Evidence map›Paper›PMID 33991110›Full record

ArticleHepatology (Baltimore, Md.)2021

Hypoxia-Inducible Factor 1 Alpha-Mediated RelB/APOBEC3B Down-regulation Allows Hepatitis B Virus Persistence.

Tobias Riedl, Suzanne Faure-Dupuy, Maude Rolland, Svenja Schuehle, Zohier Hizir, Silvia Calderazzo, Xiaodong Zhuang, Jochen Wettengel, Martin Alexander Lopez, Romain Barnault and 15 more

Open access · hybridAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Article
  9. Classification and regulatory interactions of key transcription factors in COVID-19.Frontiers in cellular and infection microbiology · 2025
    Review
  10. HBV-miR-3 and cGAS-STING axis: a new frontier in hepatitis B therapy.Frontiers in cellular and infection microbiology · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 7 institutions in 5 countries.

Tobias Riedl *Division of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-3236-4442
Suzanne Faure-Dupuy *Division of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0001-7898-6795
Maude Rolland *Laboratory of Molecular Immunology and Signal Transduction, GIGA-Institute, University of Liège, Liège, Belgium.ORCID 0000-0002-8858-8915
Svenja SchuehleDivision of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Zohier HizirLaboratory of Molecular Immunology and Signal Transduction, GIGA-Institute, University of Liège, Liège, Belgium.
Silvia CalderazzoDivision of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Xiaodong ZhuangNuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Jochen WettengelInstitute of Virology, Helmholtz Zentrum München, Munich, Germany.
Martin Alexander LopezLaboratory of Molecular Immunology and Signal Transduction, GIGA-Institute, University of Liège, Liège, Belgium.
Romain BarnaultDepartement of Anesthesiology and Intensive Care Medicine, Molecular Intensive Care Medicine, University Hospital Tübingen, Eberhard-Karls-University, Tuebingen, Germany.
Valbona MirakajDepartement of Anesthesiology and Intensive Care Medicine, Molecular Intensive Care Medicine, University Hospital Tübingen, Eberhard-Karls-University, Tuebingen, Germany.
Sandra ProkoschDivision of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Danijela HeideDivision of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Corinna LeuchtenbergerDivision of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Martin SchneiderMass Spectrometry Based Protein Analysis Unit, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Bernd HeßlingMass Spectrometry Based Protein Analysis Unit, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Benjamin StottmeierInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Isabel M WessbecherInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0001-5618-2817
Peter SchirmacherInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Jane A McKeatingNuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Ulrike ProtzerInstitute of Virology, Helmholtz Zentrum München, Munich, Germany.ORCID 0000-0002-9421-1911
David DurantelINSERM, U1052, Cancer Research Center of Lyon (CRCL), University of Lyon (UCBL1), CNRS UMR_5286, Centre Léon Bérard (CLB), Lyon, France.ORCID 0000-0002-9226-3419
Julie LuciforaINSERM, U1052, Cancer Research Center of Lyon (CRCL), University of Lyon (UCBL1), CNRS UMR_5286, Centre Léon Bérard (CLB), Lyon, France.ORCID 0000-0003-0482-7809
Emmanuel Dejardin *Laboratory of Molecular Immunology and Signal Transduction, GIGA-Institute, University of Liège, Liège, Belgium.ORCID 0000-0003-4855-1242
Mathias Heikenwalder *Division of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-3135-2274
German Cancer Research Center · DEUniversity of Liège · BEHeidelberg University · DEChinese Academy of Medical Sciences & Peking Union Medical College · CNHelmholtz Zentrum München · DEUniversité Claude Bernard Lyon 1 · FRUniversity of Tübingen · DE

Funding

Medical Research Council G0400802Medical Research Council G0801976Medical Research Council MR/R022011/1Wellcome TrustWellcome Trust 200838/Z/16/Z
6 · The paper itself

Abstract

BACKGROUND AND

aimsTherapeutic strategies against HBV focus, among others, on the activation of the immune system to enable the infected host to eliminate HBV. Hypoxia-inducible factor 1 alpha (HIF1α) stabilization has been associated with impaired immune responses. HBV pathogenesis triggers chronic hepatitis-related scaring, leading inter alia to modulation of liver oxygenation and transient immune activation, both factors playing a role in HIF1α stabilization. APPROACH AND

resultsWe addressed whether HIF1α interferes with immune-mediated induction of the cytidine deaminase, apolipoprotein B mRNA editing enzyme catalytic subunit 3B (APOBEC3B; A3B), and subsequent covalently closed circular DNA (cccDNA) decay. Liver biopsies of chronic HBV (CHB) patients were analyzed by immunohistochemistry and in situ hybridization. The effect of HIF1α induction/stabilization on differentiated HepaRG or mice ± HBV ± LTβR-agonist (BS1) was assessed in vitro and in vivo. Induction of A3B and subsequent effects were analyzed by RT-qPCR, immunoblotting, chromatin immunoprecipitation, immunocytochemistry, and mass spectrometry. Analyzing CHB highlighted that areas with high HIF1α levels and low A3B expression correlated with high HBcAg, potentially representing a reservoir for HBV survival in immune-active patients. In vitro, HIF1α stabilization strongly impaired A3B expression and anti-HBV effect. Interestingly, HIF1α knockdown was sufficient to rescue the inhibition of A3B up-regulation and -mediated antiviral effects, whereas HIF2α knockdown had no effect. HIF1α stabilization decreased the level of v-rel reticuloendotheliosis viral oncogene homolog B protein, but not its mRNA, which was confirmed in vivo. Noteworthy, this function of HIF1α was independent of its partner, aryl hydrocarbon receptor nuclear translocator.

conclusionsIn conclusion, inhibiting HIF1α expression or stabilization represents an anti-HBV strategy in the context of immune-mediated A3B induction. High HIF1α, mediated by hypoxia or inflammation, offers a reservoir for HBV survival in vivo and should be considered as a restricting factor in the development of immune therapies.

Indexed as

Amino Acids, DicarboxylicAnimalsCell LineCytidine DeaminaseDNA, CircularDown-RegulationGene Knockdown TechniquesHepatitis B, ChronicHepatitis B virusHumansHypoxiaHypoxia-Inducible Factor 1, alpha SubunitLiverLymphotoxin beta ReceptorMiceMicrobial ViabilityAmino Acids, DicarboxylicAPOBEC3B protein, humanCytidine DeaminaseDNA, CircularHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitLymphotoxin beta ReceptorMinor Histocompatibility AntigensoxalylglycineRELB protein, humanRelb protein, mouseRNA, MessengerTranscription Factor RelB

Identifiers

PMID33991110
PMCPMC7611739
OpenAlexW3160332481

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.