Purified hepatitis B virus induces human Mesangial cell proliferation and extracellular matrix expression In Vitro
© Diao et al.; licensee BioMed Central Ltd. 2013
Received: 1 August 2013
Accepted: 30 September 2013
Published: 4 October 2013
Hepatitis B virus (HBV) induces proliferation of human mesangial cells (HMCs), and extracellular matrix expression through the deposition of immune complexes in renal tissue. However, it is unclear whether HBV can directly affect HMCs. In this study, the effects of purified HBV on HMC proliferation and extracellular matrix expression in vitro was determined.
HBV was purified using sucrose density gradient centrifugation. HMCs were co-cultured with purified HBV (104–106 copies/ml) for 48 h, and cell proliferation determined using 5-ethynyl-2′-deoxyuridine immunofluorescence assays. After HMCs were co-cultured with 106 copies/ml purified HBV for 0, 12, 24, 36 and 48 h, expression of type IV collagen and fibronectin was measured using enzyme-linked immunosorbent assays. Three titers of purified HBV (104, 105, and 106 copies/ml) induced HMC proliferation, with the proportion of increases in cell numbers at 24.7 ± 4.3, 31.2 ± 9.4, and 36.8 ± 7.5%, respectively. All these increases were significantly higher than those for the control group (13.6 ± 4.2%) (All p < 0.05). Purified HBV (106 copies/ml) significantly increased the levels of type IV collagen and fibronectin in supernatants compared with the control group at 12 and 48 h (All p < 0.05).
Purified HBV can directly promote HMC proliferation and expression of type IV collagen and fibronectin, and could be involved in the pathogenesis of HBV-associated glomerulonephritis.
KeywordsHepatitis B virus Human mesangial cells Proliferation Type IV collagen Fibronectin
Enzyme-linked immunosorbent assay
Hepatitis B virus
HBV-associated membranous nephropathy
HBV X protein
Human mesangial cells
Mesangial cell medium.
Hepatitis B virus (HBV) infections are prevalent in China , and infection with this virus can result in the development of HBV-associated glomerulonephritis (HBV-GN). HBV-GN has become a prevalent type of secondary glomerulonephritis in China . Human mesangial cell (HMC) proliferation and increases in the expression of extracellular matrix proteins, including type IV collagen and fibronectin (FN), were involved in various pathological types of HBV-GN. The most common pathological type of HBV-GN is HBV-associated membranous nephropathy (HBV-MN). Proliferation of HMCs, and increases in extracellular matrix protein levels are more common in HBV-MN compared with the idiopathic form . Additionally, HMC proliferation and increases in extracellular matrix protein expression are common in other pathological types of HBV-GN such as membranoproliferative glomerulonephritis.
The most widely accepted mechanism for increases in HMC proliferation, and expression levels of extracellular matrix proteins in HBV-GN is through the deposition of HBV immune complexes . Many studies have shown that expression of HBV DNA in glomeruli suggests direct viral-induced pathological alterations of HMC could contribute to the pathogenesis of HBV-GN [5, 6]. The main effect of HBV DNA in renal tissues on HMCs was because of HBV antigens (HBAg) and HBV antibodies (HBAb) forming immune complexes in situ[5, 7]. It remains unclear whether HBV can directly affect HMCs; therefore, in this study we purified HBV virons and subviral particles from the serum of HBV-infected patients, and investigated the effects of purified HBV on HMC proliferation, and on the expression levels of type IV collagen and FN.
Isolation and purification of HBV
We isolated HBV from the HBV DNA-positive sera of chronic HBV patients, in our hospital, containing more than 5.0 × 108 copies/ml of circulating HBV. Virus was purified by sucrose density gradient centrifugation as previously described .
Cell culture and cell proliferation assays
Enzyme-linked immunosorbent assays (ELISAs)
Cells were seeded into 12-well culture plates at a density of 1.0 × 104 cells/well and incubated for 24 h in normal RPMI 1640 medium. We then applied MsCM alone, or 106 copies/ml of HBV in MsCM. At 0, 12, 24, 36, and 48 h post-seeding, the supernatants of each well were collected, and type IV collagen and FN levels measured by ELISA according to the manufacturer’s instructions (Blue-gene, Shanghai, China).
All data were expressed as the mean ± the standard error of the mean (SEM). Statistical analysis was carried out using Tamhane’s T2 test for HMC proliferation, and the Independent-Samples T-test for type IV collagen and FN. Differences were considered significant when the P-value was less than 0.05. All results were repeated for three times.
Extracellular matrix protein levels
In our study, we found that purified HBV significantly increased HMC proliferation, and also increased expression levels of type IV collagen and FN. The major mechanism of increased HMC proliferation and extracellular matrix expression in HBV-GN is suggested to be due to HBV immune complex deposition [6, 9]. However, many studies have detected HBV DNA, as both free and integrated forms, in mesangial cells. He et al. have reported that the expression of HBV DNA in the nucleus and cytoplasm of HMCs in HBV-GN patients verified the presence of HBV DNA in HMC . Wang et al. showed that HBV DNA as the integrated form was detected in 82% (41/50) of cases in HMCs by in situ hybridization . These observations suggest that HBV DNA can infect HMCs, and that it can directly induce pathological alterations in HMCs that might be involved in HBV-GN . However, these studies were all conducted in renal tissues, and the effects of HBV on HMCs were suggested to be a result of immune complex formation in situ[7, 11]. Because of confounding factors involving immune complexes that are circulating, it was difficult to show whether HBV can directly affect HMCs in these studies. In our study, we purified HBV from the sera of HBV-infected patients. The HMCs were co-cultured with purified HBV in vitro, thereby overcoming the confounding factors related to the immune complex, and we showed that purified HBV directly affected HMCs.
There were some limitations to our study. We did not explore the mechanisms through which HBV increased HMC proliferation and expression of extracellular matrix proteins. HBV X Protein (HBx) acts an indirect transcriptional transactivitor to regulate cell proliferation, transdifferentiation and apoptosis . Some studies have shown that HBx can induce mesangial cell proliferation through the upregulation of interleukin-1β and interleukin-6 . However, in these previous studies, HBx was transfected into mesangial cells artificially; therefore, it remains unknown whether HBV can induce HMC proliferation through a natural infection. Further studies will be required to clarify this.
In conclusion, our findings support the hypothesis that HBV exerts direct effects on HMCs, and will hopefully enrich our understanding of the pathogenesis of HBV-GN.
This work was supported by Starting Foundation of Beijing Friendship Hospital, Capital Medical University (201007), Beijing Municipal Science and Technology Commission Funds (D131100004713001).
- Tanaka M, Katayama F, Kato H, Tanaka H, Wang J, Qiao YL, Inoue M: Hepatitis B and C virus infection and hepatocellular carcinoma in China: a review of epidemiology and control measures. J Epidemiol 2011, 21:401–416.PubMedView Article
- Xu H, Sun L, Zhou LJ, Fang LJ, Sheng FY, Guo YQ: The effect of hepatitis B vaccination on the incidence of childhood HBV-associated nephritis. Pediatr Nephrol 2003, 18:1216–1219.PubMedView Article
- Li P, Wei RB, Tang L, Wu J, Zhang XG, Chen XM: Clinical and pathological analysis of hepatitis B virus-related membranous nephropathy and idiopathic membranous nephropathy. Clin Nephrol 2012, 78:456–464.PubMedView Article
- Takekoshi Y, Tochimaru H, Nagata Y, Itami N: Immunopathogenetic mechanisms of hepatitis B virus-related glomerulopathy. Kidney Int 1991,35(Suppl):34–39.
- He XY, Fang LJ, Zhang YE, Sheng FY, Zhang XR, Guo MY: In situ hybridization of hepatitis B DNA in hepatitis B-associated glomerulonephritis. Pediatr Nephrol 1998, 12:117–120.PubMedView Article
- Lai KN, Ho RT, Tam JS, Lai FM: Detection of hepatitis B virus DNA and RNA in kidneys of HBV related glomerulonephritis. Kidney Int 1996, 50:1965–1977.PubMedView Article
- Wang NS, Wu ZL, Zhang YE, Liao LT: Existence and significance of hepatitis B virus DNA in kidneys of IgA nephropathy. World J Gastroenterol 2005, 11:712–716.PubMed
- Glebe D, Urban S, Knoop EV, Cag N, Krass P, Grun S, Bulavaite A, Sasnauskas K, Gerlich WH: Mapping of the hepatitis B virus attachment site by use of infection-inhibiting preS1 lipopeptides and tupaia hepatocytes. Gastroenterology 2005, 129:234–245.PubMedView Article
- Appel GB: Immune-complex glomerulonephritis-deposits plus interest. N Engl J Med 1993, 328:505–506.PubMedView Article
- Chen L, Wu C, Fan X, Gao J, Yin H, Wang T, Wu J, Wen SW: Replication and infectivity of hepatitis B virus in HBV-related glomerulonephritis. Int J Infect Dis 2009, 13:394–398.PubMedView Article
- Wang NS, Wu ZL, Zhang YE, Guo MY, Liao LT: Role of hepatitis B virus infection in pathogenesis of IgA nephropathy. World J Gastroenterol 2003, 9:2004–2008.PubMed
- Ng SA, Lee C: Hepatitis B virus X gene and hepatocarcinogenesis. J Gastroenterol 2011, 46:974–990.PubMedView Article
- Lu H, Zhou J: HBV X gene transfection upregulates IL-1beta and IL-6 gene expression and induces rat glomerular mesangial cell proliferation. J Huazhong Univ Sci Technolog Med Sci 2008, 28:247–250.PubMedView Article
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.