Target intelligence / Profile preview

Hepatitis B virus ribonucleic acid (HBV RNA)

Target
HBV RNA
Molecular classification
Viral RNA, Nucleic acid
01

Overview

Hepatitis B virus (HBV) RNAs are essential components of the HBV life cycle, consisting of several co-terminal transcripts produced from the viral covalently closed circular DNA (cccDNA) (Gish et al., 2023). These include the pregenomic RNA (pgRNA), which serves as the template for reverse transcription of the viral DNA genome, and various subgenomic RNAs that encode viral proteins such as the surface antigen (HBsAg) and polymerase (Testoni et al., 2020). By targeting these RNA molecules, therapeutic agents like antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs) can silence the expression of all HBV proteins and block viral replication (Wooddell et al., 2020). This strategy is a cornerstone of efforts to achieve a functional cure for chronic hepatitis B, characterized by sustained HBsAg loss (Yuen et al., 2022). Reducing the viral protein burden is hypothesized to relieve the exhaustion of the host immune system, potentially allowing for the re-establishment of an effective anti-viral immune response (Fanning et al., 2019).

Other names
HBV transcriptsPregenomic RNApgRNASubgenomic RNAHBV mRNA
02

Mechanism of action

Degradation of viral RNA transcripts via RNA interference (siRNA) or antisense oligonucleotides (ASO) to inhibit viral protein synthesis and replication (Wooddell et al., 2020; Yuen et al., 2022).

03

Biological functions

Viral replicationProtein translationReverse transcription templateViral assembly
04

Disease associations

Chronic Hepatitis BHepatocellular carcinomaLiver cirrhosisInfection
05

Safety considerations

Liver enzyme elevations (ALT flares)Off-target hybridizationInjection site reactionsPotential for long-term immune-mediated liver injury
06

Interacting drugs

Bepirovirsen

5 more in the full profile.

07

Biomarkers

Serum HBV RNAHepatitis B surface antigen (HBsAg) levelsHepatitis B e-antigen (HBeAg) statusALT levels

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