RNA interference (RNAi) is the process of sequence-specific gene silencing, initiated by double-stranded RNA (dsRNA) that is homologous in sequence to the target gene. Because it has been shown that RNAi can be accomplished in cultured mammalian cells by introducing small interfering RNAs (siRNAs), much effort has been invested in exploiting this phenomenon for experimental and therapeutic means. In this study, we present a series of experiments showing a significant reduction in hepatitis B virus (HBV) transcripts and proteins in cell culture, as well as in the viral replicative forms, induced by siRNA-producing vectors. The antiviral effect is sequence-specific and does not depend on active viral replication. In conclusion, our data suggest that RNAi may provide a powerful therapeutic tool, acting both on replication-competent and on replication-incompetent HBV. (HEPATOLOGY 2003;37:764-770.) H epatitis B virus (HBV) is a 3.2-kb DNA virus, replicating almost exclusively in the liver. 1 Although effective recombinant vaccines are available, HBV infection is still a major global health problem: Each year, acute and chronic HBV infection causes about 1 million deaths. Among the 350 million people with chronic infection, the risk of dying from HBV-related diseases, such as end-stage cirrhosis and hepatocellular carcinoma (HCC) is between 15% to 25%. 2 Since the early 1990s, chronically infected patients have been treated with recombinant interferons that are effective only in limited cases. 3 Recently, nucleoside analogs, which directly affect viral replication by inhibition of its reverse transcriptase activity, were shown to be highly effective in the clearance of HBV-DNA from serum. However, the recurrence of viremia after cessation of therapy and the development of escape mutants with prolonged treatment remain major obstacles in achieving complete cure. Furthermore, nucleoside analogs, such as 3TC-lamivudine, impede viral replication but do not directly promote its eradication. 3 RNA interference (RNAi) is the process whereby double-stranded RNA (dsRNA) induces the sequence-specific degradation of homologous messenger RNA (mRNA). 4 This process is mediated by 21 to 23 nucleotides, called small interfering RNAs (siRNA), cleaved from dsRNA. Although first discovered in Caenorhabditis elegans, 5 it was soon after shown that RNAi can be induced in various mammalian cells by introducing synthetic 21nt siRNAs 6 to obtain strong and specific suppression (knockdown) of gene expression. Recently, a new vector system called pSUPER (suppression of endogenous RNA), which directs the synthesis of siRNAs and persistently suppresses gene expression in mammalian cells, has been developed. 7 To evaluate the anti-HBV therapeutic potential of RNAi, we designed 2 pSUPER vectors, each targeted against a distinct 19nt sequence in the HBV genome. We have analyzed the levels of viral proteins and transcripts, as well as the viral replicative forms, in the presence of the constructed pSU-PER vectors. We show that RNAi is an effic...