Trends in Immunology
Volume 24, Issue 3, March 2003, Pages 144-147
Journal home page for Trends in Immunology

Viral apoptotic mimicry: an immune evasion strategy developed by the hepatitis B virus?

https://doi.org/10.1016/S1471-4906(03)00026-7Get rights and content

Abstract

The co-existence of viruses and organisms for millions of years has influenced the evolution of both. Various viral strategies to enter a host and take over the control of cells to produce virus progeny have developed. Several antiviral (immune) responses have also been developed. The apoptotic death program is a conserved feature of eukaryotic cells. In multicellular organisms the binding and engulfment of apoptotic material is considered to be the end stage of the apoptotic process. Because of its importance, it seems probable that viruses have targeted this ancient removal system to suppress immune responses and to establish or maintain infection. The possibility that the hepatitis B virus has evolved such a mechanism, termed ‘viral apoptotic-like mimicry’, is presented here.

Section snippets

HBsAg has anti-inflammatory potential similar to APCEs

HBV is a non-cytopathogenic virus, which might explain why HBV infections often remain unnoticed. However, several studies have suggested a general modulation of antigen-presenting cells [APCs; monocytes, macrophages and dendritic cells (DCs)] in chronically infected patients. An altered balance of Th1 and Th2 responses [5] and defects in the antigen-presenting activity of DCs have been observed [6]. In comparison to peripheral-blood mononuclear cells (PBMCs) from healthy subjects, PBMCs from

HBsAg interacts with molecules that bind APCEs

Several cell membrane-bound receptors have been identified that recognize APCEs: the asialoglycoprotein receptor, class A and B scavenger receptors (SR-A and SR-BI), CD36, macrosialin or oxidized low-density lipoprotein (oxLDL) receptor (CD68), lectin-like oxLDL receptor-1 (LOX-1), ATP-binding cassette transporter 1 (ABC1), αvβ3 and αvβ5 vitronectin receptor, MER tyrosine kinase receptor [a member of the TAM (Tyro–Axl–Mer tyrosine kinase) receptor family, expressed on monocytes and tissues of

Are circulating complement–HBsAg complexes preventing adaptive immunity towards the viral envelope proteins?

A recent paper described the unexpected importance of complement and complement receptors (CR3 and CR4) in the uptake of circulating APCEs by splenic marginal zone DCs. Following the phagocytosis of complement-opsonized APCEs, decreased levels of proinflammatory cytokine secretion, without an effect on TGF-β secretion, was observed. This cytokine switch is thought to diminish antigen-driven T-cell stimulation by DCs that ingested APCEs and this might lead to immune unresponsiveness (peripheral

Concluding remarks

The evidence for the hypothesis of ‘viral apoptotic mimicry’ gathered here mainly comes from (older) studies that did not focus on viral evasion of immunity by the HBV. It is now hoped that this hypothesis results in renewed interest on the possible role of HBsAg in immune evasion. Of major importance is to determine the PL content of HBsAg, when freshly secreted by hepatocytes, and to determine if this content changes during circulation. If changes in PL content or oxidation of PLs occur, the

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