Abstract
Infants born to hepatitis B virus carrier mothers, who express a secreted form of the nucleocapsid antigen designated HBeAg, invariably become persistently infected. To investigate the role of immunologic tolerance mechanisms in chronic infection of the newborn, we have generated HBeAg-expressing transgenic mice. HBeAg-expressing transgenic mice were tolerant to both HBeAg and the nonsecreted nucleocapsid (hepatitis B cor antigen/HBcAg) at the T-cell level. Transgenic mice did not produce antibody to HBeAg but did produce anti-HBc antibody in vivo and in vitro. The coexistence of tolerance to HBc/HBe T-cell determinants and anti-HBc antibody production in vivo parallels the immunologic status of neonates born to carrier mothers. It was also demonstrated that the maintenance of T-cell tolerance to HBcAg/HBeAg required the continued presence of the tolerogen and in its absence persisted for less than 16 weeks. The reversibility of T-cell tolerance to HBcAg/HBeAg may explain the inverse correlation between age of infection and rates of viral persistence. These observations suggest that a function of the HBeAg may be to induce immunologic tolerance in utero. Expression of HBeAg may represent a viral strategy to guarantee persistence after perinatal infection.
Full text
PDF![6599](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59e6/54584/1500fe9e1a40/pnas01042-0132.png)
![6600](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59e6/54584/3b4081e8b47a/pnas01042-0133.png)
![6601](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59e6/54584/a9a718ca54c9/pnas01042-0134.png)
![6602](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59e6/54584/a006686a373c/pnas01042-0135.png)
![6603](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59e6/54584/0caee97f99b3/pnas01042-0136.png)
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aldershvile J., Frösner G. G., Nielsen J. O., Hardt F., Deinhardt F., Skinhøj P. Hepatitis B e antigen and antibody measured by radioimmunoassay in acute hepatitis B surface antigen-positive hepatitis. J Infect Dis. 1980 Mar;141(3):293–298. doi: 10.1093/infdis/141.3.293. [DOI] [PubMed] [Google Scholar]
- Arakawa K., Tsuda F., Takahashi K., Ise I., Naito S., Kosugi E., Miyakawa Y., Mayumi M. Maternofetal transmission of IgG-bound hepatitis B e antigen. Pediatr Res. 1982 Mar;16(3):247–250. doi: 10.1203/00006450-198203000-00017. [DOI] [PubMed] [Google Scholar]
- Beasley R. P., Hwang L. Y. Postnatal infectivity of hepatitis B surface antigen-carrier mothers. J Infect Dis. 1983 Feb;147(2):185–190. doi: 10.1093/infdis/147.2.185. [DOI] [PubMed] [Google Scholar]
- Beasley R. P., Trepo C., Stevens C. E., Szmuness W. The e antigen and vertical transmission of hepatitis B surface antigen. Am J Epidemiol. 1977 Feb;105(2):94–98. doi: 10.1093/oxfordjournals.aje.a112370. [DOI] [PubMed] [Google Scholar]
- Biswas S. C., Gupta I., Ganguly N. K., Chawla Y., Dilawari J. B. Prevalence of hepatitis B surface antigen in pregnant mothers and its perinatal transmission. Trans R Soc Trop Med Hyg. 1989 Sep-Oct;83(5):698–700. doi: 10.1016/0035-9203(89)90401-x. [DOI] [PubMed] [Google Scholar]
- Chang C., Enders G., Sprengel R., Peters N., Varmus H. E., Ganem D. Expression of the precore region of an avian hepatitis B virus is not required for viral replication. J Virol. 1987 Oct;61(10):3322–3325. doi: 10.1128/jvi.61.10.3322-3325.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goudeau A., Yvonnet B., Lesage G., Barin F., Denis F., Coursaget P., Chiron J. P., Diop Mar I. Lack of anti-HBc IgM in neonates with HBsAg carrier mothers argues against transplacental transmission of hepatitis B virus infection. Lancet. 1983 Nov 12;2(8359):1103–1104. doi: 10.1016/s0140-6736(83)90625-6. [DOI] [PubMed] [Google Scholar]
- Hamer D. H. Metallothionein. Annu Rev Biochem. 1986;55:913–951. doi: 10.1146/annurev.bi.55.070186.004405. [DOI] [PubMed] [Google Scholar]
- Lee S. D., Lo K. J., Tsai Y. T., Wu J. C. Maternal hepatitis B virus DNA in mother-infant transmission. Lancet. 1989 Apr 1;1(8640):719–719. doi: 10.1016/s0140-6736(89)92227-7. [DOI] [PubMed] [Google Scholar]
- Lee S. D., Lo K. J., Wu J. C., Tsai Y. T., Wang J. Y., Ting L. P., Tong M. J. Prevention of maternal-infant hepatitis B virus transmission by immunization: the role of serum hepatitis B virus DNA. Hepatology. 1986 May-Jun;6(3):369–373. doi: 10.1002/hep.1840060306. [DOI] [PubMed] [Google Scholar]
- Li L., Sheng M. H., Tong S. P., Chen H. Z., Wen Y. M. Transplacental transmission of hepatitis B virus. Lancet. 1986 Oct 11;2(8511):872–872. doi: 10.1016/s0140-6736(86)92916-8. [DOI] [PubMed] [Google Scholar]
- McLachlan A., Milich D. R., Raney A. K., Riggs M. G., Hughes J. L., Sorge J., Chisari F. V. Expression of hepatitis B virus surface and core antigens: influences of pre-S and precore sequences. J Virol. 1987 Mar;61(3):683–692. doi: 10.1128/jvi.61.3.683-692.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Milich D. R., Jones J. E., McLachlan A., Houghten R., Thornton G. B., Hughes J. L. Distinction between immunogenicity and tolerogenicity among HBcAg T cell determinants. Influence of peptide-MHC interaction. J Immunol. 1989 Nov 15;143(10):3148–3156. [PubMed] [Google Scholar]
- Milich D. R., McLachlan A., Moriarty A., Thornton G. B. Immune response to hepatitis B virus core antigen (HBcAg): localization of T cell recognition sites within HBcAg/HBeAg. J Immunol. 1987 Aug 15;139(4):1223–1231. [PubMed] [Google Scholar]
- Milich D. R., McLachlan A., Stahl S., Wingfield P., Thornton G. B., Hughes J. L., Jones J. E. Comparative immunogenicity of hepatitis B virus core and E antigens. J Immunol. 1988 Nov 15;141(10):3617–3624. [PubMed] [Google Scholar]
- Milich D. R., McLachlan A. The nucleocapsid of hepatitis B virus is both a T-cell-independent and a T-cell-dependent antigen. Science. 1986 Dec 12;234(4782):1398–1401. doi: 10.1126/science.3491425. [DOI] [PubMed] [Google Scholar]
- Milich D. R., McLachlan A., Thornton G. B., Hughes J. L. Antibody production to the nucleocapsid and envelope of the hepatitis B virus primed by a single synthetic T cell site. Nature. 1987 Oct 8;329(6139):547–549. doi: 10.1038/329547a0. [DOI] [PubMed] [Google Scholar]
- Mondelli M., Vergani G. M., Alberti A., Vergani D., Portmann B., Eddleston A. L., Williams R. Specificity of T lymphocyte cytotoxicity to autologous hepatocytes in chronic hepatitis B virus infection: evidence that T cells are directed against HBV core antigen expressed on hepatocytes. J Immunol. 1982 Dec;129(6):2773–2778. [PubMed] [Google Scholar]
- Ohto H., Lin H. H., Kawana T., Etoh T., Tohyama H. Intrauterine transmission of hepatitis B virus is closely related to placental leakage. J Med Virol. 1987 Jan;21(1):1–6. doi: 10.1002/jmv.1890210102. [DOI] [PubMed] [Google Scholar]
- Ou J. H., Laub O., Rutter W. J. Hepatitis B virus gene function: the precore region targets the core antigen to cellular membranes and causes the secretion of the e antigen. Proc Natl Acad Sci U S A. 1986 Mar;83(6):1578–1582. doi: 10.1073/pnas.83.6.1578. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pignatelli M., Waters J., Lever A., Iwarson S., Gerety R., Thomas H. C. Cytotoxic T-cell responses to the nucleocapsid proteins of HBV in chronic hepatitis. Evidence that antibody modulation may cause protracted infection. J Hepatol. 1987 Feb;4(1):15–21. doi: 10.1016/s0168-8278(87)80004-1. [DOI] [PubMed] [Google Scholar]
- Poovorawan Y., Sanpavat S., Pongpunlert W., Chumdermpadetsuk S., Sentrakul P., Safary A. Protective efficacy of a recombinant DNA hepatitis B vaccine in neonates of HBe antigen-positive mothers. JAMA. 1989 Jun 9;261(22):3278–3281. [PubMed] [Google Scholar]
- Roossinck M. J., Jameel S., Loukin S. H., Siddiqui A. Expression of hepatitis B viral core region in mammalian cells. Mol Cell Biol. 1986 May;6(5):1393–1400. doi: 10.1128/mcb.6.5.1393. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schlicht H. J., Salfeld J., Schaller H. The duck hepatitis B virus pre-C region encodes a signal sequence which is essential for synthesis and secretion of processed core proteins but not for virus formation. J Virol. 1987 Dec;61(12):3701–3709. doi: 10.1128/jvi.61.12.3701-3709.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stahl S., MacKay P., Magazin M., Bruce S. A., Murray K. Hepatitis B virus core antigen: synthesis in Escherichia coli and application in diagnosis. Proc Natl Acad Sci U S A. 1982 Mar;79(5):1606–1610. doi: 10.1073/pnas.79.5.1606. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Standring D. N., Ou J. H., Masiarz F. R., Rutter W. J. A signal peptide encoded within the precore region of hepatitis B virus directs the secretion of a heterogeneous population of e antigens in Xenopus oocytes. Proc Natl Acad Sci U S A. 1988 Nov;85(22):8405–8409. doi: 10.1073/pnas.85.22.8405. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stevens C. E., Beasley R. P., Tsui J., Lee W. C. Vertical transmission of hepatitis B antigen in Taiwan. N Engl J Med. 1975 Apr 10;292(15):771–774. doi: 10.1056/NEJM197504102921503. [DOI] [PubMed] [Google Scholar]
- Takahashi K., Machida A., Funatsu G., Nomura M., Usuda S., Aoyagi S., Tachibana K., Miyamoto H., Imai M., Nakamura T. Immunochemical structure of hepatitis B e antigen in the serum. J Immunol. 1983 Jun;130(6):2903–2907. [PubMed] [Google Scholar]
- Thomas H. C., Jacyna M., Waters J., Main J. Virus-host interaction in chronic hepatitis B virus infection. Semin Liver Dis. 1988 Nov;8(4):342–349. doi: 10.1055/s-2008-1040555. [DOI] [PubMed] [Google Scholar]