Target intelligence / Profile preview

Hepatitis B virus X protein messenger RNA (HBx mRNA)

Target
HBx mRNA
Molecular classification
Other
01

Overview

Hepatitis B virus X protein (HBx) messenger RNA is the transcript responsible for producing the HBx protein, a vital regulatory component of the Hepatitis B virus (HBV) (Source: PubMed, PMID: 27050362). The resulting HBx protein acts as a transactivator that is required to initiate and maintain transcription from the viral cccDNA reservoir (Source: NIH, PMC4821133). Beyond viral replication, HBx modulates host cell signaling pathways, including those involved in the cell cycle, apoptosis, and DNA repair (Source: Wikipedia, Hepatitis B virus X protein). These interactions contribute significantly to the development of chronic liver disease, cirrhosis, and hepatocellular carcinoma (Source: PubMed, PMID: 26011012). HBx mRNA is a primary target for novel RNA-targeted therapies, such as small interfering RNAs (siRNAs) and antisense oligonucleotides (ASOs) (Source: Journal of Hepatology, DOI: 10.1016/j.jhep.2020.11.030). These drugs are designed to bind to the mRNA sequence, leading to its degradation or blocking its translation into protein (Source: Clinical Infectious Diseases, DOI: 10.1093/cid/ciaa1183). By reducing HBx levels, these treatments aim to silence viral activity and lower the production of other viral antigens like HBsAg (Source: Hepatology, DOI: 10.1002/hep.31234). This approach is currently being evaluated in clinical trials as a cornerstone for achieving a functional cure for chronic hepatitis B (Source: Lancet Gastroenterology & Hepatology, DOI: 10.1016/S2468-1253(21)00112-2).

Other names
HBV X mRNAHepatitis B virus X gene transcriptHBx transcriptHBV X-protein mRNA
02

Mechanism of action

RNA interference (RNAi) or antisense oligonucleotide (ASO) mediated degradation of viral mRNA transcripts to inhibit protein synthesis and viral replication.

03

Biological functions

Signal transductionCell cycleApoptosisCell proliferationOther
04

Disease associations

InfectionCancerInflammationOther
05

Safety considerations

Liver enzyme elevations (ALT flares)Off-target RNA interferenceInjection site reactionsPotential for viral rebound after treatment cessationImmune-mediated hepatotoxicity
06

Interacting drugs

JNJ-3989 (ARO-HBV)

4 more in the full profile.

07

Biomarkers

Hepatitis B surface antigen (HBsAg) levelsHBV DNA levelsHepatitis B core-related antigen (HBcrAg)Alanine aminotransferase (ALT)

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