Chronic hepatitis B virus (HBV) infection is characterized by functionally impaired T cell responses.To ensure active immunotherapy, the immune response must be switched from exhausted T cells to functional effectors that can attain the liver and cure the viral infection. We thus designed a recombinant HBV (rHBV) containing a modified viral core gene that specifically delivers a foreign antigenic polyepitope to the liver. This recombinant virus could only be self-maintained in hepatocytes already infected by HBV through capsid complementation. A strong foreign epitope-specific T cell response was first primed in the periphery by way of DNA immunization in human leukocyte antigen ( In order to treat chronic HBV infection, intrahepatic T cell responses need to be switched from a state of dysfunction to fully efficient effector T cells. Previous studies have shown that HBV-based therapeutic vaccination might specifically activate T cell responses in chronic HBV carriers, although these appear to be transient and followed by a gradual decline. 2,3 For this reason, escape from built-up tolerance seems to be one of the most crucial points in active immunotherapy for persistent viral infection. 4 To achieve this goal, we propose an innovative strategy based on a non-HBV antigen-mediated functional T cell response that is intended to specifically target HBV and HBV-infected liver cells. Briefly, the non-HBV antigen consists of a portion of a foreign antigenic polyepitope that has been engineered in the HBV genome to create a recombinant hepatitis B virus (rHBV). Thus, HBV is used as a gene therapy vector to deliver the foreign antigenic polyepitope to the liver.Abbreviations: ALT, alanine aminotransferase; EBV, HBc, hepatitis B virus core protein; HBsAg, hepatitis B virus surface antigen; HBV, hepatitis B virus; HIV, human immunodeficiency virus; HLA, human leukocyte antigen; hyd., hydrodynamic; i.m., intramuscular injection; ORF, open reading frame; pCMV, cytomegalovirus plasmid; pgRNA, pregenomic RNA; prHBV1.3, recombinant hepatitis B virus plasmid; pwtHBV, rHBc, recombinant hepatitis B virus core protein; rHBV, recombinant hepatitis B virus; SEM, standard