Hepatitis C virus (HCV) is an important cause of chronic liver disease and is complicated by hepatocellular carcinoma (HCC). Mechanisms whereby the virus promotes cellular transformation are poorly understood. We hypothesized that the guanosine triphosphatase activity encoded in the HCV NS4B protein's nucleotide binding motif (NBM) might play a role in the transformation process. Here we report that NS4B can transform NIH-3T3 cells, leading to tumor formation in vivo. This transformation was independent of co-transfection with activated Haras. Detailed analyses of NS4B mutants revealed that this transforming activity could be progressively inhibited and completely abrogated by increasing genetic impairment of the NS4B nucleotide binding motif. Conclusion: NS4B has in vitro and in vivo tumorigenic potential, and the NS4B transforming activity is indeed mediated by its NBM. Moreover, our results suggest that pharmacological inhibition of the latter might inhibit not only HCV replication but also the associated HCC. (HEPATOLOGY 2008;47:827-835.) C hronic infection with the hepatitis C virus (HCV) is a major risk factor for the development of hepatocellular carcinoma (HCC). The incidence of HCC and the mortality rate associated with it are increasing dramatically. 1,2 Although chronic inflammation, fibrosis, and liver cell proliferation are considered the major factors contributing to the development of HCC, accumulating data support direct viral effects as well. 3 HCV is a positive single-stranded RNA virus. Its 9.6-kb genome encodes a single ϳ3000-amino-acid polyprotein, which is proteolytically processed into structural proteins, which are components of the mature virus, and nonstructural proteins, which are involved in replicating the viral genome. 4 Several viral proteins including NS3, NS5A, and core have been implicated in cellular transformation. 5-8 NS4B, a 27-kDa membrane protein, has been similarly shown by Park et al 9 to transform NIH 3T3 cells. 9 Transformation, however, only occurred when NS4B was co-transfected with the activated Ha-ras gene. The mechanism by which NS4B mediates its transformation potential remains unknown.We have recently reported the identification of a nucleotide-binding motif (NBM) within NS4B and shown that this motif mediates both binding and hydrolysis of guanosine triphosphate (GTP) and HCV RNA replication. 10 The NBMs of human oncogenes, such as ras, mediate their malignant transformation. 11,12 We thus hypothesized that the NBM of NS4B may similarly mediate its role in transformation. Here we report that NS4B of the Con 1 isolate transforms NIH3T3 cells independently of exogenous Ha-ras, the transformed cells lead to tumor formation in nude mice, and the NBM of NS4B mediates the latter's role in transformation, with exciting implications for novel therapies.
Materials and MethodsPlasmids. Standard recombinant DNA technology was used to construct and purify all plasmids. All regions