoma. Hepatology 2008; 48: 1834–1842.
Brown BD, Gentner B, Cantore A, Colleoni S, Amendola M, Zingale A et al. Endogenous microRNA can be broadly exploited to regulate transgene expression according to tissue, lineage and differentiation state. Nat Biotechnol 2007; 25: 1457–1467.
Follenzi A, Ailles LE, Bakovic S, Geuna M, Naldini L . Gene transfer by lentiviral vectors is limited by nuclear translocation and rescued by HIV-1 pol sequences. Nat Genet 2000; 25: 217–222.
Pichard V, Aubert D, Boni S, Battaglia S, Ivacik D, Nguyen TH et al. Specific micro RNA-regulated TetR-KRAB transcriptional control of transgene expression in viral vector-transduced cells. PLoS One 2012; 7: e51952.
VandenDriessche T, Thorrez L, Naldini L, Follenzi A, Moons L, Berneman Z et al. Lentiviral vectors containing the human immunodeficiency virus type-1 central polypurine tract can efficiently transduce nondividing hepatocytes and antigen-presenting cells in vivo. Blood 2002; 100: 813–822.
Costa RH, Grayson DR . Site-directed mutagenesis of hepatocyte nuclear factor (HNF) binding sites in the mouse transthyretin (TTR) promoter reveal synergistic interactions with its enhancer region. Nucleic Acids Res 1991; 19: 4139–4145.
Boudreau RL, Martins I, Davidson BL . Artificial microRNAs as siRNA shuttles: improved safety as compared to shRNAs in vitro and in vivo. Mol Ther 2009; 17: 169–175.
Arbuthnot P, Kew M . Hepatitis B virus and hepatocellular carcinoma. Int J Exp Pathol 2001; 82: 77–100.
Brechot C, Kremsdorf D, Soussan P, Pineau P, Dejean A, Paterlini-Brechot P et al. Hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC): molecular mechanisms and novel paradigms. Pathol Biol (Paris) 2010; 58: 278–287.
Sinnayah P, Lindley TE, Staber PD, Davidson BL, Cassell MD, Davisson RL . Targeted viral delivery of Cre recombinase induces conditional gene deletion in cardiovascular circuits of the mouse brain. Physiol Genom 2004; 18: 25–32.
Liu YP, Vink MA, Westerink JT, Ramirez de Arellano E, Konstantinova P, Ter Brake O et al. Titers of lentiviral vectors encoding shRNAs and miRNAs are reduced by different mechanisms that require distinct repair strategies. RNA 2010; 16: 1328–1339.
Guo ZS, Wang LH, Eisensmith RC, Woo SL . Evaluation of promoter strength for hepatic gene expression in vivo following adenovirus-mediated gene transfer. Gene Therapy 1996; 3: 802–810.
Koike K . Hepatitis B virus X gene is implicated in liver carcinogenesis. Cancer Lett 2009; 286: 60–68.
Zoulim F, Saputelli J, Seeger C . Woodchuck hepatitis virus X protein is required for viral infection in vivo. J Virol 1994; 68: 2026–2030.
Shimotohno K, Temin HM . Formation of infectious progeny virus after insertion of herpes simplex thymidine kinase gene into DNA of an avian retrovirus. Cell 1981; 26 (Part 1): 67–77.
Osorio L, Gijsbers R, Oliveras-Salva M, Michiels A, Debyser Z, Van den Haute C et al. Viral vectors expressing a single microRNA-based short-hairpin RNA result in potent gene silencing in vitro and in vivo. J Biotechnol 2014; 169: 71–81.
Amendola M, Passerini L, Pucci F, Gentner B, Bacchetta R, Naldini L . Regulated and multiple miRNA and siRNA delivery into primary cells by a lentiviral platform. Mol Ther 2009; 17: 1039–1052.
Zhuang J, Jetzt AE, Sun G, Yu H, Klarmann G, Ron Y et al. Human immunodeficiency virus type 1 recombination: rate, fidelity, and putative hot spots. J Virol 2002; 76: 11273–11282.
Ebert MS, Neilson JR, Sharp PA . MicroRNA sponges: competitive inhibitors of small RNAs in mammalian cells. Nat Methods 2007; 4: 721–726.
Sells MA, Chen ML, Acs G . Production of hepatitis B virus particles in Hep G2 cells transfected with cloned hepatitis B virus DNA. Proc Natl Acad Sci USA 1987; 84: 1005–1009.
Lin S-R, Yang H-C, Kuo Y-T, Liu C-J, Yang T-Y, Sung K-C et al. The CRISPR/Cas9 system facilitates clearance of the intrahepatic HBV templates in vivo. Mol Ther 2014; 3: e186.
Follenzi A, Battaglia M, Lombardo A, Annoni A, Roncarolo MG, Naldini L . Targeting lentiviral vector expression to hepatocytes limits transgene-specific immune response and establishes long-term expression of human antihemophilic factor IX in mice. Blood 2004; 103: 3700–3709.
Nguyen TH, Bellodi-Privato M, Aubert D, Pichard V, Myara A, Trono D et al. Therapeutic lentivirus-mediated neonatal in vivo gene therapy in hyperbilirubinemic Gunn rats. Mol Ther 2005; 12: 852–859.
Pichard V, Boni S, Baron W, Nguyen TH, Ferry N . Priming of hepatocytes enhances in vivo liver transduction with lentiviral vectors in adult mice. Hum Gene Ther Methods 2012; 23: 8–17.
Ranzani M, Cesana D, Bartholomae CC, Sanvito F, Pala M, Benedicenti F et al. Lentiviral vector-based insertional mutagenesis identifies genes associated with liver cancer. Nat Methods 2013; 10: 155–161.
Park F, Ohashi K, Kay MA . The effect of age on hepatic gene transfer with self-inactivating lentiviral vectors in vivo. Mol Ther 2003; 8: 314–323.
Ward NJ, Buckley SM, Waddington SN, Vandendriessche T, Chuah MK, Nathwani AC et al. Codon optimization of human factor VIII cDNAs leads to high-level expression. Blood 2011; 117: 798–807.
Menzel O, Birraux J, Wildhaber BE, Jond C, Lasne F, Habre W et al. Biosafety in ex vivo gene therapy and conditional ablation of lentivirally transduced hepatocytes in nonhuman primates. Mol Ther 2009; 17: 1754–1760.
Marion PL, Salazar FH, Liittschwager K, Bordier BB, Seeger C, Winters MA et al. Chapter 18—a transgenic mouse lineage useful for testing antivirals targeting hepatitis B virus. In: Raymond FS, Jean-Pierre S, Charles M, RiceA2 - Raymond F, Schinazi J-PS, Charles MR (eds). Frontiers in Viral Hepatitis. Elsevier: Amsterdam, Netherlands, 2003, pp 197–210.
Guidotti LG, Matzke B, Schaller H, Chisari FV . High-level hepatitis B virus replication in transgenic mice. J Virol 1995; 69: 6158–6169.
Parkin DM, Bray F, Ferlay J, Pisani P . Global cancer statistics, 2002. CA Cancer J Clin 2005; 55: 74–108.
Pol S, Lampertico P . First-line treatment of chronic hepatitis B with entecavir or tenofovir in 'real-life' settings: from clinical trials to clinical practice. J Viral Hepat 2012; 19: 377–386.
Bock CT, Schranz P, Schroder CH, Zentgraf H . Hepatitis B virus genome is organized into nucleosomes in the nucleus of the infected cell. Virus Genes 1994; 8: 215–229.
Mason WS, Aldrich C, Summers J, Taylor JM . Asymmetric replication of duck hepatitis B virus DNA in liver cells: free minus-strand DNA. Proc Natl Acad Sci USA 1982; 79: 3997–4001.
Bloom K, Ely A, Mussolino C, Cathomen T, Arbuthnot P . Inactivation of hepatitis B virus replication in cultured cells and in vivo with engineered transcription activator-like effector nucleases. Mol Ther 2013; 21: 1889–1897.
Mowa MB, Crowther C, Arbuthnot P . Therapeutic potential of adenoviral vectors for delivery of expressed RNAi activators. Expert Opin Drug Deliv 2010; 7: 1373–1385.
Muruve DA, Cotter MJ, Zaiss AK, White LR, Liu Q, Chan T et al. Helper-dependent adenovirus vectors elicit intact innate but attenuated adaptive host immune responses in vivo. J Virol 2004; 78: 5966–5972.
Toietta G, Mane VP, Norona WS, Finegold MJ, Ng P, McDonagh AF et al. Lifelong elimination of hyperbilirubinemia in the Gunn rat with a single injection of helper-dependent adenoviral vector. Proc Natl Acad Sci USA 2005; 102: 3930–3935.
Mingozzi F, High KA . Therapeutic in vivo gene transfer for genetic disease using AAV: progress and challenges. Nat Rev Genet 2011; 12: 341–355.
Mingozzi F, Maus MV, Hui DJ, Sabatino DE, Murphy SL, Rasko JE et al. CD8(+) T-cell responses to adeno-associated virus capsid in humans. Nat Med 2007; 13: 419–422.
Rauschhuber C, Xu H, Salazar FH, Marion PL, Ehrhardt A . Exploring gene-deleted adenoviral vectors for delivery of short hairpin RNAs and reduction of hepatitis B virus infection in mice. J Gene Med 2008; 10: 878–889.
Schambach A, Zychlinski D, Ehrnstroem B, Baum C . Biosafety features of lentiviral vectors. Hum Gene Ther 2013; 24: 132–142.
Zufferey R, Dull T, Mandel RJ, Bukovsky A, Quiroz D, Naldini L et al. Self-inactivating lentivirus vector for safe and efficient in vivo gene delivery. J Virol 1998; 72: 9873–9880.
Frecha C, Szecsi J, Cosset FL, Verhoeyen E . Strategies for targeting lentiviral vectors. Curr Gene Ther 2008; 8: 449–460.
Birraux J, Wildhaber BE, Jond C, Belli DC, Menzel O . Ex vivo hepatocyte gene therapy: increased biosafety protocol for transduction in suspension with lentiviral vectors and immediate transplantation (SLIT). Transplantation 2010; 89: 127–129.
Zhu S, Rezvani M, Harbell J, Mattis AN, Wolfe AR, Benet LZ et al. Mouse liver repopulation with hepatocytes generated from human fibroblasts. Nature 2014; 508: 93–97.
Themis M, Waddington SN, Schmidt M, von Kalle C, Wang Y, Al-Allaf F et al. Oncogenesis following delivery of a nonprimate lentiviral gene therapy vector to fetal and neonatal mice. Mol Ther 2005; 12: 763–771.
Wiznerowicz M, Trono D . Conditional suppression of cellular genes: lentivirus vector-mediated drug-inducible RNA interference. J Virol 2003; 77: 8957–8961.
Nakabayashi H, Taketa K, Miyano K, Yamane T, Sato J . Growth of human hepatoma cells lines with differentiated functions in chemically defined medium. Cancer Res 1982; 42: 3858–3863.
Bovia F, Salmon P, Matthes T, Kvell K, Nguyen TH, Werner-Favre C et al. Efficient transduction of primary human B lymphocytes and nondividing myeloma B cells with HIV-1-derived lentiviral vectors. Blood 2003; 101: 1727–1733.
Nguyen TH, Birraux J, Wildhaber B, Myara A, Trivin F, Le Coultre C et al. Ex vivo lentivirus transduction and immediate transplantation of uncultured hepatocytes for treating hyperbilirubinemic Gunn rat. Transplantation 2006; 82: 794–803.
Nassal M . The arginine-rich domain of the hepatitis B virus core protein is required for pregenome encapsidation and productive viral positive-strand DNA synthesis but not for virus assembly. J Virol 1992; 66: 4107–4116.
Weinberg MS, Ely A, Barichievy S, Crowther C, Mufamadi S, Carmona S et al. Specific inhibition of HBV replication in vitro and in vivo with expressed long hairpin RNA. Mol Ther 2007; 15: 534–541.
Sands MS, Barker JE . Percutaneous intravenous injection in neonatal mice. Lab Anim Sci 1999; 49: 328–330.
Acknowledgements
We are grateful to National Health Laboratory Services, Johannesburg for assistance with measurement of ALT activities. Financial assistance was received from the South African National Research Foundation (NRF, GUNs 81768, 81692, 68339, 85981 and 77954), Medical Research Council, Poliomyelitis Research Foundation, Stella and Paul Loewenstein Charitable and Educational Trust, German Academic Exchange Service (DAAD). Advice and practical assistance from Drs Tuan Nguyen and Dina Kremsdorf is gratefully acknowledged.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Additional information
Supplementary Information accompanies this paper on Gene Therapy website
Supplementary information
Rights and permissions
About this article
Cite this article
Ivacik, D., Ely, A., Ferry, N. et al. Sustained inhibition of hepatitis B virus replication in vivo using RNAi-activating lentiviruses. Gene Ther 22, 163–171 (2015). https://doi.org/10.1038/gt.2014.94
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/gt.2014.94
This article is cited by
-
Generation of light-producing somatic-transgenic mice using adeno-associated virus vectors
Scientific Reports (2020)
-
Hepatitis B: Working Towards a Cure
Current Gastroenterology Reports (2015)