During chronic infection by hepatitis B virus, the viral genome freque
ntly integrates into the host chromosome, causing gross disruption and
rearrangement of the viral DNA. We have obtained data showing that vi
ral genomic disruptions which delete the enhancers from the transcribe
d region of the viral surface gene can lead to dysregulation of surfac
e gene expression at the transcriptional level. Specifically, in cells
transfected with such disrupted genomes, there is a decreased amount
of transcripts coding for the major form of the surface protein but li
ttle change in the amount of transcripts coding for the large surface
protein. In these cells, secretion of the surface proteins is blocked
in the endoplasmic reticulum-Golgi intermediate compartment, consisten
t with previous work from other groups showing that relative overexpre
ssion of the large surface protein can block secretion of all forms of
the surface protein. Our findings suggest that viral genomic rearrang
ements during integration may be a contributing factor in the pathogen
esis of ground-glass hepatocytes, which contain large amounts of intra
cellular surface proteins as a result of a block in secretion and are
frequently seen in the livers of patients with chronic hepatitis B.