MicroRNA-3145 as a potential therapeutic target for hepatitis B virus: inhibition of viral replication via downregulation of HBS and HBX

Abstract

Current treatments for hepatitis B virus (HBV), such as interferons and nucleic acid analogs, have limitations due to side effects like depression and the development of drug-resistant mutants, highlighting the need for new therapeutic approaches. In this study, we identified microRNA-3145 (miR-3145) as a host-derived miRNA with antiviral activity that is upregulated in primary hepatocytes during HBV infection. The expression of its precursor, pri-miR-3145, increased in response to the the virus infection, and miR-3145 downregulated the hepatitis B virus S (HBS) antigen and hepatitis B virus X (HBX), thereby inhibiting viral replication. The binding site for miR-3145 was located in the HBV polymerase (pol) region, as experimentally confirmed. Moreover, overexpression of HBS and HBX induced pri-miR-3145 expression through endoplasmic reticulum stress. The expression of pri-miR-3145 showed a strong correlation with the Nance–Horan syndrome-like 1 (NHSL1) gene, as it is encoded within an intron of NHSL1, and higher NHSL1 expression in hepatocellular carcinoma patients with HBV infection was associated with better prognosis. These findings suggest that miR-3145-3p, along with small molecules targeting its binding sites, holds promise as a potential therapeutic candidate for HBV treatment.

Introduction

Hepatitis B virus (HBV) infection is a major cause of chronic hepatitis and hepatocellular carcinoma (HCC), leading to significant global health challenges (Yuen, 2021; Manns and Maasoumy, 2022). While a vaccine against HBV exists, the virus continues to affect millions, with approximately 257 million people living with chronic HBV and 887,000 deaths in 2015 alone (Yuen, 2021). Effective antiviral treatments are essential for preventing and managing HBV-related HCC. Currently, nucleos(t)ide reverse-transcriptase inhibitors (NRTIs) and polyethylene glycol-modified interferons (PEG-IFNs) are the primary treatments used to reduce HBV viral load and slow the progression of liver complications, such as fibrosis, cirrhosis, and HCC (Clark and Hu, 2015). However, long-term use of NRTIs often results in drug-resistant HBV strains (Kim et al., 2014). Additionally, PEG-IFN therapy has a limited success rate, with only 37–60% of patients achieving HBS antigen clearance, and some patients remain unresponsive (Wong et al., 2010). Moreover, PEG-IFN treatment can cause adverse effects, including depression (Tang et al., 2018). Consequently, there is a critical need for new antiviral agents beyond NRTIs and PEG-IFNs.

HBV replication involves the expression of several viral RNAs, including pregenomic RNA (pgRNA), pre-core mRNA (pcRNA), preS1 mRNA, preS2/S mRNA, and HBV X (HBX) mRNA, which are transcribed from multiple promoters within the viral genome (Yuen, 2021). The viral genomic DNA is synthesized through reverse transcription, using pgRNA as a template. Since pgRNA is localized in the cytoplasm prior to being encapsulated in viral core proteins, it is vulnerable to degradation by host microRNAs (miRNAs) (Sarfaraz et al., 2022). This natural degradation process can be harnessed for antiviral therapy.

miRNAs are small, non-coding RNA molecules, typically 22–25 nucleotides long, that regulate gene expression by binding to complementary sequences in the 3′-untranslated regions (3′-UTRs) of target mRNAs. This interaction leads to mRNA degradation or translational repression, mediated by the RNA-induced silencing complex (RISC) (Bartel, 2009). The biogenesis of miRNAs begins with the processing of primary miRNAs (pri-miRNAs) in the nucleus, which are cleaved into precursor miRNAs (pre-miRNAs) by Drosha, and subsequently processed in the cytoplasm by Dicer into mature miRNA duplexes. Some host-derived miRNAs, such as miR-122 and miR-199, have shown anti-HBV properties (Lamontagne et al., 2015; Liu et al., 2019; Naito et al., 2018), but their therapeutic potential is limited due to poor sequence conservation among HBV strains (Hayer et al., 2013) and reduced expression levels in HBV-infected cells (Sartorius et al., 2019; Wakasugi et al., 2018). Notably, miR-302c-3p has demonstrated significant anti-HBV effects in animal studies (Hamada-Tsutsumi et al., 2019).

In this study, we identified miR-3145, a miRNA encoded within the intronic region of the Nance–Horan syndrome-like 1 (NHSL1) gene, as a potential antiviral agent against HBV. Higher expression of NHSL1 in HCC patients is associated with a favorable prognosis. Furthermore, antiviral factor nuclear factor 90 (NF90) is known to promote miR-3145 production (Grasso et al., 2020), and miR-3145 has previously been shown to inhibit the influenza virus by reducing viral polymerase 1 expression (Khongnomnan et al., 2015). Our findings reveal that the expression of both pri-miR-3145 and mature miR-3145 is upregulated in response to HBV infection. Moreover, miR-3145 exhibits antiviral activity by targeting the highly conserved pol region of the HBV genome.

Endoplasmic reticulum (ER) stress plays a significant role in the response to HBV infection. Binding immunoglobulin proteins (BiPs), located on the ER membrane, normally inhibit stress sensors like activated transcription factor 6 (ATF6). However, when misfolded proteins accumulate in the ER, BiPs bind to these excess proteins, leading to their degradation via the proteasome. This dissociation of BiPs from stress sensors triggers the ER stress response (Skowronek et al., 1998). Persistent ER stress induced by viral protein overproduction can lead to the apoptotic death of infected cells (Choi et al., 2019). We found that ER stress caused by HBV proteins upregulates miR-3145-3p expression, which in turn exerts anti-HBV effects.

Materials and methods

Cell lines and viruses

HepG2/NTCP (Nishitsuji et al., 2015) and HBV positive HB611 cell lines (Tsurimoto et al., 1987) were cultured in the DMEM/Ham’s F-12 (FHUJIFILM Wako, Osaka, Japan) supplemented with 10% fetal bovine serum (FBS) (Thermo Fisher Scientific, Waltham, MA), 1% non-essential amino acids (Thermo Fisher), 100 unit/mL penicillin, 100 μg/mL streptomycin (Nacalai), and 500 μg/mL G-418 (Promega, Madison, WI). Primary human hepatocytes were purchased from Corning. The cell lines were grown in collagen type I-coated culture dishes (AGC Techno Glass, Shizukoka, Japan) at 37°C in a 5% CO₂ incubator. HEK293 cells were obtained from American Type Culture Collection (ATCC, Manassas, VA). HEK293T cells were obtained from Horizon Discovery (Waterbeach, United Kingdom). The cells were cultured in RPMI-1640 medium (Sigma-Aldrich, St. Louis, MO) supplemented with 10% FBS, 100 U/mL penicillin, and 100 μg/mL streptomycin at 37°C in a 5% CO₂ incubator.

To prepare a secreted NanoLuc (secNL) gene harboring HBV (secNL-HBV), pUC1.2xHBV/secNL and pUC 1.2xHBV/D were transfected into HepG2/NTCP cells, and the HBV purification step was performed as previously described (Nishitsuji et al., 2018). HBV from HB611 was also isolated using the same technique used to infect the primary hepatocytes. To prepare miRNA-targeted site-mutated secNL-HBV (secNL-HBVm), primers were designed based on the sequence MH580652.1. SecNL-HBV was used as a template for site-directed mutagenesis using the KOD One (TOYOBO, Osaka, Japan) and specific primers (Table 1).

Infection of secNL-HBV

HepG2/NTCP cells were infected with secNL-HBV at a multiplicity of infection (MOI) of 10 for 24 h, as previously described (Nishitsuji et al., 2018). On days 3, 6, 9, and 12, the culture supernatants were subjected to a NanoLuc Luciferase Assay Kit (Promega) using the GloMax Navigator System (Promega). Similar experiments were performed using secNL-HBVm.

Reverse transcription-quantitative polymerase chain reaction

Total RNA was extracted using the ISOGEN (Nippon Gene, Tokyo, Japan). complementary DNA (cDNA) synthesis and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) were performed as previously described (Fekadu et al., 2021) using specific primer sets (Table 2). Briefly, the amplification of the target genes was repeated for 40 cycles with a program of 2 min at 98°C, 10 s at 95°C, and 30 s at 60°C. The expression levels of 5.8S or U6 were used as internal standards. Small RNA cDNA was synthesized using the Mir-X miRNA First-Strand Synthesis Kit (TaKaRa Bio, Shiga, Japan), and 5.8S rRNA or U6 snRNA was used as an internal standard.

Construction of HBV proteins and BiP expression vectors

Fragments of the HBV genes and BiPs were amplified using KOD One and specific primers (Table 1). pUC1.2HBV/D and HepG2/NTCP cDNA were used as PCR templates. PCR products were incorporated into pCMV-3XFLAG (Mock, provided by Dr. Koji Nakagawa, Health Science University of Hokkaido School of Nursing & Social Services). The vector was constructed as previously described (Sakata et al., 2020). HepG2/NTCP cells were seeded at 5 × 10⁵ cells/well in a six-well plate, and the expression vector was transfected using Lipofectamine 3,000. RNAs and proteins were collected 48 h later.

Treatment of cells with IFN-β1 or ER stress inducer HA15

HepG2/NTCP cells were cultured at a density of 1 × 10⁶ cells/well in six-well plates. Recombinant human IFN-β1 (R&D Systems, Minneapolis, MN) was added at a concentration of 100 U/mL, and the cells were incubated for 6 h, or HA15 (MedChemExpress, Monmouth Junction, NJ), which inhibits the ATPase activity of BiPs (Cerezo et al., 2016), was applied at concentrations of 5 μM and 10 μM for 4 h. The total RNA was extracted. The action of IFN-β1 was confirmed by an increase in the expression of IFN-stimulated gene 15 (ISG15).

Establishment of doxycycline-inducible pri-miR-3145-expressing cell lines

Genomic DNA (gDNA) was purified from HepG2/NTCP cells using a GenElute Mammalian Genomic DNA Miniprep Kit (Sigma-Aldrich) and was applied for PCR amplification for pri-miR-3145 using KOD One and specific primers (Table 1). The PCR product was digested with XhoI and EcoRI and ligated into the pTRIPZ vector (Horizon). The pTRIPZ or the pTRIPZ vector with pri-miR-3145 was inserted, and a translentiviral packaging mix (Horizon) was introduced into HEK293T cells using the TransIT-Lentiviral Transfection Reagent (TaKaRa). HEK293, HepG2/NTCP, and HB611 cells were infected with culture supernatants at an MOI of 10. Cells were cultured in medium containing puromycin and treated with 1 to 10 μg/mL doxycycline (Dox) (TaKaRa) to induce the expression of pri-miR-3145. The Dox-induced expression of 10 nM miRNA was used in the experiments.

Cell proliferation assay

Cells were seeded at 6.25 × 10³ cells/well in a type I collagen coated 96-well plate, and the next day, 1 and 10 10 μg/mL Dox was added. After 48 h, 10 μL of CCK-8 (DOIJNDO, Kumamoto, Japan) was added to 100 μL of culture medium, and the absorbance at 450 nm was measured using a DTX880 (Beckman Coulter, Brea, CA). Cell viability was calculated as 100% of the absorbance of cells treated with medium alone.

miRNA reporter assay

Primers for cloning the HBV genome fragments were designed such that the full-length viral genome could be divided into six parts. The base sequences of the PCR products with some overlaps were cloned. These HBV genome fragments were amplified using KOD One and specific primers (Table 1) using pUC1.2xHBV/D as a template. Amplified PCR products were inserted into XhoI-NotI-digested psiCHECK2 using the In-Fusion Snap Assembly Master Mix (TakaRa). The miR-3145-3p target sites in the HBV genome were confirmed by constructing an additional miRNA reporter. Inverse PCR was performed using the F5 fragment of the HBV genome as a template with KOD One; the specific primers are listed in Table 1.

HEK293 cells expressing Dox-induced pri-miR-3145 were seeded at a density of 1 × 10⁵ cells/well (24 wells). Next, 10 ng of the miRNA reporter vector was introduced using Lipofectamine 2000. After 48 h, a Dual-Glo Luciferase Assay Kit (Promega) and GloMax were used to measure luciferase activity. Renilla luciferase activity was used to normalize the reporter activity.

Prediction of miR-3145 target sites in the HBV genome

To confirm the targeting of miR-3145 by the HBV genome, we used an RNA hybrid¹ based on the principle of miRNA target recognition (Rehmsmeier et al., 2004). Sequences that matched completely with the 5′ seed and partially with the 3′ regions in miR-3145 were selected for the hybridization of the miRNA with potential target viral RNAs. Sequences with a G:U wobble-based pair in their seed sequences were excluded.

Immunoblotting

Protein samples (5 μg) were electrophoresed using 15% SDS-PAGE, then transferred to a PVDF membrane (Merk Millipore, Brea, CA). The PVDF membrane was treated with Block ACE (KAC, Amagasaki, Japan) to prevent non-specific antibody binding. Subsequently, Specific antibodies against HBS (Mono-1, Beacle, Kyoto, Japan), HBX (X36C, Abcam, Cambridge, United Kingdom), core (10E11, Merk Millipore, Brea, CA), ATF6 (W17028A, BioLegend), C/EBP homologous protein (CHOP) (9C8/CHOP; BioLegend, San Diego, CA), BiP (C50B12; Cell Signaling Technology, Danvers, MA), ATF4 (60035-1-Ig, Proteintech, Rosemont, IL) and glyceraldehyde triphosphate dehydrogenase (GAPDH) (EPR16891; Abcam) were incubated with the PVDF membrane. After washing, the membrane was incubated with horseradish peroxidase (HRP)-conjugated anti-rat IgG (Proteintech, Chicago, IL) or HRP-conjugated anti-rabbit IgG (CST) or HRP-conjugated anti-mouse IgG (CST). Specific antibody-antigen reactions were visualized using Immobilon (Merk Millipore) and detected with X-ray film. GAPDH expression levels were used as an internal standard.

Introduction of small interfering RNAs or miRNA inhibitors

Two small interfering RNAs (siRNAs) with different sequences targeting NHSL1 (hs. RiNHSL1.13.2 and hs. RiNHSL1.13.3) or negative control 1 (QIAGEN, Hilden, Germany) were transfected into HB611 cells using Lipofectamine RNAiMAX (Thermo Fisher) according to the reverse-transfection protocol. siRNA was introduced into the cells at a final concentration of 5 nM, and the total RNA was extracted with ISOGEN after 48 h. Similarly, 20 nM miR-3145-3p inhibitor (miRCURY miRNA inhibitor Y104 105715-ACA; QIAGEN) and negative control A (QIAGEN) were introduced into secNL-HBV-infected HepG2/NTCP cells.

Data analysis of NHSL1 expression levels and pathogenetic relevance for patients with HBV-related disease

The mRNA profiles of patient data for HBV-positive acute hepatitis were analyzed using the GSE38941 dataset from the National Center for Biotechnology Information (NCBI) database. HCC patient data were analyzed using Kaplan–Meier Plotter RNA-seq (Lanczky and Gyorffy, 2021).²

Statistical analysis

The Mann–Whitney U test was performed to analyze differences between two independent groups. Data are presented as the mean ± standard deviation. Statistical significance was set at p < 0.05.

Results

Expression of miR-3145 induced by HBV infection suppresses viral replication

After primary hepatocytes were infected with HBV, the expression of pri-miR3145 was upregulated over the course of 1 day (Figure 1A, left). This phenomenon was also observed when a recombinant HBV possessing secNL was infected with HepG2/NTCP cells (Figure 1A, right) (Nishitsuji et al., 2015; Tsurimoto et al., 1987). Several host miRNAs such as miR-122 have been reported to suppress HBV infection (Lamontagne et al., 2015; Liu et al., 2019). However, the expressions of miR-122, miR-199, miR-205, and miR-210 were significantly decreased in secNL-HBV-infected HepG2/NTCP cells compared to those in uninfected cells (Figure 1B). In contrast, secNL-HBV infection increased miR-3145-5p and miR-3145-3p expression 1.4-fold and 2.5-fold, respectively (Figure 1B).

Figure 1

To clarify the role of miR-3145 in HBV infection, HepG2/NTCP cells expressing pri-miR-3145 in a Dox-dependent manner were generated and infected with sec-NL-HBV in the presence of 1 μg/mL Dox. The activity of NL secreted into the culture supernatant was proportional to the number of HBV genomes amplified in the cells (Nishitsuji et al., 2015). Overexpression of pri-miR-3145, with the addition of Dox, suppressed NL production on days 3, 6, 9, and 12 (Figure 1C). Furthermore, HepG2/NTCP cells overexpressing pri-miR-3145 were infected with secNL-HBV, and only cells expressing pri-miR-3145 showed reduced HBS and HBX expressions (Figure 1D, left). Similarly, the overexpression of pri-miR-3145 in HB611 cells continually infected with HBV (Tsurimoto et al., 1987) was linked to the reduced expressions of HBS and HBX (Figure 1D, right). These results indicated that miR-3145, whose expression is upregulated by HBV infection, suppresses HBV replication.

miR-3145-3p binds the HBV genome sequence in the pol region and suppresses HBV replication

The HBV genome sequence, which was 1.2-fold longer because of partial duplication in the HBX and core regions, was split into six fragments (F1–F6). To confirm whether miR-3145 inhibits HBV gene expression by direct binding, each fragment of the HBV gene was inserted downstream of the luciferase gene into the expression plasmid (Figure 2A). These plasmids were transfected into HEK293 cells to induce pri-miR-3145 expression using Dox, and the luciferase expression was measured. Only the region downstream of pol (F5) showed a 24% reduction in luciferase activity upon overexpression of miR-3145 (Figure 2A). This region was examined using RNA-hybrid, a software program that predicts miRNA-mRNA binding, and a sequence that binds to miR-3145-3p was identified (Figure 2B). miR-3145-3p binds to an enhancer I sequence (342–197 bp in F5), which is important for HBV replication (Figure 2B) (Guo et al., 1991). The luciferase activities in cells transfected with the vector lacking the miR-3145-3p binding sequence (F5Δ) or the vector with a mutation in the binding site of the miR-3145-3p seed sequence (F5m) were not reduced by the pri-miR-3145 expression (Figure 2B).

Figure 2

Experiments were performed to confirm that miR-3145-3p inhibited HBV infection. When secNL-HBV-infected HepG2/NTCP cells were treated with the miR-3145-3p inhibitor, NL activity in the culture supernatants increased according to the amount of miR-3145-3p inhibitor (Figure 2C). Furthermore, similar to control miRNA, HBV infection with a mutation in the miR-3145-3p target site (secNL-HBVm) was not inhibited by pri-miR-3145 (Figure 2D). Moreover, NL production on day 9 after viral infection was approximately 50-fold higher in secNL-HBVm-infected cells that did not express pri-mir-3145 than in wild-type virus-infected cells (Figure 2D). In addition, forced expression of miR-3145 precursor did not affect cell proliferation (Supplementary Figure S1). These results suggested that miR-3145-3p targets the pol gene region of the HBV genome and suppresses HBV replication.

ER stress induces miR-3145 expression

We investigated the molecular mechanism by which HBV infection induces the expression of pri-miR-3145. First, we hypothesized that the innate immune response induced by HBV infection induces the expression of pri-miR-3145. Therefore, we treated HepG2/NTCP cells with IFN-β1. The results showed a 43-fold increase in the expression of ISG15, a gene downstream of type I IFN; however, there was no increase in pri-miR-3145 expression (Figure 3A). Viral HBS and HBX proteins are known to activate ER stress (Cho et al., 2011). Overexpression of HBS and HBX in HepG2/NTCP cells increased pri-miR-3145 expression by 1.8-fold and 1.5-fold, respectively (Figure 3B). Next, treatment of HepG2/NTCP cells with 5 and 10 μM of HA15, an inducer of ER stress by specifically targeting BiP (Cerezo et al., 2016), showed a dose-dependent increase in the pri-miR-3145 expression (Figure 3C, left). Furthermore, the expression pattern of pri-miR-3145 correlated with the expression levels of the ER stress markers ATF4, ATF6, and CHOP, which are transcription factors that initiate cell apoptosis (Figures 3B,C, lower; Supplementary Figure S2). However, the expression of pri-miR-3145 was significantly reduced by 31% in the HepG2/NTCP cells transfected with 2.5 μg of plasmid that expresses BiP, a suppressor of ER stress (Cerezo et al., 2016) (Figure 3C, right). The upregulation of BiP by transfection with the BiP-expressing plasmid was confirmed by immunoblotting (Figure 3C, right lower panel). These results indicated that the ER stress response associated with viral infection induces miR-3145 expression.

Figure 3

Expression of the NHSL1 gene that encodes pri-miR-3145 indicates a favorable prognosis for virus-positive HCC

Pri-miR-3145 is encoded by an intron of the NHSL1 gene (Figure 4A, left). The expression levels of pri-miR-3145 and NHSL1 during HBV infection were quantified using RT-qPCR. The results showed that the expressions of pri-miR-3145 and NHSL1 were positively correlated (Figure 4A, right), which is consistent with the fact that NHSL1 and pri-miR-3145 are regulated by a single promoter.

Figure 4

miR-3145-3p targets HBV; however, the role of the NHSL1 gene in viral infection remains unclear. Therefore, HB611 cells persistently infected with HBV were treated with two siRNAs targeting NHSL1. Because mRNAs are spliced in the nucleus and then translocated to the cytoplasm, even a small amount of siRNA can destroy mature mRNA (Bartel, 2009). The expression of NHSL1 was significantly reduced by 60 and 90% with siRNA1 and siRNA2, respectively, compared to controls (Figure 4B). However, when HB611 cells were treated with NHSL1 siRNA1, the expression of both pri-miR-3145 and the pol region of HBV was reduced by only 20% compared with the controls (Figure 4B).

Thus, cells with high NHSL1 expression also highly expressed miR-3145-3p. Because miR-3145 has been identified only recently, clinical data of miR-3145 on the Internet are limited. However, more clinical data of the expression level of NHSL1 are available from HBV patient datasets. Therefore, we examined the HBV-derived acute hepatitis patient data from the NCBI database. We found that NHSL1 mRNA expression was decreased in the hepatocytes of acutely infected patients compared to healthy controls (Figure 4C). Because most HCC patients in Asian populations are infected with HBV (Cancer Genome Atlas Research Network, 2017), we used the Kaplan–Meier plotter (Lanczky and Gyorffy, 2021) to examine the correlation between NHSL1 expression levels and the prognosis of HCC patients in an Asian population. For patients with virus-positive HCC, higher NHSL1 mRNA expressions were associated with a significantly better prognosis, with a hazard ratio (HR) of 0.26 (range, 0.1–0.7; p = 0.0043) (Figure 4D, left). In contrast, for patients with virus-negative HCC, the HR of NHSL1 mRNA expression and the prognosis was 1.6 (range, 0.62–4.1), with no correlation (p = 0.32) (Figure 4D, right). These results strongly suggest that pri-miR-3145 suppresses HBV infection, and that its expression level may be associated with the prognosis for virus-positive HCC patients.

Discussion

When the virus infects cells and excess viral proteins accumulate in the ER, BiPs dissociate from the sensor proteins, which is called ER stress. ER stress induces the phosphorylation of protein kinase R and the downstream expression of CHOP and DNA damage-inducible protein 34, leading to apoptosis of virus-infected cells (He, 2006). For example, dengue virus infection reduces BiP expression and leads to the accumulation of sensor proteins in cells, causing ER stress and reducing viral production (Wati et al., 2009). We showed that the novel miR-3145-3p, whose expression was induced by ER stress, exhibited anti-HBV activity (Figure 5).

Figure 5

Pri-miR-3145 is encoded in the intron region of NHSL1, and its expression level correlated with that of NHSL1 (Figure 4A, right). NHSL1 is a tumor suppressor that negatively regulates lamellipodia stability and, thus, cell migration efficiency (Law et al., 2021). In an Asian population that was predominantly HBV-positive, HCC patients with high NHSL1 expression had better prognoses than those with low NHSL1 expression (Figure 4D, left). In contrast, in the virus-negative population, high NHSL1 expression was not a favorable prognostic factor for HCC (Figure 4D, right panel). These results suggest that miR-3145-3p is a favorable prognostic factor for patients with HBV-positive HCC.

Ninety-seven percent of persistent HBV infections worldwide are caused by HBV genotypes A–E (Velkov et al., 2018). The seed sequence binding site of miR-3145-3p on the HBV gene is highly conserved in genotype C. Additionally, the miR-3145-3p seed sequence-binding site was frequently found in genotype B and in 20% of genotypes D, but infrequently in genotypes A and E (Hayer et al., 2013). Notably, miR-3145-3p suppresses genotype C proliferation. Genotype C is less responsive to treatment with IFN (Wai et al., 2002) and is more likely to be associated with chronic hepatitis and HCC development (Orito et al., 2001; Kobayashi et al., 2002).

Referring to the nucleic acid sequences of HBV gene products (Yuen, 2021), miR-3145-3p has binding sequences in pgRNA, pcRNA, preS1 mRNA, and preS2/S mRNA, but not in HBX mRNA. However, pri-miR-3145 overexpression in HBV-infected cells decreased HBX expression (Figure 1D). The decreased HBX expression was probably caused by the reduced production of viral proteins in the cells as a result of decreased pgRNA synthesis.

Treatment of infected cells or mouse models with siRNA, which reduces HBV pgRNA, decreases both viral RNA expression and replication (Giladi et al., 2003; Uprichard et al., 2005). Therefore, we believe that induction of miR-3145 expression may serve as a treatment for HBV infection. Nucleic acid modifications, such as N-acetylgalactosamine, and nucleic acid transport technologies, such as anionic lipid nanoparticles, have been developed. Therefore, RNA can be delivered to the liver (Cui et al., 2021; Pattipeiluhu et al., 2022). Such new technologies for the modification and transport of nucleic acids increase the potential for the development of anti-HBV drugs using miR-3145-3p or small molecules that bind to its target sequence of miR-3145-3p.

References

• 1

  BartelD. P. (2009). MicroRNAs: target recognition and regulatory functions. Cell136, 215–233. doi: 10.1016/j.cell.2009.01.002

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 2

  Cancer Genome Atlas Research Network (2017). Comprehensive and integrative genomic characterization of hepatocellular carcinoma. Cell169, 1327–1341.e23. doi: 10.1016/j.cell.2017.05.046

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 3

  CerezoM.LehraikiA.MilletA.RouaudF.PlaisantM.JauneE.et al. (2016). Compounds triggering ER stress exert anti-melanoma effects and overcome BRAF inhibitor resistance. Cancer Cell29, 805–819. doi: 10.1016/j.ccell.2016.04.013

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 4

  ChoH. K.CheongK. J.KimH. Y.CheongJ. (2011). Endoplasmic reticulum stress induced by hepatitis B virus X protein enhances cyclo-oxygenase 2 expression via activating transcription factor 4. Biochem. J.435, 431–439. doi: 10.1042/BJ20102071

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 5

  ChoiY. M.LeeS. Y.KimB. J. (2019). Naturally occurring hepatitis B virus mutations leading to endoplasmic reticulum stress and their contribution to the progression of hepatocellular carcinoma. Int. J. Mol. Sci.20:597. doi: 10.3390/ijms20030597

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 6

  ClarkD. N.HuJ. (2015). Hepatitis B virus reverse transcriptase—target of current antiviral therapy and future drug development. Antivir. Res.123, 132–137. doi: 10.1016/j.antiviral.2015.09.011

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 7

  CuiH.ZhuX.LiS.WangP.FangJ. (2021). Liver-targeted delivery of oligonucleotides with N-acetylgalactosamine conjugation. ACS Omega6, 16259–16265. doi: 10.1021/acsomega.1c01755

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 8

  FekaduS.KanehiroY.KartikaA. V.HamadaK.SakuraiN.MizoteT.et al. (2021). Gastric epithelial attachment of Helicobacter pylori induces EphA2 and NMHC-IIA receptors for Epstein-Barr virus. Cancer Sci.112, 4799–4811. doi: 10.1111/cas.15121

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 9

  GiladiH.Ketzinel-GiladM.RivkinL.FeligY.NussbaumO.GalunE. (2003). Small RNA inhibits hepatitis B replication in mice. Mol. Ther.8, 769–776. doi: 10.1016/s1525-0016(03)00244-2

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 10

  GrassoG.HiguchiT.MacV.BarbierJ.HelsmoortelM.LorenziC.et al. (2020). NF90 modulates processing of a subset of human pri-miRNAs. Nucleic Acids Res.48, 6874–6888. doi: 10.1093/nar/gkaa386

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 11

  GuoW. T.BellK. D.OuJ. H. (1991). Characterization of the hepatitis B virus EnhI enhancer and X promoter complex. J. Virol.65, 6686–6692. doi: 10.1128/JVI.65.12.6686-6692.1991

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 12

  Hamada-TsutsumiS.NaitoY.SatoS.TakaokaA.KawashimaK.IsogawaM.et al. (2019). The antiviral effects of human microRNA miR-302c-3p against hepatitis B virus infection. Aliment. Pharmacol. Ther.49, 1060–1070. doi: 10.1111/apt.15197

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 13

  HayerJ.JadeauF.DeléageG.KayA.ZoulimF.CombetC. (2013). HBVdb: a knowledge database for hepatitis B virus. Nucleic Acids Res.41, D566–D570. doi: 10.1093/nar/gks1022

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 14

  HeB. (2006). Viruses, endoplasmic reticulum stress, and interferon responses. Cell Death Differ.13, 393–403. doi: 10.1038/sj.cdd.4401833

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 15

  KhongnomnanK.MakkochJ.PoomipakW.PoovorawanY.PayungpornS. (2015). Human miR-3145 inhibits influenza A viruses replication by targeting and silencing viral PB1 gene. Exp. Biol. Med.240, 1630–1639. doi: 10.1177/1535370215589051

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 16

  KimJ. H.ParkY. K.ParkE. S.KimK. H. (2014). Molecular diagnosis and treatment of drug-resistant hepatitis B virus. World J. Gastroenterol.20, 5708–5720. doi: 10.3748/wjg.v20.i19.5708

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 17

  KobayashiM.AraseY.IkedaK.TsubotaA.SuzukiY.SaitohS.et al. (2002). Clinical characteristics of patients with hepatitis B genotypes A, B, and C. J. Gastroenterol.37, 35–39. doi: 10.1007/s535-002-8130-z

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 18

  LamontagneJ.SteelL. F.BouchardM. J. (2015). Hepatitis B virus and microRNAs: complex interactions affecting hepatitis B virus replication and hepatitis B virus-associated diseases. World J. Gastroenterol.21, 7375–7399. doi: 10.3748/wjg.v21.i24.7375

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 19

  LanczkyA.GyorffyB. (2021). Web-based survival analysis tool tailored for medical research (KMplot): development and implementation. J. Med. Int. Res.23:e27633. doi: 10.2196/27633

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 20

  LawA. L.JalalS.PallettT.MosisF.GuniA.BrayfordS.et al. (2021). Nance–Horan syndrome-like 1 protein negatively regulates scar/WAVE-Arp2/3 activity and inhibits lamellipodia stability and cell migration. Nat. Commun.12:5687. doi: 10.1038/s41467-021-25916-6

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 21

  LiuG.MaX.WangZ.WakaeK.YuanY.HeZ.et al. (2019). Adenosine deaminase acting on RNA-1 (ADAR1) inhibits hepatitis B virus (HBV) replication by increasing microRNA-122 processing. J. Biol. Chem.294, 14043–14054. doi: 10.1074/jbc.RA119.007970

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 22

  MannsM. P.MaasoumyB. (2022). Breakthroughs in hepatitis C research: from discovery to cure. Nat. Rev. Gastroenterol. Hepatol.19, 533–550. doi: 10.1038/s41575-022-00608-8

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 23

  NaitoY.Hamada-TsutsumiS.YamamotoY.KogureA.YoshiokaY.WatashiK.et al. (2018). Screening of microRNAs for a repressor of hepatitis B virus replication. Oncotarget9, 29857–29868. doi: 10.18632/oncotarget.25557

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 24

  NishitsujiH.HaradaK.UjinoS.ZhangJ.KoharaM.SugiyamaM.et al. (2018). Investigating the hepatitis B virus life cycle using engineered reporter hepatitis B viruses. Cancer Sci.109, 241–249. doi: 10.1111/cas.13440

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 25

  NishitsujiH.UjinoS.ShimizuY.HaradaK.ZhangJ.SugiyamaM.et al. (2015). Novel reporter system to monitor early stages of the hepatitis B virus life cycle. Cancer Sci.106, 1616–1624. doi: 10.1111/cas.12799

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 26

  OritoE.MizokamiM.SakugawaH.MichitakaK.IshikawaK.IchidaT.et al. (2001). A case-control study for clinical and molecular biological differences between hepatitis B viruses of genotypes B and C. Japan HBV Genotype Research Group. Hepatology33, 218–223. doi: 10.1053/jhep.2001.20532

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 27

  PattipeiluhuR.Arias-AlpizarG.BashaG.ChanK. Y. T.BussmannJ.SharpT. H.et al. (2022). Anionic lipid nanoparticles preferentially deliver mRNA to the hepatic reticuloendothelial system. Adv. Mater.34:e2201095. doi: 10.1002/adma.202201095

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 28

  RehmsmeierM.SteffenP.HochsmannM.GiegerichR. (2004). Fast and effective prediction of microRNA/target duplexes. RNA10, 1507–1517. doi: 10.1261/rna.5248604

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 29

  SakataK. I.MaedaK.SakuraiN.LiangS.NakazawaS.YanagiharaK.et al. (2020). ADAR2 regulates malignant behaviour of mesothelioma cells independent of RNA-editing activity. Anticancer Res.40, 1307–1314. doi: 10.21873/anticanres.14072

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 30

  SarfarazN.SomarowthuS.BouchardM. J. (2022). The interplay of long noncoding RNAs and hepatitis B virus. J. Med. Virol.95:e28058. doi: 10.1002/jmv.28058

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 31

  SartoriusK.MakarovaJ.SartoriusB.AnP.WinklerC.ChuturgoonA.et al. (2019). The regulatory role of microRNA in hepatitis-B virus-associated hepatocellular carcinoma (HBV-HCC) pathogenesis. Cells8:1504. doi: 10.3390/cells8121504

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 32

  SkowronekM. H.HendershotL. M.HaasI. G. (1998). The variable domain of nonassembled Ig light chains determine both the half-life and binding to the chaperone BiP. Proc. Natl. Acad. Sci. U.S.A.95, 1574–1578. doi: 10.1073/pnas.95.4.1574

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 33

  TangL. S. Y.CovertE.WilsonE.KottililS. (2018). Chronic hepatitis B infection: a review. JAMA319, 1802–1813. doi: 10.1001/jama.2018.3795

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 34

  TsurimotoT.FujiyamaA.MatsubaraK. (1987). Stable expression and replication of hepatitis B virus genome in an integrated state in a human hepatoma cell line transfected with cloned viral DNA. Proc. Natl. Acad. Sci. U.S.A.84, 444–448. doi: 10.1073/pnas.84.2.444

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 35

  UprichardS. L.BoydB.AlthageA.ChisariF. V. (2005). Clearance of hepatitis B virus from the liver of transgenic mice by short hairpin RNAs. Proc. Natl. Acad. Sci. U.S.A.102, 773–778. doi: 10.1073/pnas.0409028102

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 36

  VelkovS.OttJ. J.ProtzerU.MichlerT. (2018). The global hepatitis B virus genotype distribution approximated from available genotyping data. Genes9:495. doi: 10.3390/genes9100495

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 37

  WaiC. T.ChuC. J.HussainM.LokA. S. (2002). HBV genotype B is associated with better response to interferon therapy in HBeAg (+) chronic hepatitis than genotype C. Hepatology36, 1425–1430. doi: 10.1053/jhep.2002.37139

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 38

  WakasugiH.TakahashiH.NiinumaT.KitajimaH.OikawaR.MatsumotoN.et al. (2018). Dysregulation of miRNA in chronic hepatitis B is associated with hepatocellular carcinoma risk after nucleos(t)ide analogue treatment. Cancer Lett.434, 91–100. doi: 10.1016/j.canlet.2018.07.019

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 39

  WatiS.SooM. L.ZilmP.LiP.PatonA. W.BurrellC. J.et al. (2009). Dengue virus infection induces upregulation of GRP78, which acts to chaperone viral antigen production. J. Virol.83, 12871–12880. doi: 10.1128/JVI.01419-09

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 40

  WongV. W.WongG. L.YanK. K.ChimA. M.ChanH. Y.TseC. H.et al. (2010). Durability of peginterferon alfa-2b treatment at 5 years in patients with hepatitis B e antigen-positive chronic hepatitis B. Hepatology51, 1945–1953. doi: 10.1002/hep.23568

  • Pubmed Abstract
  • CrossRef
  • Google Scholar

• 41

  YuenM. F. (2021). Biological gradient of chronic hepatitis B. Nat. Rev. Gastroenterol. Hepatol.18:593. doi: 10.1038/s41575-021-00504-7

  • Pubmed Abstract
  • CrossRef
  • Google Scholar