Hepatitis B virus X protein enhances androgen receptor-responsive gene expression depending on androgen level

CM Chiu, SH Yeh, PJ Chen, TJ Kuo… - Proceedings of the …, 2007 - National Acad Sciences
CM Chiu, SH Yeh, PJ Chen, TJ Kuo, CJ Chang, PJ Chen, WJ Yang, DS Chen
Proceedings of the National Academy of Sciences, 2007National Acad Sciences
Persistent hepatitis B virus (HBV) infection is a major risk of hepatocellular carcinoma
(HCC). One intriguing feature of HBV-related HCC is the male predominance, with a male to
female ratio of 5–7: 1. This dominance has been attributed to the elevated androgen level
and the enhanced androgen receptor (AR)-mediated activity in the host. How HBV infection
and AR signaling modulate HCC is unknown. We investigated whether the HBV
nonstructural protein, X protein (HBx) could cooperate with the AR signaling pathway to …
Persistent hepatitis B virus (HBV) infection is a major risk of hepatocellular carcinoma (HCC). One intriguing feature of HBV-related HCC is the male predominance, with a male to female ratio of 5–7:1. This dominance has been attributed to the elevated androgen level and the enhanced androgen receptor (AR)-mediated activity in the host. How HBV infection and AR signaling modulate HCC is unknown. We investigated whether the HBV nonstructural protein, X protein (HBx) could cooperate with the AR signaling pathway to enhance carcinogenesis. We found that HBx increased the anchorage-independent colony-formation potency of AR in a nontransformed mouse hepatocyte cell line. We also found that HBx functioned as a positive transcriptional coregulator to increase AR-mediated transcriptional activity. This transcription enhancement was increased in the presence of androgen in a concentration-responsive manner, thus explaining a more prominent effect in males. HBx did not physically associate with ligand-bound AR in the nucleus, and it likely augmented AR activity by increasing the phosphorylation of AR through HBx-mediated activation of the c-Src kinase signaling pathway. Our study documents HBx as a previously undescribed class of noncellular positive coregulators for AR. The results reveal a mechanism for the vulnerability of males to microbial infections and the subsequent development of cancer.
National Acad Sciences