Zusammenfassung
Epidemiologische Daten weisen auf die Bedeutung der chronischen Hepatitis-B-Virus-(HBV-)infektion für die Entstehung des primären hepatozellulären Karzinoms (HCC) hin. Auf molekularer Ebene sind HBV-Sequenzen häufig in Leberzell-DNA integriert. Im Gegensatz zum Waldmurmeltiermodell, in dem eine spezifische Integration viraler DNA in der Mehrzahl der Fälle nachweisbar ist, scheint die insertionelle (In)aktivierung zellulärer Gene beim Menschen ein äußerst seltenes Ereignis zu sein.
Die Entdeckung transaktivierender Funktionen, die durch das HBx und carboxyterminal trunkierte Oberflächenproteine (HBst) ausgeübt werden, stellt ein attraktives Konzept der HBV-assoziierten Leberzellkarzinomentstehung dar. Transaktivatorsequenzen werden in 81% (21 von 26) HCCs oder Hepatomzellinien gefunden. In allen bisher untersuchten Fällen ist zumindest einer dieser Transaktivatoren funktionell aktiv.
Im Gegensatz zu HBx ist eine carboxyterminale Trunkierung erforderlich, um MHBst-Transaktivatoren zu generieren. Diese werden im Unterschied zum intakten MHBs im endoplasmatischen Retikulum retiniert und nicht ins Zellkulturmedium sezerniert. Sie stimulieren die zelluläre Genexpression von den Regulatorsequenzen der humanen Protoonkogene c-fos und c-myc sowie dem Promotor des hepatischen Akutphaseproteins Interleukin-6. Synthetische Bindungsstellen für die Transkriptionsfaktoren NF-κB, AP-1, AP-2, SRE und Sp1 vermitteln den Transeffekt. Die NF-κB-abhägige Transaktivierung durch MHBst kann durch Antioxidanzien inhibiert werden, was einen indirekten Hinweis auf die Beteiligung reaktiver Sauerstoffintermediate darstellt.
Zusammenfassed bieten diese Daten indirekte Evidenz, daß HBV-Transaktivatoren an der Leberzellkarzinogenese beteiligt sind.
Summary
Epidemiological data support the crucial role of chronic hepatitis B virus (HBV) infection in hepatocellular carcinoma (HCC) development. On the molecular level HBV sequences are frequently integrated in hepatocellular DNA. However, in contrast to the woodchuck model, in which specific HBV DNA integration is detectable in the majority of cases, insertional (in-)äctivation of cellular genes seems to be a rare event in men.
The recent discovery of transactivating functions exerted by HBx and truncated HBs(urface) proteins supported the notion that activation of cellular gene expression in trans could be relevant for hepatocarcinogenesis. HBV transactivator sequences are present in 81% (21 out of 26) HCC tissues or hepatoma-derived cell lines. At least one transactivator protein is functional in all cases investigated so far.
In contrast to HBx, HBs transactivators require carboxyterminal truncation to gain their transactivating function. Unlike full-length M(iddle)HBs the truncated MHBst is retained in the endoplasmic reticulum and not secreted into the surrounding medium. Cellular gene expression is stimulated from regulatory elements of the human proto-oncogenes c-fos and c-myc as well as the hepatic acute phase gene interleukin-6. Synthetic binding sites for the transcripton factors NF-κB, AP-1, AP-2, SRE and Sp1 render minimal promotors activatable. NF-κB-mediated transactivation by MHBst can be suppressed by radical scavanging antioxidants indirectly suggesting that reactive oxygen intermediates are involved.
In summary, the data provide indirect evidence that transactivating effects exerted by HBV proteins may contribute to the multistep pathogenesis of HCC development.
Teile der dargestellten experimentellen Daten wurden im Rahmen der Dissertation von Dr. Markus Meyer und Herrn Volker Schlüter unter meiner Anleitung in der Abteilung Virusforschung (Direktor Prof. Dr. Dr. P.H. Hofschneider) des Max-Planck-Instituts für Biochemie in Martinsried erhoben. Die Arbeiten wurden durch Mittel des Bundesministeriums für Forschung und Technologie, Deutsche Stiftung für Krebshilfe (W21/8/Hol-Prof. Dr. Dr. Hofschneider) und der Deutschen Forschungsgemeinschaft (Ca-113/5-2-PD Dr. Caselmann) unterstützt.
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Caselmann, W.H. (1995). Tumorvirus HBV: Transaktiverung zellulärer Genexpression durch Hepatitis-B-Virusproteine. In: Beger, H.G., Manns, M.P., Greten, H. (eds) Molekularbiologische Grundlagen der Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79782-8_9
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