Hepatitis B virus (HBV) causes acute and chronic liver injury, and int
egration of HBV DNA is considered to be an important pathogenic determ
inant for hepatocarcinogenesis and tumor development. Transforming gro
wth factor cu (TGF-alpha) drastically accelerates hepatocarcinogenesis
when it is overexpressed in TGF-alpha transgenic mice (C. Jhappan et
al, Cell, 61: 1137-1136, 1990). In HBV-infected patients, hepatocellul
ar carcinoma (HCC) cells show elevated expression of TGF-alpha (C. C.
Hsia et al, J. Med. Virol., 43: 216-221, 1994), the mechanism for whic
h, however, has not been clarified get. We here show that preS1, a par
t of the HBV large surface protein, carries a transcriptional transact
ivation domain and activates the transcription of the TGF-alpha gene b
y 2-fold in human HCC HuH6 cells. The responsive elements are restrict
ed to the 315-bp segment of the proximal TGF-alpha promoter (-373 to -
59). Furthermore, the expression of TGF-alpha was markedly increased i
n permanently preS1-producing HuH6 transformants. The crucial role for
HBV preS1 in hepatocarcinogenesis and tumor development through trans
activation of the TGF-alpha gene may give us new insight into the unde
rstanding of pathogenesis and therapy of viral hepatocarcinogenesis.