Target intelligence / Profile preview

Hepatitis B virus X region RNA transcripts (HBV X RNA) (HBV X RNA)

Target
HBV X RNA
Molecular classification
Viral RNA, Messenger RNA
01

Overview

The Hepatitis B virus (HBV) X region RNA transcripts are essential components of the viral life cycle, encoding the 17-kDa HBx protein. This protein acts as a potent transactivator that modulates host cell signal transduction, interferes with DNA repair, and is crucial for the maintenance of viral replication from the covalently closed circular DNA (cccDNA) reservoir (Source: PubMed, PMID: 26011025). Because the HBV genome is organized into overlapping open reading frames, the X region sequence is present in all major viral transcripts, including the pregenomic RNA (pgRNA) and subgenomic RNAs (Source: PubMed, PMID: 33164246). Consequently, targeting the X region RNA with sequence-specific therapeutics like small interfering RNAs (siRNAs) or antisense oligonucleotides (ASOs) can effectively silence multiple viral genes simultaneously. This strategy aims to reduce the burden of viral antigens, such as HBsAg, to restore the host's immune response and achieve a functional cure for chronic hepatitis B (Source: GSK, Bepirovirsen clinical data). These RNA-targeted agents trigger the degradation of the transcripts via the RNA-induced silencing complex (RISC) or RNase H-mediated cleavage, preventing the translation of viral proteins (Source: PubMed, PMID: 35839415).

Other names
HBx mRNAHepatitis B virus X gene transcriptsHBV X-gene mRNAHBV X-ORF RNAHepatitis B virus X protein mRNA
02

Mechanism of action

RNA interference (RNAi) or antisense-mediated degradation of viral mRNA to inhibit the translation of the HBx protein and other overlapping viral products (Source: PubMed, PMID: 33164246).

03

Biological functions

Viral replicationViral gene expressionTransactivation of host genesModulation of host cell signalingRegulation of apoptosis
04

Disease associations

Chronic Hepatitis BHepatocellular carcinomaLiver cirrhosisInfection
05

Safety considerations

Alanine aminotransferase (ALT) flaresOff-target RNAi effectsInjection site reactionsPotential for liver toxicity
06

Interacting drugs

Bepirovirsen

4 more in the full profile.

07

Biomarkers

Hepatitis B surface antigen (HBsAg)HBV DNAHepatitis B core-related antigen (HBcrAg)Serum HBV RNA

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