RT Journal Article SR Electronic T1 Hepatitis B protein HBx binds the DLEU2 lncRNA to sustain cccDNA and host cancer-related gene transcription JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 2016 OP 2024 DO 10.1136/gutjnl-2019-319637 VO 69 IS 11 A1 Salerno, Debora A1 Chiodo, Letizia A1 Alfano, Vincenzo A1 Floriot, Oceane A1 Cottone, Grazia A1 Paturel, Alexia A1 Pallocca, Matteo A1 Plissonnier, Marie-Laure A1 Jeddari, Safaa A1 Belloni, Laura A1 Zeisel, Mirjam A1 Levrero, Massimo A1 Guerrieri, Francesca YR 2020 UL http://gut.bmj.com/content/69/11/2016.abstract AB Objective The HBV HBx regulatory protein is required for transcription from the covalently closed circular DNA (cccDNA) minichromosome and affects the epigenetic control of both viral and host cellular chromatin.Design We explored, in relevant cellular models of HBV replication, the functional consequences of HBx interaction with DLEU2, a long non-coding RNA (lncRNA) expressed in the liver and increased in human hepatocellular carcinoma (HCC), in the regulation of host target genes and the HBV cccDNA.Results We show that HBx binds the promoter region, enhances the transcription and induces the accumulation of DLEU2 in infected hepatocytes. We found that nuclear DLEU2 directly binds HBx and the histone methyltransferase enhancer of zeste homolog 2 (EZH2), the catalytic active subunit of the polycomb repressor complex 2 (PRC2) complex. Computational modelling and biochemical evidence suggest that HBx and EZH2 share two preferential binding sites in DLEU2 intron 1. HBx and DLEU2 co-recruitment on the cccDNA displaces EZH2 from the viral chromatin to boost transcription and viral replication. DLEU2-HBx association with target host promoters relieves EZH2 repression and leads to the transcriptional activation of a subset of EZH2/PRC2 target genes in HBV-infected cells and HBV-related HCCs.Conclusions Our results highlight the ability of HBx to bind RNA to impact on the epigenetic control of both viral cccDNA and host genes and provide a new key to understand the role of DLEU2 and EZH2 overexpression in HBV-related HCCs and HBx contribution to hepatocytes transformation.