Innate Immunity, Inflammation, and Intervention in HBV Infection

Viruses. 2022 Oct 17;14(10):2275. doi: 10.3390/v14102275.

Abstract

Hepatitis B virus (HBV) infection is still one of the most dangerous viral illnesses. HBV infects around 257 million individuals worldwide. Hepatitis B in many individuals ultimately develops hepatocellular carcinoma (HCC), which is the sixth most common cancer and the third leading cause of cancer-related deaths worldwide. The innate immunity acts as the first line of defense against HBV infection through activating antiviral genes. Along with the immune responses, pro-inflammatory cytokines are triggered to enhance the antiviral responses, but this may result in acute or chronic liver inflammation, especially when the clearance of virus is unsuccessful. To a degree, the host innate immune and inflammatory responses dominate the HBV infection and liver pathogenesis. Thus, it is crucial to figure out the signaling pathways involved in the activation of antiviral factors and inflammatory cytokines. Here, we review the interplay between HBV and the signal pathways that mediates innate immune responses and inflammation. In addition, we summarize current therapeutic strategies for HBV infection via modulating innate immunity or inflammation. Characterizing the mechanisms that underlie these HBV-host interplays might provide new approaches for the cure of chronic HBV infection.

Keywords: hepatitis B virus; inflammation; innate immunity; signal pathway; therapeutic strategy.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiviral Agents / therapeutic use
  • Carcinoma, Hepatocellular* / drug therapy
  • Cytokines / metabolism
  • Hepatitis B virus / physiology
  • Hepatitis B*
  • Hepatitis B, Chronic*
  • Humans
  • Immunity, Innate
  • Inflammation / drug therapy
  • Liver Neoplasms* / drug therapy

Substances

  • Cytokines
  • Antiviral Agents

Grants and funding

This work was funded by the National Natural Science Foundation of China (No. 81730061), Guangdong Basic and Applied Basic Research Foundation (No. 2020A1515010369, and 2022A1515012544), Guangzhou Basic Research Program—Basic and Applied Basic Research Project (No. 202102080419), and the Fundamental Research Funds for the Central Universities (No. 21620401).