Abstract. The immune system serves an important function in Hepatitis B virus (HBV) infection, and the complement system is a major component of innate immunity. However, the regulatory effect of HBV on complement proteins has not yet been fully elucidated. The present study focused on investigating the impact of HBV on the expression of complement proteins C3 and C4. A total of 226 patients with a clinical diagnosis of HBV infection were enrolled in the study, including 153 with chronic hepatitis B (CHB) and 73 with hepatocellular carcinoma (HCC), whereas 116 healthy individuals were included as a control group. Immunoturbidimetric detection was performed to determine the levels of complement C3 and C4 in the serum of the patients with HBV and the control group. The results revealed that the mean ± standard deviation C3 and C4 content was 1.223±0.237 and 0.226±0.052 g/l for the control group, 0.687±0.150 and 0.145±0.070 g/l for the patients with CHB, and 0.829±0.332 and 0.174±0.088 g/l for the patients with HCC, respectively. The levels of complement C3 and C4 in the patients with CHB or HCC were significantly lower than the control group (P<0.05). The HBV infectious clone pHBV1.3 was used to transfect Huh7 cells; Huh7 cells transfected with the pBlue-ks empty vector were used as the blank control. The changes in mRNA and protein expression of complements C3 and C4 were detected by RT-PCR and western blotting. When compared with the control cells, the Huh7 cells transfected with pHBV1.3 exhibited reduced C3 and C4 mRNA and protein expression levels. It was concluded that HBV can inhibit the expression of complement C3 and C4 in vitro and in vivo, which may lay the foundation for revealing the pathogenesis of HBV.
IntroductionHepatitis B virus (HBV) is a DNA virus belonging to the Hepadnaviridae family with an enveloped nucleocapsid containing a partially double-stranded relaxed circular DNA of ~3.2 kb in length with four partially overlapping open-reading frames (S/PreS, C/PreC, P and X) that encode for the viral proteins (1). HBV infection can cause acute and chronic infection, which may ultimately lead to cirrhosis and hepatocellular carcinoma (HCC) (2-4). Worldwide, more than two billion people are infected with HBV, of which 350 million are chronic HBV carriers. Chronic HBV infection is a major risk factor for liver disease, including liver cancer. The total number of people dying from liver fibrosis and HCC caused by HBV each year has reached one million (5,6).The mechanisms involved in the progression and development of HBV-related HCC are not fully understood. Currently, the pathogenicity of HBV is not considered to be attributable to the direct killing of liver cells; instead, it is attributed to the immune dysfunction that occurs subsequent to HBV infection (7). The complement system consists of a group of globulins with enzymatic activity and no heat tolerance; the most important components of the complement system are C3 and C4. As part of the body's innate immune system, these components are involve...