CRTC2 enhances HBV transcription and replication by inducing PGC1α expression
© Tian et al.; licensee BioMed Central Ltd. 2014
Received: 27 September 2013
Accepted: 21 January 2014
Published: 14 February 2014
Hepatitis B virus (HBV) transcription and replication are essentially restricted to hepatocytes. Based on the HBV enhancer and promoter complex that links hepatic glucose metabolism to its transcription and replication, HBV adopts a regulatory system that is unique to the hepatic gluconeogenic genes. CRTC2, the CREB-regulated transcription coactivator 2, is a critical switch modulating the gluconeogenic program in response to both hormonal and intracellular signals. However, the relationship between CRTC2 and HBV transcription and replication remains unclear.
To analyze the influence of CRTC2 on HBV transcription and replication, CRTC2 expression construct or siRNA was cotransfected with plasmids containing enhancer II/core promoter complex-controlled luciferase or 1.3× wtHBV genome in Huh-7 cells. Luciferase activity, HBV core protein expression, HBV transcripts, and DNA replication intermediates were measured by luciferase assays, western blots, real-time polymerase chain reaction (PCR), and Southern blots, respectively. Forskolin (FSK) or phosphorylation-defective CRTC2 mutants were further utilized to elucidate the potential mechanism. siRNA against peroxisome proliferator-activated receptor-γ coactivator 1α (PGC1α) was also used to examine the mediator involved in CRTC2-regulated HBV biosynthesis in Huh-7 cells.
CRTC2 overexpression increased HBV transcription and replication in Huh-7 cells, including levels of core protein expression, mRNA, and DNA replication intermediates. Correspondingly, CRTC2 knock down by siRNA reduced HBV biosynthesis. FSK treatment strongly enhanced the effect of CRTC2 through triggering the dephosphorylation and nuclear entry of CRTC2. The phosphorylation-defective mutant (S171A/S275A) of CRTC2 localized in the nucleus and was constitutively active, which dramatically promoted HBV transcription and replication similar to FSK-treated wild-type CRTC2. Knock down of PGC1α, whose expression was induced by CRTC2, greatly compromised the enhancing effect of CRTC2 on HBV transcription and replication.
Our results clearly indicate that non-phosphorylated CRTC2 strongly enhances HBV biosynthesis through inducing PGC1α expression. Further study of the mechanisms will elucidate the importance of metabolic signals on HBV transcription and replication, and offer insight into potential targets for developing anti-HBV agents.
KeywordsHBV CRTC2 Forskolin Phosphorylation-defective CRTC2 mutant PGC1α
Hepatitis B virus
Camp response element-binding protein (CREB)-regulated transcription coactivator 2
Peroxisome proliferator-activated receptor-γ coactivator 1α
Camp response element-binding protein
Hepatitis B virus (HBV) is the prototypical member of hepadnaviruses, a small enveloped DNA virus family preferentially targeting the liver [1–3]. Multiple studies have implicated that HBV transcription and replication might be regulated by transcription factors capable of mediating hepatic gluconeogenesis [2, 4]. The cAMP-responsive element-binding protein (CREB)-regulated transcription coactivator 2 (CRTC2) is a critical switch promoting the gluconeogenic program in the liver . Under normal physiological conditions, CRTC2 is phosphorylated at Ser171 and Ser275 by SIK1 (salt-inducible kinase 1) and MARK2 (microtubule affinity-regulating kinase 2), respectively. Phosphorylation of CRTC2 triggers phosphorylation-dependent binding to 14-3-3 proteins, which sequesters CRTC2 in the cytoplasm [6, 7]. In response to fasting, CRTC2 is dephosphorylated and translocates into the nucleus, where it coactivates CREB and further stimulates the expression of downstream gluconeogenic genes . The dephosphorylation of CRTC2 at Ser171 and Ser275 is triggered by the calcium-regulated Ser/Thr phosphatase calcineurin following exposure to cAMP and calcium [5, 10]. Thus, the dephosphorylated and nuclear-translocated CRTC2 is considered to be the active form . Forskolin (FSK) treatment dramatically raises cellular cAMP and calcium levels and dephosphorylates CRTC2, which renders it active by allowing it to translocate to the nucleus . The calcineurin inhibitor cyclosporine A (CsA) disrupts the cAMP-induced dephosphorylation and nuclear translocation of CRTC2, but it has no effect on a phosphorylation-defective CRTC2 mutant (S171A/S275A) . Because it cannot be phosphorylated at these two sites, the S171A/S275A mutant remains active in the nucleus [11, 12].
The HBV genome comprises a partially double-stranded DNA that binds a variety of liver-enriched nuclear receptors, some of which are also critical regulators implicated in gluconeogenesis [4, 6, 7, 13, 14]. As a coactivator of key gluconeogenesis genes, peroxisome proliferator-activated receptor-γ coactivator 1α (PGC1α) expression is also stimulated by active CRTC2. It has been proved that PGC1α coactivates HBV transcription and replication through hepatocyte nuclear factor-4α (HNF4α) and forkhead transcription factor FOXO1, which has also been confirmed in our previously published data [15, 16]. Thus, we sought to study the link between HBV transcription activity and hepatic metabolic state [16–20], especially the unknown relationship of CRTC2 with HBV biosynthesis.
To address these issues, HBV transcription and replication activities were analyzed by measuring enhancer II/core promoter complex-controlled luciferase activity, core protein expression, mRNA levels, and DNA replication intermediates in Huh-7 cells transfected with HBV constructs together with the indicated constructs. FSK and phosphorylation-defective CRTC2 mutants were also employed to elucidate the potential mechanism of CRTC2’s effects on HBV transcription and replication. Our results showed that CRTC2 increased HBV biosynthesis, and this effect was dramatically promoted by Ser171 and Ser275 dephosphorylation, which stimulated CRTC2 nuclear translocation and transformed CRTC2 into the active form. Importantly, the enhancement of CRTC2 on HBV transcription and replication was mediated by inducing PGC1α expression. Considering the critical roles of CRTC2 and PGC1α in the gluconeogenic program, our findings indicate the importance of understanding the regulatory effects of metabolic signals on HBV transcription and replication, which could offer insight into novel targets for anti-HBV therapy.
CRTC2 enhances HBV transcription
FSK robustly enhances CRTC2-induced HBV transcription and replication
Phosphorylation-defective CRTC2 mutants strongly upregulate HBV biosynthesis
CRTC2 enhances HBV biosynthesis through inducing PGC1α expression
The CRTC family consists of three isoforms (CRTC1, CRTC2 and CRTC3), all of which can act as CREB coactivators and potentiate CREB-dependent transcription. CRTC1 and CRTC3 play important roles in energy balance , whereas CRTC2 induces the gluconeogenic program and thus promotes glucose homeostasis during fasting in liver . It has been shown that HBV biosynthesis can be regulated by signals involved in the gluconeogenic program. Thus, we were interested in investigating whether the hormonal and energy-sensing coactivator CRTC2 influenced HBV transcription and replication.
In response to FSK, CRTC2 is dephosphorylated and transported to the nucleus, which is a critical step in stimulating downstream gene expression, including that of PGC1α [5, 27]. CRTC2 promotes PGC1α expression through its role as a coactivator of CREB . The CREB-CRTC pathway triggered by hormonal and nutrient signals has been extensively characterized, and the CREB-CRTC/PGC1α signal transduction pathway has been shown to mediate glucose homeostasis in the liver [8, 28, 29]. In addition, the effect of the insulin signaling pathway on HBV pgRNA synthesis and viral replication has been proven to be PGC1α dependent . Collectively, these observations have led to the suggestion that the regulation of HBV transcription and replication may utilize similar signal transduction pathways as those involved in the expression of key hepatic metabolic genes [17, 30–32].
Our results clearly demonstrated that HBV transcription and replication was regulated by CRTC2. Overexpression of exogenous CRTC2 increased HBV biosynthesis in Huh-7 cells, whereas its knock down had the opposite effect. Hepatic CRTC2 is regulated through phosphorylation at Ser171 and Ser275 by SIKs and members of the AMP-activated protein kinase (AMPK), such as MARK2 . As a result, phosphorylated CRTC2 was sequestered in the cytoplasm through phosphorylation-dependent interactions with 14-3-3 proteins [5, 22]. FSK treatment significantly enhanced CRTC2-induced HBV transcription and replication, which was mediated by dephosphorylating CRTC2 and triggering its nuclear translocation. Interestingly, phosphorylation-defective mutants with single-site mutations (S171A or S275A) showed only mild enhancement compared to wild-type CRTC2, which was possibly due to the remaining phosphorylation site. FSK application further promoted the increasing effect of S171A or S275A. In accordance with the above-mentioned hypothesis, CRTC2 mutant S171A/S275A with both two defective phosphorylation sites dramatically increased HBV transcription and replication, but FSK did not have a significant effect on S171A/S275A-induced activity. The slight increase of S171A/S275A-induced HBV biosynthesis following FSK treatment might be explained by the presence of endogenous wild-type CRTC2, which could still be affected by FSK. Most current anti-HBV drugs are nucleotide/nucleoside analogs, which are double-edged swords given the emergence of drug-resistant HBV mutants and potential disease flare-ups . Indeed, nucleotide/nucleoside analogs fail to eliminate the HBV cccDNA pool and usually require prolonged or life-long treatment . Therefore, the ideal therapy should combine both virus-specific and host-directed treatments. Our results clearly showed that the glucose homeostasis regulator CRTC2 has the potential to modulate HBV transcription and replication in Huh-7 cells, suggesting that viral biosynthesis may be regulated by hepatic metabolic state. The observation that diabetic patients are more likely to suffer acute HBV infections than non-diabetic patients supports the contention that metabolic signaling through CRTC2 can influence the outcome of viral infection [33, 34]. To mimic the physiological starving condition, glucose-free media was applied in our preliminary experiments, but transfected cells failed to survive under these conditions. For this reason, FSK, which was previously shown to simulate a starvation state, was applied to cells as an alternative approach . Under feeding conditions, CRTC2 is sequestered in the cytoplasm, and fasting or FSK treatment dephosphorylated CRTC2 and transported it to the nucleus , where it enhanced HBV transcription and replication. Our work builds on the elaborate and exciting report published by Shaul’s group, which clearly demonstrated that PGC1α regulates HBV transcription and replication in response to nutritional cues . Collectively, our data and published reports concerning HBV and nutrition conditions suggest that HBV patients should completely avoid food deprivation conditions. It has also been reported that malnutrition might be a key element responsible for HBV infection . Thus, proper nutrition, including the digestion of complex carbohydrates to avoid hypoglycemia that results in increased glucagon levels, may be a critical component of novel anti-HBV therapeutic strategies. Concerning the dependency of HBV transcription and replication on momentary nutritional status, the optimal time to collect blood samples from patients for HBV copy number testing should be also taken into consideration.
Elucidating the regulatory role of the CRTC2/PGC1α signaling pathway and the underlying mechanism will reveal important molecular processes involved in HBV biosynthesis and elucidate the relationship between metabolic signals and HBV replication during natural infection. Such knowledge could contribute to the development of novel therapeutic approaches.
In summary, our results demonstrate a novel up-regulatory role of CRTC2 on HBV biosynthesis. CRTC2 activated the enhancer II/Core promoter complex, increased core protein expression, and elevated HBV transcripts and DNA replication intermediates. This enhancing effect was dramatically promoted by CRTC2 dephosphorylation. Importantly, CRTC2 enhanced HBV transcription and replication by inducing PGC1α expression.
Materials and methods
The 1.3× wtHBV plasmid (1.3× wtHBV) encoding 1.3 copies of the HBV genome (adw strain) was kindly provided by Dr. Yosef Shaul . The pGL-3-ENII-luc construct expressing luciferase under the control of HBV ENII/core promoter complex (nt.1403–1803) was a gift from Dr. Jing-hsiung James Ou . The p-CRTC2 plasmid was constructed by inserting wild-type human CRTC2 cDNA into pCDNA3.1 FLAG + and the phosphorylation-defective CRTC2 mutants (S171A, S275A, and S171A/S275A) were generated by site-directed mutagenesis based on the p-CRTC2 plasmid. pSuper vector  containing the human H1 promoter was used as the backbone to generate siRNA expression plasmids against CRTC2 and PGC1α. The applied siRNA sequences were CRTC2 siRNA1 5′- gcc caa tgt taa cca gat t -3′, siRNA2 5′- cag cga gat cct cga aga atg-3′ and PGC1α siRNA 5′- ggt gga ttg aag tgg tgt a -3′ .
Cell culture and transfection
The human hepatoma cell line Huh-7 were cultured in Dulbecco’s modified Eagle’s medium supplemented with 10% (vol/vol) fetal bovine serum, 100 U/ml penicillin and 100 μg/ml streptomycin (all from Gibco Life Technologies, USA) at 37ºC under a 5% CO2 atmosphere. Transfection was performed in 10 cm cell culture dishes containing 1 × 106 Huh-7 cells by using Lipofectamine 2000 according to the manufacturer’s instructions (Invitrogen, USA). The following constructs were applied for transfection: 1.3× wtHBV (3 μg), pGL-3-ENII-luc (3 μg), p-CRTC2 (9 μg), p-CRTC2 (S171A) (9 μg), p-CRTC2 (S275A) (9 μg), p-CRTC2 (S171A/S275A) (9 μg), CRTC2 siRNA (9 μg), and PGC1α siRNA (9 μg). The same amount of vector lacking the corresponding insert was used as controls. When indicated, cells were treated with 10 μM FSK (Sigma, USA) 16 hours post-transfection.
Quantitative real-time PCR
HBV transcript and PGC1α expression analyses were performed as described previously . Briefly, transfected cells were homogenized in TRIzol (Invitrogen, USA) for total RNA isolation, and cDNA were synthesized using PremeScript RT reagent kit (Takara, Japan) following the manufacturer’s instructions. Quantitative real-time PCR was performed using SYBR Green Realtime PCR Master Mix (Toyobo, Japan) in the Mx3000P qPCR System (Agilent Technologies, USA). The results were normalized to the housekeeping gene β-actin in all assays. The following primers were used: HBV, 5′- ctc agc tct gta tcg aga agc c -3′ (sense) and 5′- cag tga gag ggc cca caa att g -3′ (antisense); PGC1α, 5′- tcc tca cag aga cac tag aca g -3′ (sense) and 5′- ctg gtg cca gta aga gct tct -3′ (antisense); β-actin, 5′- acc gcg aga aga tga ccc ag -3′ (sense) and 5′- cca tct cgt tct cga agt cca -3′ (antisense).
Southern blot analysis
Encapsidated HBV DNA was isolated using the method described by Guo . Briefly, 1 × 106 transfected cells were collected 3 days post-transfection and lysed in 300 μl lysis buffer (50 mM Tris–HCl [pH 7.4], 1 mM EDTA, and 1% NP-40). After centrifugation, the supernatant was treated with DNase I (100 μg/ml) and RNase A (100 μg/ml) for 30 minutes at 37°C to remove the extra-capsid nuclear acid. HBV DNA in the intracellular core particles was isolated with phenol-chloroform (1:1) extraction and ethanol precipitation after being released by digesting capsid proteins with proteinase K in the presence of 1% sodium dodecyl sulfate (SDS) for 2 hours. Following electrophoresis in a 1.0% agarose gel, encapsidated HBV DNA was blotted onto a nylon membrane and hybridized with a 32P-labeled HBV-specific probe. Signals were visualized using Cyclone Plus Storage Phosphor System (Perkin Elmer, USA).
Western blot analysis
For protein analysis, 1 × 106 transfected cells were lysed in 300 μl lysis buffer (50 mM Tris–HCl [pH 8.0], 150 mM NaCl, 0.1% SDS, 1% NP40, 0.5% deoxycholic acid, 0.5% sodium azide, and 100 μl/ml phenylmethanesulfonyl fluoride). The lysates of each sample were electrophoresed with 12% SDS-PAGE gel and blotted onto PVDF membranes (Immobilon P, Millipore, USA). The blotted membranes were then incubated with the indicated primary antibodies followed by the corresponding secondary horseradish peroxidase (HRP)-conjugated antibodies. Signals were visualized using a DAB Western Blot kit (Thermo Fisher Scientific, USA). The following antibodies were used, monoclonal rabbit anti-CRTC2 (Epitomics, USA), rabbit anti-phospho-CRTC2 (Ser171) (Bioss, Scotland), polyclonal rabbit anti-HBc (DAKO, Denmark), monoclonal mouse anti-FLAG (Invitrogen, USA), monoclonal mouse anti-β-actin (Interchim, France), and goat anti-mouse IgG and goat anti-rabbit IgG (Proteintech, USA).
Huh-7 cells were transfected with pGL-3-ENII-luc together with the indicated constructs. Luciferase activity was measured 48 hours post-transfection using the Luciferase Assay System (Promega, USA) according to the manufacturer’s instructions. Results are shown as the activity fold increase of firefly luciferase against Renilla luciferase, which was used for transfection efficiency adjustments.
All bar graphs are shown as the mean ± standard error (SE) from at least three independent experiments, and results shown for Southern or western blotting are representative images selected from more than three independent experiments. Statistical differences were assessed with unpaired two-tailed Student’s t-tests. Differences were considered to be statistically significant when p < 0.05.
We appreciate Dr. Yosef Shaul for kindly providing the 1.3× wtHBV plasmid, Dr. Jing-hsiung James Ou for the pGL-3-ENII-luc plasmid, and Dr. Dongyan Jin for the plasmid containing the complete coding region of human CRTC2. This work was supported by grants from the National Major Science and Technology Special Projects for Infectious Diseases of China (2012ZX10004503-008, 2012ZX10001006-002, and 2012ZX10002006-002).
- Nassal M: Hepatitis B viruses: reverse transcription a different way. Virus Res 2008, 134:235–249.PubMedView Article
- Shlomai A, Shaul Y: The “metabolovirus” model of hepatitis B virus suggests nutritional therapy as an effective anti-viral weapon. Med Hypotheses 2008, 71:53–57.PubMedView Article
- Quasdorff M, Hosel M, Odenthal M, Zedler U, Bohne F, Gripon P, Dienes HP, Drebber U, Stippel D, Goeser T, Protzer U: A concerted action of HNF4alpha and HNF1alpha links hepatitis B virus replication to hepatocyte differentiation. Cell Microbiol 2008, 10:1478–1490.PubMedView Article
- Bar-Yishay I, Shaul Y, Shlomai A: Hepatocyte metabolic signalling pathways and regulation of hepatitis B virus expression. Liver Int 2011, 31:282–290.PubMedView Article
- Koo SH, Flechner L, Qi L, Zhang X, Screaton RA, Jeffries S, Hedrick S, Xu W, Boussouar F, Brindle P, Takemori H, Montminy M: The CREB coactivator TORC2 is a key regulator of fasting glucose metabolism. Nature 2005, 437:1109–1111.PubMedView Article
- Doitsh G, Shaul Y: Enhancer I predominance in hepatitis B virus gene expression. Mol Cell Biol 2004, 24:1799–1808.PubMed CentralPubMedView Article
- Ramiere C, Scholtes C, Diaz O, Icard V, Perrin-Cocon L, Trabaud MA, Lotteau V, Andre P: Transactivation of the hepatitis B virus core promoter by the nuclear receptor FXRalpha. J Virol 2008, 82:10832–10840.PubMed CentralPubMedView Article
- Wang Y, Li G, Goode J, Paz JC, Ouyang K, Screaton R, Fischer WH, Chen J, Tabas I, Montminy M: Inositol-1,4,5-trisphosphate receptor regulates hepatic gluconeogenesis in fasting and diabetes. Nature 2012, 485:128–132.PubMed CentralPubMedView Article
- Wang Y, Inoue H, Ravnskjaer K, Viste K, Miller N, Liu Y, Hedrick S, Vera L, Montminy M: Targeted disruption of the CREB coactivator Crtc2 increases insulin sensitivity. Proc Natl Acad Sci U S A 2010, 107:3087–3092.PubMed CentralPubMedView Article
- Screaton RA, Conkright MD, Katoh Y, Best JL, Canettieri G, Jeffries S, Guzman E, Niessen S, Yates JR 3rd, Takemori H, Okamoto M, Montminy M: The CREB coactivator TORC2 functions as a calcium- and cAMP-sensitive coincidence detector. Cell 2004, 119:61–74.PubMedView Article
- Conkright MD, Canettieri G, Screaton R, Guzman E, Miraglia L, Hogenesch JB, Montminy M: TORCs: transducers of regulated CREB activity. Mol Cell 2003, 12:413–423.PubMedView Article
- Le Lay J, Tuteja G, White P, Dhir R, Ahima R, Kaestner KH: CRTC2 (TORC2) contributes to the transcriptional response to fasting in the liver but is not required for the maintenance of glucose homeostasis. Cell Metab 2009, 10:55–62.PubMed CentralPubMedView Article
- Haviv I, Vaizel D, Shaul Y: The X protein of hepatitis B virus coactivates potent activation domains. Mol Cell Biol 1995, 15:1079–1085.PubMed CentralPubMed
- Reese V, Ondracek C, Rushing C, Li L, Oropeza CE, McLachlan A: Multiple nuclear receptors may regulate hepatitis B virus biosynthesis during development. Int J Biochem Cell Biol 2011, 43:230–237.PubMed CentralPubMedView Article
- Tian X, Zhao F, Cheng Z, Zhou M, Zhi X, Li J, Hu K: GCN5 acetyltransferase inhibits PGC1alpha-induced hepatitis B virus biosynthesis. Virol Sin 2013, 28:216–222.PubMedView Article
- Shlomai A, Shaul Y: The metabolic activator FOXO1 binds hepatitis B virus DNA and activates its transcription. Biochem Biophys Res Commun 2009, 381:544–548.PubMedView Article
- Shlomai A, Paran N, Shaul Y: PGC-1alpha controls hepatitis B virus through nutritional signals. Proc Natl Acad Sci U S A 2006, 103:16003–16008.PubMed CentralPubMedView Article
- Mouler Rechtman M, Burdelova EO, Bar-Yishay I, Ben-Yehoyada M, Fishman S, Halpern Z, Shlomai A: The metabolic regulator PGC-1alpha links anti-cancer cytotoxic chemotherapy to reactivation of hepatitis B virus. J Viral Hepat 2013, 20:34–41.PubMedView Article
- Rechtman MM, Har-Noy O, Bar-Yishay I, Fishman S, Adamovich Y, Shaul Y, Halpern Z, Shlomai A: Curcumin inhibits hepatitis B virus via down-regulation of the metabolic coactivator PGC-1alpha. FEBS Lett 2010, 584:2485–2490.PubMedView Article
- Ondracek CR, McLachlan A: Role of peroxisome proliferator-activated receptor gamma coactivator 1alpha in AKT/PKB-mediated inhibition of hepatitis B virus biosynthesis. J Virol 2011, 85:11891–11900.PubMed CentralPubMedView Article
- Choi BH, Park GT, Rho HM: Interaction of hepatitis B viral X protein and CCAAT/enhancer-binding protein alpha synergistically activates the hepatitis B viral enhancer II/pregenomic promoter. J Biol Chem 1999, 274:2858–2865.PubMedView Article
- Altarejos JY, Montminy M: CREB and the CRTC co-activators: sensors for hormonal and metabolic signals. Nat Rev Mol Cell Biol 2011, 12:141–151.PubMedView Article
- Jansson D, Ng AC, Fu A, Depatie C, Al Azzab M, Screaton RA: Glucose controls CREB activity in islet cells via regulated phosphorylation of TORC2. Proc Natl Acad Sci U S A 2008, 105:10161–10166.PubMed CentralPubMedView Article
- Bittinger MA, McWhinnie E, Meltzer J, Iourgenko V, Latario B, Liu X, Chen CH, Song C, Garza D, Labow M: Activation of cAMP response element-mediated gene expression by regulated nuclear transport of TORC proteins. Curr Biol 2004, 14:2156–2161.PubMedView Article
- Saberi M, Bjelica D, Schenk S, Imamura T, Bandyopadhyay G, Li P, Jadhar V, Vargeese C, Wang W, Bowman K, Zhang Y, Polisky B, Olefsky JM: Novel liver-specific TORC2 siRNA corrects hyperglycemia in rodent models of type 2 diabetes. Am J Physiol Endocrinol Metab 2009, 297:E1137-E1146.PubMed CentralPubMedView Article
- Liu Y, Dentin R, Chen D, Hedrick S, Ravnskjaer K, Schenk S, Milne J, Meyers DJ, Cole P, Yates J 3rd, Olefsky J, Guarente L, Montminy M: A fasting inducible switch modulates gluconeogenesis via activator/coactivator exchange. Nature 2008, 456:269–273.PubMed CentralPubMedView Article
- Dentin R, Hedrick S, Xie J, Yates J 3rd, Montminy M: Hepatic glucose sensing via the CREB coactivator CRTC2. Science 2008, 319:1402–1405.PubMedView Article
- Luo Q, Viste K, Urday-Zaa JC, Senthil Kumar G, Tsai WW, Talai A, Mayo KE, Montminy M, Radhakrishnan I: Mechanism of CREB recognition and coactivation by the CREB-regulated transcriptional coactivator CRTC2. Proc Natl Acad Sci U S A 2012, 109:20865–20870.PubMed CentralPubMedView Article
- Wu Z, Huang X, Feng Y, Handschin C, Gullicksen PS, Bare O, Labow M, Spiegelman B, Stevenson SC: Transducer of regulated CREB-binding proteins (TORCs) induce PGC-1alpha transcription and mitochondrial biogenesis in muscle cells. Proc Natl Acad Sci U S A 2006, 103:14379–14384.PubMed CentralPubMedView Article
- Rhee J, Inoue Y, Yoon JC, Puigserver P, Fan M, Gonzalez FJ, Spiegelman BM: Regulation of hepatic fasting response by PPARgamma coactivator-1alpha (PGC-1): requirement for hepatocyte nuclear factor 4alpha in gluconeogenesis. Proc Natl Acad Sci U S A 2003, 100:4012–4017.PubMed CentralPubMedView Article
- Ondracek CR, Reese VC, Rushing CN, Oropeza CE, McLachlan A: Distinct regulation of hepatitis B virus biosynthesis by peroxisome proliferator-activated receptor gamma coactivator 1alpha and small heterodimer partner in human hepatoma cell lines. J Virol 2009, 83:12545–12551.PubMed CentralPubMedView Article
- Ondracek CR, Rushing CN, Reese VC, Oropeza CE, McLachlan A: Peroxisome proliferator-activated receptor gamma Coactivator 1alpha and small heterodimer partner differentially regulate nuclear receptor-dependent hepatitis B virus biosynthesis. J Virol 2009, 83:12535–12544.PubMed CentralPubMedView Article
- Hoerger TJ, Schillie S, Wittenborn JS, Bradley CL, Zhou F, Byrd K, Murphy TV: Cost-effectiveness of hepatitis B vaccination in adults with diagnosed diabetes. Diabetes Care 2013, 36:63–69.PubMed CentralPubMedView Article
- Li-Ng M, Tropp S, Danoff A, Bini EJ: Association between chronic hepatitis B virus infection and diabetes among Asian Americans and Pacific Islanders. Dig Liver Dis 2007, 39:549–556.PubMedView Article
- Tian Y, Chen WL, Ou JH: Effects of interferon-alpha/beta on HBV replication determined by viral load. PLoS Pathog 2011, 7:e1002159.PubMed CentralPubMedView Article
- Brummelkamp TR, Bernards R, Agami R: A system for stable expression of short interfering RNAs in mammalian cells. Science 2002, 296:550–553.PubMedView Article
- Guo H, Jiang D, Ma D, Chang J, Dougherty AM, Cuconati A, Block TM, Guo JT: Activation of pattern recognition receptor-mediated innate immunity inhibits the replication of hepatitis B virus in human hepatocyte-derived cells. J Virol 2009, 83:847–858.PubMed CentralPubMedView Article
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