Viral infections pose a constant threat to human societies by causing substantial morbidity and mortality worldwide. Over 500 million people worldwide, are still persistently infected with hepatitis B virus (HBV), hepatitis delta virus (HDV), and/or HCV. In fact, these viruses constitute many challenges to the medical community worldwide for several reasons. First, they specifically infect the liver, a vital detoxifying organ whose damage can have important consequences on patients’ lives. Second, no satisfactory treatment options are always available against these viruses. Third, the outcome of HBV, HCV or HBV/HDV persistent infections often manifests in a sequential progression from chronic liver disease, to fibrosis, then cirrhosis, culminating in hepatocellular carcinoma (HCC). Finally, the challenges these viruses pose are largely due to our inability to target them due to our lack of knowledge on fundamental aspects of their lifecycles. HIPSHOT aimed in gaining insights into the mechanisms by which HBV and HDV viral genomes exploit their host environment to promote their replication and persistence. By doing so, HIPSHOT not only revealed unforeseen biological knowledge, but also yielded new targets for host-directed antiviral therapies to combat infection and chronic inflammation.
The overall objective of this project was to discover and understand how HBV and HDV are able to infect and replicate in human hepatocytes through interactions with cellular host factors.The objective was reached through the following specific aims:
1. Comprehensive identification of proteins associated with the HBV and HDV genomes.
2. Uncovering pro- or anti-viral factors through genetics screens and dissecting their roles in viral replication.
In conclusion, through proteomics and genetic approaches, I was able to identify a list of genes associated with HBV and HDV infections. These genes encode hepatic host factors important during the course of viral replication, playing either pro-viral or antiviral roles. The identified host factors would help answering unresolved questions concerning HBV and HDV lifecycles (e.g. cccDNA formation, HDV sensing). Most importantly the identified factors constitute ideal drug targets, suitable for the development of novel antiviral therapies against these viruses.