Hepatitis B Core-Related Antigen

A special issue of Viruses (ISSN 1999-4915). This special issue belongs to the section "Human Virology and Viral Diseases".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 2551

Special Issue Editor


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Guest Editor
School of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, No. 66, Gongchang Road, Shenzhen 518107, China
Interests: hepatitis B virus; viral hepatitis; antivirals; capsid protein

Special Issue Information

Dear Colleagues,

Hepatitis B virus (HBV) infection remains a global health problem, with an estimated 257 million people being chronically infected and at high risk of developing severe liver diseases, such as fibrosis, cirrhosis and hepatocellular carcinoma. Current therapies can efficiently suppress virus replication and slow down disease progression, but cannot completely cure HBV infection due to the persistence of covalently closed circular DNA (cccDNA) in the nucleus of infected hepatocytes. Efforts to develop novel antivirals and to identify new biomarkers to monitor the viral activity, especially the level and activity of cccDNA, are needed to benefit the treatment of chronic hepatitis B patients.

The hepatitis B core-related antigen (HBcrAg) is defined as a composite antigen, including HBV core antigen (HBc), e antigen (HBeAg) and the precore-related antigen (PreC, also known as p22cr), which have been reported to be detected in the sera of HBV-infected patients. Of the HBcrAg mixture, the classic HBc serves as the viral structural protein to form HBV capsid and also plays regulatory roles in HBV replication and potentially in pathogenesis. It has thus emerged as a new target of antivirals like core allosteric modulators (CAMs). HBeAg, as the major component of HBcrAg in HBeAg-positive patients, is thought to be dispensable for HBV replication but plays important roles in modulating the host immune response and is clinically used as a marker reflecting the HBV replication level. Recently, HBcrAg has been widely studied in monitoring intrahepatic cccDNA and predicting outcomes of antiviral therapies, and is regarded as a potential biomarker of HBV infection and activity. However, there are still some knowledge gaps and debates in the characteristics, biological functions and detections of HBcrAg, which limits the application of HBcrAg as a serological biomarker.

In this Special Issue, we aim for research and review articles that could contribute to improving our understanding of the characteristics of HBcrAg, the roles and exact mechanisms of HBcrAg or individual components of HBcrAg in HBV replication and in HBV–host immune system interaction and thus pathogenesis. We particularly look forward to studies that focus on the accurate detection and analysis of HBcrAg and/or each HBcrAg component during HBV infection and treatment, and the roles of HBcrAg and/or individual components in monitoring HBV activity, especially intrahepatic cccDNA activity, and in predicting the treatment responses and disease progression of chronic hepatitis B.

Dr. Kuancheng Liu
Guest Editor

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Keywords

  • hepatitis B virus
  • core-related antigen
  • HBcrAg
  • HBc
  • HBeAg
  • PreC
  • biomarker
  • cccDNA activity
  • pathogenesis
  • disease progression

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Published Papers (2 papers)

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Research

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12 pages, 1579 KiB  
Article
Kinetics and Value of Hepatitis B Core-Related Antigen in Patients with Chronic Hepatitis B Virus Infection during Antiviral Treatment
by Lisa Sandmann, Birgit Bremer, Valerie Ohlendorf, Jerzy Jaroszewicz, Heiner Wedemeyer, Markus Cornberg and Benjamin Maasoumy
Viruses 2024, 16(2), 255; https://doi.org/10.3390/v16020255 - 5 Feb 2024
Cited by 1 | Viewed by 1244
Abstract
Background: The hepatitis B core-related antigen (HBcrAg) correlates with HBV DNA in patients with chronic HBV infection without antiviral treatment. Its utility in monitoring patients during and after the cessation of nucleos(t)ide analog (NA) treatment is unknown. Methods: The levels of HBcrAg were [...] Read more.
Background: The hepatitis B core-related antigen (HBcrAg) correlates with HBV DNA in patients with chronic HBV infection without antiviral treatment. Its utility in monitoring patients during and after the cessation of nucleos(t)ide analog (NA) treatment is unknown. Methods: The levels of HBcrAg were longitudinally determined in two cohorts of chronic HBV-infected patients with (A) newly started NA treatment or (B) after NA cessation during a median follow up (FU) of 60 months or 48 weeks, respectively. The correlation of HBcrAg and HBV DNA and the predictive value for HBeAg seroconversion and HBsAg loss were evaluated. Results: Fifty-six patients with newly-started NA treatment and 22 patients with NA cessation were identified. HBcrAg and HBV DNA strongly correlated before NA treatment (r = 0.77, p < 0.0001) and at virological relapse (0.66, p = 0.0063). At the individual level, the discrepant kinetics of HBcrAg and HBV DNA became evident. During NA treatment, 33% (6/18) and 9% (5/56) of patients showed HBeAg seroconversion or HBsAg loss/HBsAg < 100 IU/mL, respectively. Low levels of HBcrAg were associated with these endpoints. Conclusion: HBcrAg levels before antiviral treatment help to identify patients with chances of HBsAg loss or HBeAg seroconversion. However, its utility in replacing quantitative HBV DNA to evaluate treatment efficacy or virological relapse off-treatment is limited. Full article
(This article belongs to the Special Issue Hepatitis B Core-Related Antigen)
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Review

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12 pages, 619 KiB  
Review
Quantitative Measurement of Serum HBcrAg Can Be Used to Assess the Feasibility of Safe Discontinuation of Antiviral Therapy for Chronic Hepatitis B
by Yong-Hong Wang, Hong Tang and En-Qiang Chen
Viruses 2024, 16(4), 529; https://doi.org/10.3390/v16040529 - 29 Mar 2024
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Abstract
Hepatitis B virus (HBV) infection is a serious global health problem, and chronic HBV infection significantly increases the risk of liver fibrosis, cirrhosis, and even hepatocellular carcinoma in patients. Current first-line therapeutics such as nucleos(t)ide analogues and interferons are unable to completely clear [...] Read more.
Hepatitis B virus (HBV) infection is a serious global health problem, and chronic HBV infection significantly increases the risk of liver fibrosis, cirrhosis, and even hepatocellular carcinoma in patients. Current first-line therapeutics such as nucleos(t)ide analogues and interferons are unable to completely clear cccDNA, so the vast majority of patients need to take long-term or even lifelong medication. However, long-term virological and biochemical responses can be achieved in some patients after drug withdrawal. Successfully screening these patients with drug withdrawal advantages is difficult. Hepatitis-B-core-related antigen (HBcrAg) is a new HBV serological marker that which can reflect the level and transcription activity of cccDNA in hepatocytes. Therefore, HBcrAg has potential value in guiding patients in drug withdrawal. This review summarizes previous reports on HBcrAg and evaluates the application value of HBcrAg in safe drug discontinuation. Full article
(This article belongs to the Special Issue Hepatitis B Core-Related Antigen)
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