Hepatitis B virus-encoded X antigen contributes to the development of hepatocellular carcinoma. Given that X antigen functions by binding to other proteins, additional X-binding proteins were sought from an adult human liver cDNA library in a yeast two-hybrid system. The results yielded a clone encoding a 55-kd protein that is associated with replicative senescence (p55 sen ). Binding of p55 sen to X antigen was confirmed in vitro by immunoprecipitation and affinity chromatography. The expression of endogenous p55 sen inversely correlated with cell growth. Transient transfection of X antigen or p55 sen into HepG2 cells stimulated DNA synthesis by twofold to threefold, whereas cotransfection did not, suggesting that these molecules functionally interact. The detection of p55 sen in embryonic mouse liver, its absence in adult mouse and human livers, and its reappearance in livers from carriers with chronic liver disease, suggest that it may play important roles in the regulation of liver cell growth. The similarity between p55 sen and a notch ligand, which is involved in cell fate determinations during embryogenesis, implies that the binding of p55 sen by X antigen may also contribute to an alteration in cell fate, which is characteristic of carcinogenesis. (HEPATOLOGY 1998;27:228-239.)There are more than 300 million carriers of hepatitis B virus (HBV) worldwide who are at high risk for the development of chronic liver diseases, including hepatocellular carcinoma (HCC). 1,2 Although the relative risk for the development of HCC among carriers with liver disease is greater than 100, 3 the molecular mechanism(s) responsible for hepatocellular transformation have not been identified. The frequent finding of HBV DNA integrated into chromosomal DNA 4,5 resulted in an intensive search for cis-acting mechanisms operative in HCC, but the weight of the evidence does not support such mechanisms as being common in HBV-associated tumors. 4,6 The observation that HBV DNA fragments integrated randomly into many host chromosomes 4,6 and that the integrated viral DNA often overexpressed the HBV-encoded X antigen (HBxAg) 7,8 suggested that what the integrated viral sequences encoded was more important than the site of viral DNA integration. HBxAg made from these integrated fragments was subsequently shown to be active in transactivation assays 9-11 and transformed nontumorigenic cell lines, [12][13][14][15] suggesting that persistent high levels of HBxAg expression may shift the patterns of host gene expression relevant to the development of HCC. The finding that HBxAg binds to a variety of transcription factors 16,17 supports the hypothesis that HBxAg trans-activation is relevant to HCC. 18 The binding and inactivation of the tumor suppressor p53 by HBxAg further implicates this virus product in the pathogenesis of HCC. [19][20][21] Given the multistep nature of carcinogenesis and the possibility that the action of HBxAg may contribute to multiple steps, additional HBxAg-binding proteins were sought.
MATERIALS AND METHODSYeast Two...