Recapitulation of HDV infection in a fully permissive hepatoma cell line allows efficient drug evaluation.

Lempp, Florian A; Schlund, Franziska; Rieble, Lisa; Nussbaum, Lea; Link, Corinna; Zhang, Zhenfeng; Ni, Yi; Urban, Stephan · Nat Commun · 2019

basic_science · Level V

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Abstract

Hepatitis delta virus (HDV) depends on the helper function of hepatitis B virus (HBV), which provides the envelope proteins for progeny virus secretion. Current infection-competent cell culture models do not support assembly and secretion of HDV. By stably transducing HepG2 cells with genes encoding the NTCP-receptor and the HBV envelope proteins we produce a cell line (HepNB2.7) that allows continuous secretion of infectious progeny HDV following primary infection. Evaluation of antiviral drugs shows that the entry inhibitor Myrcludex B (IC<sub>50</sub>: 1.4 nM) and interferon-α (IC<sub>50</sub>: 28 IU/ml, but max. 60-80% inhibition) interfere with primary infection. Lonafarnib inhibits virus secretion (IC<sub>50</sub>: 36 nM) but leads to a substantial intracellular accumulation of large hepatitis delta antigen and replicative intermediates, accompanied by the induction of innate immune responses. This work provides a cell line that supports the complete HDV replication cycle and presents a convenient tool for antiviral drug evaluation.

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