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Oncogene (2000) 19, 4427 ± 4431 ã 2000 Macmillan Publishers Ltd All rights reserved 0950 ± 9232/00 $15.00 www.nature.com/onc SHORT REPORT Correct binding of viral X protein to UVDDB-p127 cellular protein is critical for ecient infection by hepatitis B viruses Delphine Sitterlin1,3, FrancËoise Bergametti1, Pierre Tiollais1, Bud C Tennant2 and Catherine Transy*,1 1 Institut Pasteur, Unite de recombinaison et expression geÂneÂtique (INSERM U163), 28 rue du Dr Roux 75724 Paris Cedex 15, France; 2Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, C2-005 Veterinary Medical Center, Ithaca, New York, NY 14853-6401, USA A fully eective treatment of chronic human hepatitis B virus (HBV) infection is still missing and HBV remains the ®rst etiological agent of liver cancer. Although the viral regulatory X protein is essential for infection, its mode of action remains obscure, due the lack of an in vitro infection system. In the accompanying study, we showed the functional importance of interaction between X and the host protein UVDDB-p127, in the transactivation and apoptotic properties of the viral protein. Here, we addressed the biological role of X-UVDDB interaction in the infectious process using a genetic approach in the woodchuck virus closely related to HBV. We show that (i) mutations in X, which markedly aect UVDDBbinding, also abolished productive infection in woodchucks, (ii) in the few cases where mutant viruses led to infection, compensatory mutations had occurred in the X gene of the viral progeny, which restored correct UVDDB-binding. We conclude that ecient viral replication in vivo requires proper X-UVDDB interaction. The interaction may thus provide a novel therapeutic target for the treatment of hepatitis B. Oncogene (2000) 19, 4427 ± 4431. Keywords: hepatitis B virus; X protein; UV-damaged DNA binding protein; virus-host interaction; therapeutic target Viruses have evolved numerous and complex mechanisms of host cell metabolism diversion for the bene®t of their multiplication. When unraveled, these mechanisms, which mostly rely on interactions between viral and cellular macromolecules, may not only shed light on biological cell pathways and on pathogenic processes, but also help to identify therapeutic targets. Chronic infection by the human hepatitis B virus (HBV), which dramatically increases the risk of liver cancer (Beasley et al., 1981), aects an overwhelming number of people worldwide, recently estimated at 350 million by the World Health Organization (Kane, 1998). The currently available therapy, namely interferon a treatment, is only partially eective (Krogsgaard, 1998). Furthermore, control of viremia by *Correspondence: C Transy 3 Current address: EMBL, Meyerhofstr., D-69117 Heidelberg, Germany Received 2 May 2000; revised 22 June 2000; accepted 27 June 2000 administration of viral polymerase inhibitors may prove dicult, given the recurrent emergence of resistant variants (Zoulim and Trepo, 1998). Similar diculties have been encountered in anti-human immunode®ciency virus (HIV) therapy. As in the case of HIV infection, control of chronic HBV infection and of its evolution to liver cancer would likely bene®t from combination therapies targeting dierent steps of viral replication. Despite the early cloning of the 3.2 kb HBV genome, which revealed only four functional open reading frames (Galibert et al., 1979), full understanding of the virus life cycle has not been achieved so far. Indeed, due to the lack of permanent cell lines permissive for infection, we still poorly understand the ®rst steps of the infection process: virion binding to an as yet non-identi®ed cellular receptor, virus entry, transport of the nucleocapsid to the nucleus and conversion of the circular partially double-stranded DNA genome into a covalently closed circular form (ccc DNA), which can be transcribed by the cellular machinery. In contrast, it has been possible to unravel the downstream steps of viral replication because several hepatoma cell lines support the replication of transfected recombinant genomes. As a result, encapsidation of the viral transcript, termed pregenome, which occurs in host cell cytoplasm, as well as its reverse transcription mediated by the viral polymerase, are now understood in great detail (reviewed by Nassal and Schaller, 1996). Besides HBV, the hepadnavirus family includes viruses infecting woodchucks (WHV), ground squirrels (GSHV) and more distantly related members, such as the duck hepatitis B virus (DHBV) (reviewed by SchoÈdel et al., 1989). In contrast to the non-oncogenic avian hepadanaviruses, the mammalian oncogenic hepadnaviruses possess a regulatory gene termed X, which encodes a small protein of *17 kDa in size. Since the X gene is dispensable for the replication of in vitro transfected hepadnaviral genomes (Blum et al., 1992; Zoulim et al., 1994) and has no homolog in the DHBV genome, X was ®rst considered an accessory protein. Quite the opposite could be concluded however, when X-null engineered WHV mutants turned out to be unable to trigger infection in woodchucks (Chen et al., 1993; Zoulim et al., 1994). Since these pioneering observations the mechanisms, which underlie the essential function carried out by X protein in the viral life cycle and its possible implication in the virally induced carcinogenesis, have Pivotal role of X-UVDDB interaction in hepatitis B viruses infection D Sitterlin et al 4428 remained unexplored. In sharp contrast, numerous studies have addressed the functional properties of the viral protein out of the context of viral infection. Among the multiple activities reported for the viral protein, two have received wide experimental support: Transactivation of transcription, in an indirect and promiscuous way (reviewed by Rossner, 1992) and stimulation of the apoptotic pathway (Bergametti et al., 1999; Chirillo et al., 1997; Kim et al., 1998; Su and Schneider, 1997). For either activity, distinct requirements have been reported depending on the studies and so far no unifying molecular mechanism has emerged. In the accompanying study of WHV X protein mutants (WHx), selected for markedly altered binding to the host protein UVDDB, we obtained strong evidence for the functional importance of proper XUVDDB interaction in both transactivation and apoptosis (Sitterlin et al., submitted). Our choice of a genetic approach in the WHV virus, was guided by the unique possibility oered by this model, to perform experimental infection with recombinant viruses, after assaying their replication capacity in in vitro transfection experiments (Chen et al., 1993; Zoulim et al., 1994). Thus in the present study, we further analysed the biological relevance of the interaction by addressing its role in the context of viral infection in vivo. WHV genomes carrying mutant WHx alleles are functional in vitro In the accompanying study, we created WHx single and double substitution mutants, which fell within three classes with respect to their binding to the cellular protein UVDDBp127 (Table 1): Class 1, represented by WX1 mutant, exhibited a markedly increased binding as compared to the wild-type protein; class 2, represented by WX7 mutant showed a close-to-wt binding; class 3, represented by WX2, WX3, WX6 and WX15 mutants displayed severely decreased or abolished interaction with UVDDB. As summarized in Table 1, class 2 mutant is competent for both transactivation activity and stimulation of apoptosis whereas, class 1 and class 3 mutants are cis-inactive molecules with respect to both functions. However, in contrast to class 3 mutants, which show both cis and trans loss-of-function, class 1 mutant, which binds UVDDB more eciently than wt X, has gained a trans-dominant negative activity over the wt molecule. At the nucleotide level, mutations in the X gene were designed in such a way that the viral polymerase remained unchanged (except in the case of WX1 where Serine 872 was substituted by a Threonine residue). Similarly the transcription factor binding sites, which map to the enhancer I region of the virus (Fourel et al., 1996), were not aected. This allowed us to replace the wt X gene in the WHV8 infectious genome by its mutant counterparts, without aecting a functional feature other than X itself. We next transfected these mutant viral genomes into HepG2 hepatoma cells, which are permissive for WHV replication. As shown in Figure 1A, mutant genomes produced the same transcript species as the wt genome construct and in similar amounts, except WHV15, which showed marked reduction in pregenomic transcript accumulation. Note however, that only a threefold dierence was obtained between WHV15 and wt WHV (data not shown) when the raw signals were normalized using a b-galactosidase transcript, produced by a co-transfected pCMVb-gal vector, which is only marginally sensitive to X-mediated transactivation. Results of three independent experiments indicated that mutant genomes could sustain pregenomic RNA encapsidation (Figure 1A). In our experimental conditions, only the single stranded intermediate form of viral DNA was detectable (Figure 1B), consistent with previous observations made with similar WHV constructs and the same recipient HepG2 cell line (Wei et al., 1998). After normalization, it appeared that this viral DNA species, which likely corresponds to minus strand DNA synthesis, was decreased ®vefold in the case of WHV15 genome as compared to wt and other mutant genomes (Figure 1B and Table 1). Altogether, these results indicate the UVDDB-binding and transactivation activities of WHx are dispensable for in vitro WHV replication, in agreement with previous results obtained with recombinant viruses unable to encode the X protein (Blum et al., 1992; Zoulim et al., 1994). WHx mutations conferring markedly altered UVDDB-binding abolish or delay productive infection in woodchuck Since all mutant genomes were competent for replication in vitro, we next investigated their infectious potentials in vivo. For each virus species, a group of three woodchucks received intrahepatic injection of recombinant DNA. Serum samples were collected at 2week intervals, starting 4 weeks post-injection. Sera were assayed for WHsAg antigenemia and for the presence of anti-WHc (capsid) and anti-WHs (envelope) antibodies (Table 2). Moreover, presence of viral DNA was assessed in each serum sample by PCR ampli®cation (Figure 2A). All three woodchucks injected with wt DNA developed anti-WHc response Table 1 Comprehensive summary of phenotypes associated with WHx mutations Genome Mutation WHV wt WHV7 WHV1 WHV2 WHV3 WHV6 WHV15 ± Q95R V71D N86D H91R Q95H N86D; Q95H a In vitro activities of WHxa UVDDB-bindingb Class Transactivation Ù Ù Ú Ø Ø Ø Ø 2 2 1 3 3 3 3 + + 7 7 7 7 7 Apoptosis + + 7 7 7 7 7 trans-dominant + 7 7 ND ND Functional features of WHV genomes Replicationc Infectiond Revertants + + + + + + +/7 + + D 7 D 7 7 7 + 7 + 7 7 Sitterlin et al. (2000). bHorizontal, upward and downward arrows indicate wt, increased and decreased binding respectively. cTransfected genomes. dD refers to delayed infection as compared to wt genome Oncogene Pivotal role of X-UVDDB interaction in hepatitis B viruses infection D Sitterlin et al received WHV1 and WHV3 mutants, signs of infection were observed in two and one animal respectively, the other animals remaining negative during the follow-up period. In addition, in those animals that showed infection markers, infection was delayed, as compared with the overall kinetics of infection observed with wt and WHV7 genomes (Table 2 and Figure 2A). Animals, which received WHV2, WHV6 and WHV15 mutants remained negative for infection markers during the follow-up period. It should be mentioned that in our experimental conditions, the viral DNA content of positive serum samples, was largely above the detection limit since saturating PCR signals were still obtained with 20-fold less input (data not shown). Thus, only the WHV7 class 2 mutant virus, which encodes an X mutant protein with wt UVDDBbinding, displayed an infectious potential similar to that of wt genome (Table 1). In contrast, mutations of WHx protein, which signi®cantly alter the binding to UVDDB (class 1 and class 3 mutants) appeared to compromise the infectious potential of the virus, infection being either abolished or strongly delayed (Table 1). 4429 Delayed infection occurring with mutant viruses is associated with the emergence of X mutations, which restore correct interaction with UVDDB Figure 1 WHV genomes carrying mutant X alleles are functional in vitro. All WHV sequences were derived from pWHV8, which contains a full-length genome from the WHV8 from the WHV8 infectious viral strain (Girones et al., 1989). Numbering starts at the ®rst A of the unique EcoRI site. The SacII-NsiI fragments (positions 1593 ± 1910) carrying the introduced mutations were cloned into pWHV8. To create functional recombinant viruses, intermediate constructs were generated by subcloning the ApaI ± EcoRI fragments from either the monomeric site-directed mutant or the wild-type WHV8 genomes (nucleotides 887 ± 3323) into pBluescript II KS+ vector. The full-length genomes (EcoRI fragment) were then cloned into the unique EcoRI site of the isogenic intermediate constructs, generating 1.5 mer WHV genomes, which contain two copies of the 887 ± 3223 region. (A) Northern blot analysis of viral transcript accumulation and pregenomic RNA encapsidation. HepG2 hepatoma cells were transfected with the indicated recombinant viral genomes (10 mg) and 1 mg of pCMV-b-Gal (Clontech), used as a control of transfection eciency. Total RNA was prepared 36 h posttransfection and core particles extracted 96 h post-transfection, as described by Wei et al. (1998). RNA was separated in 0.8% formaldehyde-containing agarose gels. Following gel transfer, the membrane was hybridized with a 32P-labeled WHV DNA probe. Arrows indicate the positions of pregenomic, S and X transcripts. Note that the unusual abundance of X transcript results from the structure of the viral expression construct as previously reported (Wei et al., 1998). The band visible below the S transcript corresponds to background hybridization with 18S rRNA. (B) Southern analysis of viral DNA synthesis. Encapsidated viral DNA was separated in a 1.2% agarose gel. Lin. ss: singlestranded DNA. Signals seen at the bottom of the gel result from transfected plasmid DNA cleaved by DNase treatment and one animal detectable WHsAg antigenemia. In addition, viral DNA was detectable in the sera of these animals before appearance of serological markers (Figure 2a). Virion concentration in the serum of these animals was in the range of 105/ml, when titrated using known amounts of recombinant viral DNA (data not shown). All animals, which received WHV7 mutant, showed viral DNA in their sera and two of them developed an anti-WHc response. In the groups, which We next characterized the X gene carried by the in vivo produced viruses by sequencing PCR-ampli®ed viral DNA from positive serum samples. In contrast to the viruses produced after injection of wt and WHV7 genomes, WHV3 and WHV1 viral progenies diered from the initially injected DNAs (Figure 2B and Table 1). Viral genomes produced in WHV3-injected animal were wild-type in the X region (Figure 2B). Analysis of WHV1 progeny revealed two species: one corresponding to the reversion toward wild-type sequence (GAC codon ?GTC codon) and the other corresponding to a new mutation at this codon (GAC?GCC), which substituted the D residue by a A residue (i.e. a residue with properties similar to that of the wt V residue). Emergence of the latter species excluded that delayed infection was due to cross-contamination by wt DNA at the time of injection. Furthermore, it oered the possibility to examine whether the newly acquired mutation restored a correct binding of WHx protein to UVDDB. When assayed for UVDDB interaction, this new WHx version indeed exhibited a close-to-wt binding phenotype (only 50% above the level of wt protein-binding as compared to the fourfold increased binding shown by WX1 mutant, data not shown). Altogether these data clearly show that transcription and reverse transcription of the mutant viral DNAs occurs in vivo, a strong selective pressure then operating for the restoration of proper WHx-UVDDB interaction. Concluding remarks In the accompanying study (Sitterlin et al., submitted), we showed that proper X-UVDDB interaction is a prerequisite for in vitro X-mediated activities. Our present ®ndings allow us to extend this functional connection to viral replication capacity in vivo (Table 1). Speci®cally, only class 2 mutant, which showed Oncogene Pivotal role of X-UVDDB interaction in hepatitis B viruses infection D Sitterlin et al 4430 Table 2 Follow-up of serological infection markers in injected woodchucks Transfected Incubation No genome period a 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 WHV wt WHV1 WHV2 12 8 12 20 20 WHV3 WHV6 WHV7 WHV15 18 22 10 WHV serology AntiAntiWHsAg WHc Abc WHs Abc b 7 7 + (12 and 14) +/7 (18) 7 + (18 and 20) 7 7 7 7 7 +/7 (16) 7 7 7 7 7 7 7 7 7 + + + (18) + 7 + 7 7 7 7 7 + 7 7 7 + + 7 7 7 7 +/7 (18) +/7 + (22) +/7 (22) 7 7 7 7 7 7 7 + (20) 7 7 7 + + (12) 7 7 7 7 Each DNA species was injected to a group of three animals. Starting from 4 weeks post-injection, sera were collected at 2 week intervals, during a 24-week period. Serological assays were performed as described (Wei et al., 1998). Time is expressed in weeks. aNumbers refer to the time at which, at least one serological marker was detected positive. bNumber in brackets indicate time at which samples were found positive. cAb: antibodies. Numbers in brackets indicate time at which samples became positive close-to-wt interaction with UVDDB, remained functional in contrast to the class 3 and class 1 mutants with severely decreased and markedly increased UVVDB-binding eciencies, respectively. Thus, three properties are functionally linked to the ability of X to engage a normal interaction with UVDDB: (i) transactivation potential; (ii) proapoptotic eect; (iii) infectious potential in woodchucks of recombinant viruses (Table 1). In this respect, the in vivo selection of a class 1-virus pseudorevertant is particularly signi®cant. Here, the new mutation led the decrease of UVDDB-binding anity, from the high level associated with impaired function in the initial mutant, toward a close-to-wt level. However, it should be emphasized that if correct interaction with UVDDB appears to be necessary for X function, it is clearly not sucient per se, since C-terminal truncations of the protein, which preserve the UVDDB-binding domain inactivate transactivation (Kumar et al., 1996) and infectious potential (Chen et al., 1993). The emergence of revertant or pseudorevertant viruses (Table 1) indicates that transcription and reverse transcription could be initiated with several of the mutant genomes. Since no revertant was observed in similar studies using genomes unable to encode X protein (Chen et al., 1993; Zoulim et al., 1994), it might suggest that in our study, at least some mutants had retained a residual activity sucient to sustain replication initiation. Alternatively, X protein might be qualitatively dispensable for the transcription and reverse transcription steps of the virus life cycle in agreement with the results of in vitro transfection experiments. In the latter hypothesis, ecient virus replication in the context of natural infection might Oncogene Figure 2 WHx-UVDDB interaction is critical for productive infection. Viral DNA was extracted from 200 ml serum using the QIAamp blood kit (Qiagen) in a ®nal volume of 50 ml. PCR ampli®cations were performed using 5 ml of DNA sample and the primers, oligo 1+ (5'-TGGTTAGGAATTTCCCTCA-3') (positions 827 ± 848) and oligo 27 (5'-GCGAGCAGCCATGGAAAGGACGT-3') (positions 1514 ± 1492). (A) The sera of the indicated woodchucks were analysed by PCR for the presence of viral DNA. PCR products were run in 1% agarose gels. The injected recombinant genome is shown on the top and the time is indicated on the right in weeks post-injection. Note that in the absence of positive serological markers, infection was considered signi®cant when viral DNA was detected at least at two successive time points. (B) Analysis of viral progeny produced in woodchucks. The X regions containing the initial mutations were PCR-ampli®ed using oligo 1+ and oligo 37 (5'-GGTTACAGAAGTCGCATGCA-3') as primers and then and directly sequenced. The corresponding positions in the WHV genome are indicated on the right. Filled arrowheads mark the positions where the in vivo-produced virus showed a nucleotide change as compared to the injected mutant genome. In the case of WX3, the G nucleotide at position 1773 reverted to an A, converting back the CGT triplet coding for Arginine into the wild-type CAT triplet coding for Histidine. In the case of woodchuck no 4, which was injected with WX1 mutant, the A nucleotide at position 1717 was changed into a C nucleotide converting the GAC codon (Aspartic acid) into a GCC codon (Alanine). In woodchuck no 6, the A nucleotide at position 1717 was converted either into a C nucleotide as in woodchuck no 4 or into the wild-type T nucleotide. In viral progeny from WX7 mutant the mutated codon that substituted the wild-type glutamine residue for an Arginine residue was preserved (empty arrowhead) require X to overcome an otherwise limiting step, such as viral transcription level or ccc DNA ampli®cation. Although future studies are required for a detailed understanding of viral X protein mechanism of action, our work pinpoints X-UVDDB interaction as a potential therapeutic target. Drugs targeting proteinprotein interactions are still scarce. However, the Pivotal role of X-UVDDB interaction in hepatitis B viruses infection D Sitterlin et al potent and widely used immunosuppressive drugs, cyclosporin A and FK506 provide interesting examples. Both drugs lead to inhibition of calcineurin, a critical intracellular component of the immune response, via the modulation of a protein-protein interaction (Ho et al., 1996). Our description of a dominant-negative X mutant indicates that inhibitors of X activity might be derived from the X molecule itself. We will thus explore the possibility of developing anti-hepatitis B virus drugs, based on their ability to inhibit XUVDDB interaction. Acknowledgments D Sitterlin was supported by fellowships from the `MinisteÁre de l'Education Nationale et de la Recherche' and the `Fondation pour la Recherche MeÂdicale'. We thank S Whiteside, M Rosbash, F Lehembre, M Flajolet and Y Wei for helpful suggestions and critical reading of the manuscript. We thank C-A Renard for support. 4431 References Beasley RP, Lin CC, Hwang LY and Chien CS. (1981). Lancet, 2, 1129 ± 1133. Bergametti F, Prigent S, Luber B, Benoit A, Tiollais P, Sarasin A and Transy C. (1999). Oncogene, 18, 2860 ± 2871. Blum HE, Zhang ZS, Galun E, von WeizsaÈcker F, Garner B, Liang TJ and Wands JR. (1992). J. Virol., 66, 1223 ± 1227. 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