Hepatitis B virus X protein (HBx) is a multi-functional protein that exerts
its effects primarily by acting as a transcriptional transactivator of vir
al and multiple host cell genes. HBx is thought to be essential for maintai
ning viral replication and has been implicated in the development of hepato
cellular carcinoma in patients chronically infected with hepatitis B virus.
Very little is known about its functional mechanisms and although interact
ions with several nuclear and cytoplasmic proteins have been demonstrated i
n vitro, there is no clear consensus as to where HBx localises in infected
hepatocytes, In this study, the expression and intracellular distribution o
f HBx were examined in human liver biopsies using an anti-HBx rabbit polycl
onal antiserum. HBx was detected in a high proportion (69%) of samples from
patients with chronic HBV infection. Detection of HBx correlated with the
absence of cirrhosis and the presence of serum e-antigen. HBx was detected
predominantly in the cytoplasm; however, it was also found in the nuclei of
up to 20% of positively stained hepatocytes, either exclusively nuclear or
localised both in the nucleus and cytoplasm within the same cell. Furtherm
ore, the intracellular distribution of HBx was analysed in transfected Huh-
7 cells by confocal microscopy, using the monoclonal antibody 16F1. In thes
e experiments, a substantial nuclear detection was confirmed in a significa
nt proportion of HBx expressing cells. The data indicate a high functional
significance of nuclear HBx, consistent with the concept that transactivati
on may involve interactions with nuclear proteins. J. Med. Virol. 64:419-42
6, 2001. (C) 2001 Wiley-Liss, Inc.