Target intelligence / Profile preview

Hepatitis B virus core antigen, surface antigen, and polymerase (HBcAg/HBsAg/Pol)

Target
HBcAg/HBsAg/Pol
Molecular classification
Enzyme, Structural protein
01

Overview

This target entry represents a composite of three essential proteins of the Hepatitis B virus (HBV): the core antigen (HBcAg), the surface antigen (HBsAg), and the viral polymerase [1, 3]. The HBV polymerase is a multifunctional enzyme with reverse transcriptase activity, responsible for replicating the viral genome and is the primary target of current nucleos(t)ide analog therapies like entecavir and tenofovir [3]. The core antigen forms the viral nucleocapsid, which is critical for genome packaging and is targeted by emerging capsid assembly modulators (CAMs) [1, 5]. The surface antigen constitutes the viral envelope, mediates hepatocyte entry via the NTCP receptor, and serves as a key biomarker for infection and a target for RNA interference and entry inhibitor therapies [1, 7]. Together, these proteins are central to the HBV life cycle and are the focus of multi-pronged therapeutic strategies aimed at achieving a functional cure for chronic hepatitis B [1, 6]. Drugs targeting the polymerase effectively suppress viral replication but rarely eliminate the virus, necessitating the development of agents targeting the core and surface antigens [1, 2]. These proteins also play significant roles in modulating the host immune response and contributing to the persistence of chronic infection [4, 7]. Monitoring these antigens and viral DNA levels is essential for managing disease progression and evaluating treatment efficacy [1, 2].

Other names
HBV proteinsHBV core, surface, and polymerase proteinsHepatitis B virus antigens and polymerase
02

Mechanism of action

Inhibition of viral DNA polymerase/reverse transcriptase, modulation of capsid assembly, inhibition of viral entry, and silencing of viral RNA transcripts.

03

Biological functions

Viral replicationViral assemblyViral entryImmune evasion
04

Disease associations

InfectionCancerInflammation
05

Safety considerations

ALT flaresRenal toxicityBone mineral density lossDrug resistanceOff-target effects of RNA-based therapies
06

Interacting drugs

Entecavir

10 more in the full profile.

07

Biomarkers

HBsAgHBcrAgHBV DNAHBV RNAALT

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