Target intelligence / Profile preview

Hepatitis delta virus genome (HDV genome) (HDV genome)

Target
HDV genome
Molecular classification
Viral genome, Ribozyme, RNA
01

Overview

The Hepatitis Delta Virus (HDV) genome is a small, circular, single-stranded negative-sense RNA molecule of approximately 1.7 kilobases (NIH, 2023). It is a satellite virus that requires the presence of the Hepatitis B Virus (HBV) to provide surface antigens (HBsAg) for its envelope and subsequent virion assembly (PubMed, PMID: 31513964). The HDV genome encodes only one protein, the Hepatitis Delta Antigen (HDAg), and contains highly conserved ribozyme sequences that facilitate self-cleavage during replication (Wikipedia, 2024). Therapeutic strategies targeting the HDV genome include antisense oligonucleotides and siRNAs, such as ARO-HDV, which are designed to degrade viral RNA (Arrowhead Pharmaceuticals, 2023). Additionally, drugs like lonafarnib target the prenylation of HDAg, preventing the interaction between the large HDAg and the HBV-derived envelope, thus disrupting viral assembly (Eiger BioPharmaceuticals, 2023). Because HDV infection often leads to the most severe form of chronic viral hepatitis, targeting its genome and replication cycle is a critical area of drug development to prevent progression to cirrhosis and hepatocellular carcinoma (StatPearls, 2023).

Other names
Hepatitis D virus RNAHDV RNAHDV ribozymeHepatitis delta virus RNA
02

Mechanism of action

Degradation of viral RNA via RNA interference (siRNA), inhibition of viral assembly by blocking farnesyltransferase-mediated prenylation of the large delta antigen, and inhibition of viral entry into hepatocytes by blocking the NTCP receptor (PubMed, PMID: 33434345).

03

Biological functions

Viral replicationRNA processingProtein synthesis template
04

Disease associations

InfectionHepatitis DLiver cirrhosisHepatocellular carcinoma
05

Safety considerations

Gastrointestinal toxicity (nausea, diarrhea)Liver enzyme flaresRisk of viral rebound upon treatment cessationAnemiaWeight loss
06

Interacting drugs

Lonafarnib

4 more in the full profile.

07

Biomarkers

HDV RNA viral loadHepatitis delta antigen (HDAg)Alanine aminotransferase (ALT)Aspartate aminotransferase (AST)

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