pylori disease Second, AT1R induces vascular endothelial growth

pylori disease. Second, AT1R induces vascular endothelial growth factor (VEGF), VEGF-2 receptor and angiopoietin-II by combined paracrine-autocrine mechanisms that transactivate the epidermal growth factor (EGF) receptor, resulting in angiogenesis in cancer tissues.36 Tumor cell expression of VEGF, a major angiogenic factor, induces neovascularization, which enables cancers to metastasize. VEGF mRNA levels and angiogenesis mediated by head Z-VAD-FMK cost and neck squamous cell carcinoma cells are reduced in a dose-dependent manner by administering ACE-I.37 In pancreatic cancer, by combination treatment with losartan and gemcitabine, neovascularization and the expression

of VEGF in the tumor are both markedly suppressed in a magnitude similar to the inhibitory effects against the tumor growth.38 Many studies have demonstrated that the clinically used ACE-I and ARB significantly attenuated the liver fibrosis development in experimental studies H 89 molecular weight and clinical practice and ACE-I significantly attenuated hepatocellular carcinoma growth and hepatocarcinogenesis

along with suppression of neovascularization by inhibition of VEGF expression.39 These observations suggest that RAS signaling involves VEGF-related angiogenesis. Third, AT1R stimulation induces prostate and breast tumor cell proliferation mediated by growth factor-triggered (e.g. EGF) signal transduction pathways.40 However, although the progression of gastric cancer is also related with EGF expression, there is no direct evidence that RAS stimulation induces gastric tumor cell proliferation by interaction with EGF. Important insights into RAS’s role in oncogenesis have come from studies that have taken advantage of experimental mouse tumor models. A role for AT1R in tumor growth, angiogenesis, and metastasis

is supported by studies in which cells were exposed to candesartan, a polycyclic ATIIR antagonist used to treat hypertension. This drug strongly reduces sarcoma size and vascularization and reduces the number of lung cancer metastases as effectively as lisinopril.41 Significant reductions in tumor growth and vascularization have also been observed in response to candesartan in syngeneic mouse melanomas (B16-F1) and in xenograft models of human PD-1 antibody prostate and ovarian (SKOV-3) cancer cells.42 Orally administered candesartan strongly inhibits lung metastases induced in mice by injected renal carcinoma cells, and reduces VEGF levels and the number of neovessels in the lung nodules.43 Losartan, another AT1R antagonist, also inhibits the production of several growth factors, including VEGF, and reduces rat C6 glioma cell growth in vitro and in vivo.44 These results suggest that AT1R blockade might serve as an effective anticancer strategy. The observation that AT1R is expressed in tumor endothelial cells (in addition to cancer cells themselves)41,43 suggests that AT1R signaling influences tumor neovascularization.

Conclusion: All three simple models had excellent predictive accu

Conclusion: All three simple models had excellent predictive accuracy and were able to stratify risk into clinical meaningful categories. Y HUANG,1,2 W BASTIAAN DE BOER,3 LA ADAMS,1,2 G MACQUILLAN,1,2 E ROSSI,4 M BULSARA,5 GP JEFFREY1,2 1School

of Medicine and Pharmacology, University of Western Australia, Perth, Australia, 2Department of Gastroenterology and Hepatology, Sir Charles Gairdner Hospital, Perth, Australia, 3Department of Anatomical Pathology, PathWest, QEII Medical Centre, Perth, Australia, 4Department of Biochemistry, PathWest, QEII Medical Centre, Perth, Australia, 5Institute of Health and Rehabilitation Research, University of Notre Dame, Perth Australia Background: Collagen proportional area (CPA) is a validated quantitative measure of liver biopsy collagen and is measured using digital image analysis. Compared with Metavir learn more stage, CPA values ≥10% and ≥20% more accurately stratified liver related clinical outcomes. This study aimed to develop a serum model to accurately predict CPA values. Methods: Chronic hepatitis

C patients who had a liver biopsy and serum analyte measurements within six months of biopsy from 1997 to 2012 were included and randomised into a training and validation set (2:1 ratio). A CPA value was obtained for each biopsy using image analysis. Hyaluronic acid (HA), bilirubin, GGT, α2-macroglobulin, ALT, AST, platelet count, prothrombin time, INR, ALP, creatinine and albumin were analysed. Results: 213 patients were included: 142 patients in the training set and 71 in the validation

set. CPA ranged from 1.6% buy Ixazomib to 32.7% in the training set and from 2.8% to 21.3% in the validation set. No significant difference in Metavir stage, CPA value and serum markers were present between the two groups. In the training set univariate analysis found that HA, GGT, α2-macroglobulin, platelet count, INR, prothrombin time, AST and age were significantly correlated with CPA value. HA had the best correlation with a correlation coefficient value of 0.62. These variables were included in multivariate analysis and achieved an R square value of 0.511 to predict PtdIns(3,4)P2 CPA. Using the backwards selection method, three serum markers (HA, α2-macroglobulin and platelet count) which remained significant were included in the final model and achieved an R square value of 0.46 to predict CPA. Using this model the predicted CPA was calculated for each patient. The mean predicted CPA was 7.70 (range: 0.98–28.2) and the mean variance between the predicted and measured CPA was 2.78. The final model had an AUROC of 0.86 (95% CI, 0.78–0.95) to predict those patients with a CPA ≥ 10% and a cut point of 8.7 had a sensitivity of 80.8% and specificity of 85.2%. The AUROC of the model to predict patients with a CPA ≥ 20% was 0.96 (95% CI, 0.91–1.00) and a cut point of 10.7 had a sensitivity of 100% and specificity of 89%. A similar predictive ability of the final model was found in the validation set.

The inflammation scores and fibrosis scores in the group TNBS and

The inflammation scores and fibrosis scores in the group TNBS and MSOND groups are higher than the blank group and ASOND groups (P < 0.05). And the inflammation scores and fibrosis scores in the group selleck kinase inhibitor ASOND I and III are higher than the blank group and the group ASOND II (P < 0.05). The group ASOND II's inflammation score

is only higher than the blank group (P < 0.05). And it is no significant to compare the fibrosis scores between the group ASOND II and the blank group (P > 0.05). 3. The contents of IL-1B, TNF-α and Col-IIIα1 mRNA of the mice colon tissue in the group TNBS and MSOND groups are more than the blank group and ASOND groups (P < 0.05), while the contents of the group ASOND I and III are higher than the blank group and the group ASOND II. The contents of IL-1B and TNF-α mRNA in the group ASOND II is only higher than the blank group. It is no significant to compare the Col-IIIα1 between the

group ASOND and blank group (P > 0.05) 4. The protein contents of NF-κB p65, TGF-β1 of the mice colon tissue in selleck products the group TNBS and MSOND groups are higher than the blank group and ASOND groups (P < 0.05). The protein content in the ASOND II is less than the group ASOND I and III, and only higher than the blank group (P < 0.05). Conclusion: 1. It confirms that TNBS induces the animal model of chronic intestinal

fibrosis by observing the disease activity index, colon gross Lenvatinib clinical trial specimens, colonic pathology and fibrosis of the mice of the TNBS group. 2. It is effective to cure the mice of colonic inflammation and fibrosis with NF-κBp65 ASOND for two weeks. The effects are different for the intervention times. The medication effect is the best in the third and fourth weeks. 3. The NF-κBp65 ASOND reduces the inflammation and fibrosis of the colon in mice by decrease the proinflammatory cytokines like TNF-a, IL-1β and Col- III α1′s mRNA contents and NF-κBp65 and TGF-β1′s protein contents. The NF-κBp65 ASOND could be a new effective drug for IBD therapy. On the other hand, the NF- κBp65 MSOND has no above therapy function. Key Word(s): 1. IBD; 2. TNBS; 3. NF-kb; 4.

Plates were immediately destained with four washes of ddH2O and p

Plates were immediately destained with four washes of ddH2O and photographed. Nuclear extracts were prepared as described.18 A consensus double-stranded Acalabrutinib mw HRE (Santa Cruz Biotechnology, Santa Cruz, CA) oligonucleotide was used for electrophoretic mobility shift assay (EMSA). End-labeling, oligonucleotide purification, and EMSA were

performed as described.19 A total of 30-50 μg nuclear extract was resolved on 10% polyacrylamide gels and transferred overnight to nitrocellulose. Membranes were blocked overnight with blocking buffer (5% bovine serum albumin in Tris-Borate-SDS with 0.01% Tween 20) with refrigeration, and subsequently probed overnight with anti–HIF-1α (R&D Biosciences) mouse monoclonal antibodies. Detection was

performed using anti-mouse horseradish-peroxidase–conjugated secondary antibody and chemiluminescent substrates. Band density was quantified using Labworks 4.0 image analysis. Statistical analysis was performed with Microsoft Excel using a two-tailed Student t test. P < 0.05 was considered significant. As has been reported elsewhere, ethanol feeding increased liver weight to body check details weight ratio, liver triglyceride, and serum ALT values and resulted in liver steatosis in WT mice compared with isocaloric diet-fed controls (Fig. 1A-E). To test our hypothesis that alcohol may increase the expression and activity of hypoxia-inducible factor-1, nuclear extracts from liver tissue

were evaluated for HIF-1 expression. We found that HIF-1α mRNA was up-regulated by ethanol feeding in WT mice (Fig. 1D). HIF-1α protein was also more abundant in alcohol-fed than in pair-fed livers (Fig. 2A,B). HIFs are primarily degraded by posttranslational hydroxylation and subsequent degradation of the alpha subunits by the ubiquitin/proteasomal system. To confirm that HIF-1α was transcriptionally active, we performed an EMSA using a commercially available HRE oligonucleotide. Our results showed a significant up-regulation of HIF DNA-binding activity in ethanol-fed animals versus pair-fed animals, suggesting HIF-1 activation (Fig. 2C,D). In order to determine the contribution of HIF-1α to ethanol-induced liver pathology, we used a mouse model Megestrol Acetate of hepatocyte-specific HIF-1α activation (HIF1dPA) described by Kim et al.10 Due to a mixed genetic background, Alb-Cre littermates that did not harbor the HIF1dPA transgene were selected as controls. To confirm the activation of HIF-1α in HIF1dPA mice, HIF-1α DNA-binding activity was examined in liver nuclear extracts from HIF1dPA and Alb-Cre control mice, and a significant up-regulation of HIF-1α DNA-binding activity was observed (P < 0.01; HIF1dPA pair-fed versus Alb-Cre pair-fed) (Supporting Fig. 1.) We found increased liver weight/body weight (LW/BW) ratios in HIF1dPA mice versus Alb-Cre controls even without alcohol feeding (Fig 3A).

One early post- procedure-related complication occurred with cyst

One early post- procedure-related complication occurred with cyst wall-separation selleck resulting in intra-peritoneal air leak, which was endoscopically sealed using a “bear-claw” clip and patient had unremarkable

recovery with antibiotic therapy alone. Conclusion: EUS-guided therapy for peri-pancreatic fluid collections is clinically successful in the majority of patients by endoscopic means alone, while adjunctive “conventional” therapy can be reserved for those with incomplete clinical response. Using large diameter stents with or without nasocystic drainage is most helpful for patients with complex collections. J BROOKER, G DICKSON Waikato Hospital Background: Early oesophageal neoplasia is seen in patients with Barrett’s oesophagus as well as squamous lesion. Cap-assisted ligation EMR provides tissue staging to assist in treatment decisions and may achieve curative treatment. Methods: Retrospective review of prospective database of patients referred of early oesophageal neoplastic lesions between April 2010–May 2014. Results: The 14 patients (mean age 68.5 yrs, range 53–81 yrs) with early stage disease (11 males, 78.6%) underwent EMR. Underlying Barrett’s oesophagus was present in 11/14 (78.6%) with 8 having a visible nodule. Prior biopsy showed high grade dysplasia (HGD) in 10 (91%)

and 1 (9%) suspected adenocarcinoma. Three patients had suspected squamous neoplasia. Resected pathology confirmed adenocarcinoma in 4 patients (1 T1a, 2 T1sm and 1 early T2), HGD in one and LGD in 6 patients. EMR of squamous lesions Selleck JQ1 showed 2 LGD and 1 papilloma. Adenocarcinoma patients underwent chemoradiation alone in 2, chemoradiation and surgery 1 and surgery 1 alone, respectively. Six patients with prior HGD underwent HALO ablation therapy to treat residual Barrett’s oesophagus. No adverse events were recorded related to EMR. Conclusion: Cap-assisted ligation EMR is safe to perform in patients with early oesophageal neoplasia. This allows better tissue

staging of neoplastic lesions to determine appropriate adjunctive therapy with curative intent. AYS TING,1 D CROAGH,1,2 S ALEXANDER,3,4 D DEVONSHIRE,1 MP SWAN1 1Department of Gastroenterology, Monash Health, Melbourne, VIC, Australia, 2Monash University, Melbourne, VIC, Australia, Loperamide 3Department of Gastroenterology, Barwon Health, Geelong, VIC, Australia, 4School of Medicine, Deakin University, Geelong, VIC, Australia Introduction: In the last two decades, there have been numerous advancements in technology and innovations that have impacted ERCP practice. Varying recommendations exist to guide this practice but adherence to these guidelines is currently unknown. This survey was conducted to assess how ERCP is currently performed in Australia and to guide future research into this area of interventional endoscopy.

Interestingly, mRNA levels of Fsp27 in ob/ob hepatocytes and AML1

Interestingly, mRNA levels of Fsp27 in ob/ob hepatocytes and AML12 cells were not affected by FA treatment, but were significantly enhanced by PPAR agonists (Fig. 5A,B). Cideb expression was not affected by treatment with FAs or PPAR agonists (Supporting Fig. 6A,B). In addition, the expression level of Cidea (but not Fsp27 and Cideb) was up-regulated in the primary hepatocytes that were isolated from mice treated with an HFD for 2 days and incubated with saturated FAs (Fig. 5C and Supporting Fig. 6C). Consistent with increased gene expression, Cidea protein levels were higher in ob/ob hepatocytes treated with saturated FAs relative to the control cells (Fig. 5D and Supporting Fig. 6D). Fsp27

protein levels were also increased in cells treated with PPAR agonists (Fig. this website 5D and Supporting Fig. 6E). Interestingly, despite no effects on inducing Cidea mRNA level, OAs, LAs, and LNAs were able to increase Cidea and Fsp27 protein levels (Fig. 5D and Supporting Fig. 6D,E), suggesting a post-transcriptional regulation of Cidea and Fsp27 by these FAs.

BYL719 ic50 Overall, these data indicated that gene expression of the CIDE family members was differentially regulated by dietary FAs and PPAR agonists, and that Cidea expression was specifically induced by saturated FAs. To identify the transcription factor(s) responsible for saturated FA-induced Cidea expression in hepatocytes, we checked expression levels of several key transcriptional regulators in livers of HFD-fed mice. We observed that levels of hepatic SREBP1c mRNA and its downstream target genes (i.e., FAS and ACC1) were increased in animals fed with HFDs for 2 days and continued to increase with HFD treatment (Fig. 6A

and Supporting Fig. 7A), which correlated well with the increased Cidea expression. In addition, protein levels of the mature nuclear form of SREBP1c were significantly increased in livers Pregnenolone of HFD-fed mice (Fig. 6A and Supporting Fig. 7C). mRNA levels and its nuclear form of SREBP1c were also increased in ob/ob hepatocytes treated with PAs and SAs (Fig. 6B and Supporting Fig. 7D). Hepatic expression of other transcriptional regulators, including SREBP2, PPARα, and liver X receptor alpha, were not affected by HFD treatment (Supporting Fig. 7B). The strong correlation between expression levels of SREBP1c and Cidea suggests that SREBP1c may serve as a transcriptional activator for saturated FA-induced Cidea expression. To test this hypothesis, we first overexpressed SREBP1c in AML12 cells and observed that Cidea (but not Fsp27 and Cideb) expression was significantly increased (Supporting Fig. 8A). The addition of PAs further enhanced this expression (Supporting Fig. 8A). Next, we knocked down SREBP1c in ob/ob hepatocytes (an 80% reduction in mRNA levels; Supporting Fig. 8B) and observed that mRNA levels of FAS, one of its downstream targets, were also reduced (Supporting Fig. 8B).

The therapeutical effect is very good not only for induction of r

The therapeutical effect is very good not only for induction of remission of the intestinal inflammation, but also for a long-term maintenance treatment. For some patients, however, BT is associated with the occurrence of sometimes serious side effects. Their pathogenesis is not known yet and in some cases these serious side effects are the cause of the termination of the treatment. Methods: In the period 2007–2012, 136 patients with IBD TNF-α were treated at the Department of Internal Medicine II of the University Hospital in Olomouc. In this set of patients, the occurrence of serious side effects of TNF-α was observed

within the dispensarization. The difference in the occurrence of side events was compared with the control set of 114 patients with IBD, who underwent only conventional therapy (aminosalicylates, corticosteroids, immunosuppressants). Epacadostat The observed side effects included skin, articulary, selleck chemicals llc ocular, infectious, metabolic and hematopoietic disorders. The data were statistically processed

using standard descriptive methods for continuous data. Results: The serious side effects were documented in 12 (8.8%) patients with TNF-α therapy; the most common complications were skin complications (54.3%). In the set of patients under the conventional therapy, the side effects of the treatment have been reported in 8 (7.0%) patients, mostly involving hematopoietic disorders (61.2%). The observed difference of occurrence of serious side effects was not statistically significant (p = 0.11). Conclusion: In the last decade, the introduction of BT has caused a significant change in the routine clinical treatment of IBD. It turns out that this treatment is relatively safe, the incidence of serious side effects is not higher than when using conventional drug therapy.

It is necessary to indicate the TNF-α treatment properly, the patient must be carefully examined before the initiation of the treatment and intensively monitored during the course of the treatment. Key Word(s): 1. biological therapy; 2. conventional therapy; 3. ulcerative colitis; 4. Crohn’s disease; Presenting Interleukin-2 receptor Author: XIAOMIN LV Additional Authors: XIAOLAN ZHANG Corresponding Author: XIAOLAN ZHANG Affiliations: The Second Hospital of Hebei Medical University; The Second Hospital of Hebei Medical University Objective: Ulcerative colitis is a chronic non-specific easy-to-relapse inflammatory rectum and colon diseases, which main cause remains unknown. Recent years, researchers find TNF ligand-related molecule-1A (TL1A) is a new member of tumor necrosis factor superfamily (TNFSF), which can bind DcR3 to induce some inflammation, also may provide a new biological therapeutic target with IBD. Methods: Patient were grouped as follows: 1.

[6-8] A major obstacle in dissecting the molecular basis of PBC h

[6-8] A major obstacle in dissecting the molecular basis of PBC has been the absence of suitable animal models. We have previously reported that mice transgenic for directed expression of a dominant negative form of transforming growth factor beta MLN0128 mouse receptor type II (dnTGFβRII), under the control

of the CD4 promoter lacking the CD8 silencer, spontaneously developed an autoimmune biliary ductular disease similar to human PBC, including development of AMA.[9-13] This observation is critical because our previous work on PDC-E2 specific CD4+ and CD8+ T cells in human PBC suggests that autoimmune cholangitis in patients is mediated by autoantigen-specific T cells.[14-17] Earlier work has demonstrated that adoptive transfer of CD8+ T cells from dnTGFβRII mice induces autoimmune cholangitis in recipients.[11, 18] However, both in humans and in the murine models there has always been the question as to whether the multilineage response to mitochondrial autoantigens

and, in particular, PDC-E2, is specifically involved in tissue damage or whether it is part of a nonspecific loss of tolerance and therefore an epiphenomenon. To address this issue, we took advantage of our dnTGFβRII Talazoparib nmr model and developed unique murine constructs in which we introduced the dnTGFβRII gene, along with either OT-I T-cell receptor (TCR) or OT-II TCR transgenes into Rag1−/− mice. In other words, we developed two dnTGFβRII strains in which Branched chain aminotransferase the T-cell repertoire was replaced with either ovalbumin (OVA)-specific CD8+ T cells (OT-I) or OVA-specific CD4+ T cells (OT-II). We report herein that autoimmune cholangitis requires T cell antigen specificity for the development of autoimmune

cholangitis. These data have importance not only for this mouse model, but highlight the significance of breach of tolerance to PDC-E2 in humans with PBC. Our colony of dnTGFβRII mice on a C57/BL/6J (B6) background was maintained at the University of California at Davis animal facility (Davis, CA).[9] C57BL/6-Tg (TcrαTcrβ) 1100Mjb/J (OT-I), C57BL/6-Tg (TcrαTcrβ) 425Cbn/J (OT-II) and B6.129S7-Rag1tm1Mom/J (Rag1−/−) mice were purchased from the Jackson Laboratory (Bar Harbor, ME). To generate OT-I/dnTGFβRII/Rag1−/− mice, male dnTGFβRII mice and OT-I mice were mated with female Rag1−/− mice to obtain dnTGFβRII/Rag1+/− mice and OT-I/Rag1+/− mice, which were subsequently backcrossed with female Rag1−/− mice to obtain dnTGFβRII/Rag1−/− mice and OT-I/Rag1−/− mice, respectively. Male dnTGFβRII/Rag1−/− mice were then mated with female OT-I/Rag1−/− mice to obtain OT-I/Rag1−/− and OT-I/dnTGFβRII/Rag1−/− mice. OT-II/dnTGFβRII/Rag1−/− mice were similarly generated. In all cases, genotypes were confirmed via the polymerase chain reaction.

Yavuz Beyazit MD*, Murat Kekilli MD*, Tugrul Purnak MD†, Me

Yavuz Beyazit M.D.*, Murat Kekilli M.D.*, Tugrul Purnak M.D.†, Mevlut Kurt M.D.*, * Department of Gastroenterology, Turkiye Yuksek Ihtisas 3-MA solubility dmso Hospital, Ankara, Turkey, † Department of Gastroenterology, Ankara Numune Education and Research Hospital, Ankara, Turkey. “
“The human hepatitis B virus (HBV) causes acute and chronic infections in humans and

chimpanzees. HBV infects its hosts at minimal inoculation doses and replicates exclusively in hepatocytes. The viral determinants for the pronounced species specificity and the high efficacy to address hepatocytes in vivo are unknown. Previous findings showed that N-terminally myristoylated peptides constituting a receptor binding domain of the HBV large envelope (L)-protein block HBV entry in vitro and in vivo. Here we investigate the ability of such peptidic receptor ligands to target the liver. Injection of radioactively labeled HBVpreS-lipopeptides resulted in rapid accumulation in livers of mice, rats, and dogs but not cynomolgus

monkeys. Without lipid moiety the peptide was excreted by renal filtration, indicating its possible retention through the lipid by serum factors. Organ distribution studies of 26 HBVpreS peptide variants revealed a correlation of HBV infection inhibition activity and the ability to target mouse livers. Together with complementary studies using primary hepatocytes of different species, we hypothesize that HBV hepatotropism is mediated through specific binding of the myristoylated N-terminal preS1-domain of the HBV L-protein to a hepatocyte specific receptor. Moreover, the restricted infectivity of HBV to human primates is U0126 cell line not generally determined Pembrolizumab datasheet by the absence of this binding receptor in nonsusceptible hosts

(e.g., mice) but related to postbinding step(s) (e.g., membrane fusion). Conclusion: HBVpreS-lipopeptides target to the liver. This observation has important clinical implications regarding the pharmacokinetic properties of Myrcludex B, the first entry inhibitor for HBV/HDV. In addition, this provides the basis for the application of the peptides as vehicles for hepatocyte-specific drug targeting. (HEPATOLOGY 2013) See Editorial on Page 9 DMSO, dimethylsulfoxide; ge, genome equivalent; HBsAg, hepatitis B surface antigen; HBV, hepatitis B virus; HDV, hepatitis delta virus; L-protein, hepatitis B virus large surface protein; PHH, primary human hepatocytes; PTH, primary Tupaia hepatocytes; p.i., postinfection; RP-HPLC, reversed-phase high-performance liquid chromatography; SPECT/CT, single photon emission computed tomography/computed tomography. The human hepatitis B virus (HBV) causes acute and chronic liver infections. Worldwide, 350 million people are persistently infected.1 Chronic HBV will remain a major global health problem, despite the availability of vaccines. Therapies (interferon-alpha [IFNα] and five nucleoside analogs) are limited and mostly noncurative.

Yavuz Beyazit MD*, Murat Kekilli MD*, Tugrul Purnak MD†, Me

Yavuz Beyazit M.D.*, Murat Kekilli M.D.*, Tugrul Purnak M.D.†, Mevlut Kurt M.D.*, * Department of Gastroenterology, Turkiye Yuksek Ihtisas find more Hospital, Ankara, Turkey, † Department of Gastroenterology, Ankara Numune Education and Research Hospital, Ankara, Turkey. “
“The human hepatitis B virus (HBV) causes acute and chronic infections in humans and

chimpanzees. HBV infects its hosts at minimal inoculation doses and replicates exclusively in hepatocytes. The viral determinants for the pronounced species specificity and the high efficacy to address hepatocytes in vivo are unknown. Previous findings showed that N-terminally myristoylated peptides constituting a receptor binding domain of the HBV large envelope (L)-protein block HBV entry in vitro and in vivo. Here we investigate the ability of such peptidic receptor ligands to target the liver. Injection of radioactively labeled HBVpreS-lipopeptides resulted in rapid accumulation in livers of mice, rats, and dogs but not cynomolgus

monkeys. Without lipid moiety the peptide was excreted by renal filtration, indicating its possible retention through the lipid by serum factors. Organ distribution studies of 26 HBVpreS peptide variants revealed a correlation of HBV infection inhibition activity and the ability to target mouse livers. Together with complementary studies using primary hepatocytes of different species, we hypothesize that HBV hepatotropism is mediated through specific binding of the myristoylated N-terminal preS1-domain of the HBV L-protein to a hepatocyte specific receptor. Moreover, the restricted infectivity of HBV to human primates is www.selleckchem.com/small-molecule-compound-libraries.html not generally determined Terminal deoxynucleotidyl transferase by the absence of this binding receptor in nonsusceptible hosts

(e.g., mice) but related to postbinding step(s) (e.g., membrane fusion). Conclusion: HBVpreS-lipopeptides target to the liver. This observation has important clinical implications regarding the pharmacokinetic properties of Myrcludex B, the first entry inhibitor for HBV/HDV. In addition, this provides the basis for the application of the peptides as vehicles for hepatocyte-specific drug targeting. (HEPATOLOGY 2013) See Editorial on Page 9 DMSO, dimethylsulfoxide; ge, genome equivalent; HBsAg, hepatitis B surface antigen; HBV, hepatitis B virus; HDV, hepatitis delta virus; L-protein, hepatitis B virus large surface protein; PHH, primary human hepatocytes; PTH, primary Tupaia hepatocytes; p.i., postinfection; RP-HPLC, reversed-phase high-performance liquid chromatography; SPECT/CT, single photon emission computed tomography/computed tomography. The human hepatitis B virus (HBV) causes acute and chronic liver infections. Worldwide, 350 million people are persistently infected.1 Chronic HBV will remain a major global health problem, despite the availability of vaccines. Therapies (interferon-alpha [IFNα] and five nucleoside analogs) are limited and mostly noncurative.