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Clinical stage drugs targeting inhibitor of apoptosis proteins purge episomal Hepatitis B viral genome in preclinical models

Title: Clinical stage drugs targeting inhibitor of apoptosis proteins purge episomal Hepatitis B viral genome in preclinical models
Authors: Clark, MP; Huynh, T; Rao, S; Mackiewicz, L; Mason, H; Romal, S; Stutz, MD; Ahn, SH; Earnest, L; Sozzi, V; Littlejohn, M; Tran, BM; Wiedemann, N; Vincan, E; Torresi, J; Netter, HJ; Mahmoudi, T; Revill, P; Pellegrini, M; Ebert, G
Publisher Information: SPRINGERNATURE
Publication Year: 2021
Collection: The University of Melbourne: Digital Repository
Description: A major unmet clinical need is a therapeutic capable of removing hepatitis B virus (HBV) genome from the liver of infected individuals to reduce their risk of developing liver cancer. A strategy to deliver such a therapy could utilize the ability to target and promote apoptosis of infected hepatocytes. Presently there is no clinically relevant strategy that has been shown to effectively remove persistent episomal covalently closed circular HBV DNA (cccDNA) from the nucleus of hepatocytes. We used linearized single genome length HBV DNA of various genotypes to establish a cccDNA-like reservoir in immunocompetent mice and showed that clinical-stage orally administered drugs that antagonize the function of cellular inhibitor of apoptosis proteins can eliminate HBV replication and episomal HBV genome in the liver. Primary human liver organoid models were used to confirm the clinical relevance of these results. This study underscores a clinically tenable strategy for the potential elimination of chronic HBV reservoirs in patients.
Document Type: article in journal/newspaper
Language: English
ISSN: 2041-4889
Relation: NHMRC/1145977; https://hdl.handle.net/11343/281180
Availability: https://hdl.handle.net/11343/281180
Rights: https://creativecommons.org/licenses/by/4.0 ; CC BY
Accession Number: edsbas.2FB7CBD2
Database: BASE