Chronic hepatitis B virus (HBV) infection afflicts millions worldwide with cirrhosis and liver cancer. HBV e-antigen (HBeAg), a clinical marker for disease severity, is a nonparticulate variant of the protein (core antigen, HBcAg) that forms the building-blocks of capsids. HBeAg is not required for virion production, but is implicated in establishing immune tolerance and chronic infection. Here, we report the crystal structure of HBeAg, which clarifies how the short N-terminal propeptide of HBeAg induces a radically altered mode of dimerization relative to HBcAg (∼140° rotation), locked into place through formation of intramolecular disulfide bridges. This structural switch precludes capsid assembly and engenders a distinct antigenic repertoire, explaining why the two antigens are cross-reactive at the T cell level (through sequence identity) but not at the B cell level (through conformation). The structure offers insight into how HBeAg may establish immune tolerance for HBcAg while evading its robust immunogenicity.

译文

慢性乙型肝炎病毒 (HBV) 感染困扰全球数百万肝硬化和肝癌。HBV e抗原 (HBeAg),疾病严重程度的临床标志物,是形成衣壳的基础结构的蛋白质 (核心抗原,HBcAg) 的非颗粒变体。HBeAg不需要用于病毒粒子的产生,但与建立免疫耐受和慢性感染有关。在这里,我们报告了HBeAg的晶体结构,该结构阐明了HBeAg的短N端前肽如何诱导相对于HBcAg的二聚化模式发生根本改变 (〜140 ° 旋转),并通过形成分子内二硫键锁定到位。这种结构转换阻止了衣壳的组装并产生了独特的抗原库,解释了为什么这两种抗原在T细胞水平 (通过序列同一性) 而不是在b细胞水平 (通过构象) 交叉反应。该结构提供了深入了解HBeAg如何在逃避其强大的免疫原性的同时建立对HBcAg的免疫耐受性。

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