Hepatitis B virus (HBV) infection remains a significant global public health challenge, affecting approximately 260 million individuals worldwide who suffer from chronic infection (
1). Annually, nearly one million people succumb to HBV-related ailments, including liver fibrosis, cirrhosis, and hepatocellular carcinoma (HCC) (
1,
2). The development of liver fibrosis is a crucial factor in the prognosis of HBV-induced liver diseases. Strategies focused on eliminating agents responsible for triggering fibrotic responses may contribute to the regression of fibrosis (
3,
4). Without intervention, HBV-associated liver fibrosis can advance to severe scarring and organ failure, exemplified by conditions like liver cirrhosis, ultimately progressing to HCC (
3,
4).
The role of the immune response in controlling HBV is well established, particularly the contributions of adaptive immune responses involving virus-specific CD4+ and CD8+ T cells, B cells, and antibodies (
5). However, the initiation of the innate immune response is paramount for achieving an adequate level of antiviral adaptive immunity. This initiation involves the recognition of conserved pathogen-associated molecular patterns (PAMPs) by cellular pattern recognition receptors (PRRs), marking a crucial initial step in mounting an effective antiviral defense (
6). In the context of viral infections, nucleic acids act as conserved PAMPs, triggering the vigilant response of the innate immune system (
6). Despite these advances, significant gaps remain in understanding the interplay between innate and adaptive immunity in HBV replication and control.
Nuclear DNA sensors are specialized proteins within the nucleus of cells that detect the presence of foreign or damaged DNA, triggering immune responses. In the context of viral infections, these sensors recognize viral DNA and activate signaling pathways, such as the production of interferons and other antiviral molecules to defend against the invading pathogen. Recent studies have highlighted the role of nuclear DNA sensors in antiviral host defense, including interferon (IFN)-inducible protein 16 (IFI16), cyclic GMP-AMP synthase (cGAS), IFIX, and heterogeneous nuclear ribonucleoprotein A2/B1 (hnRNPA2B1) (
7-
11).
Interferon-inducible protein 16 has been recognized for its ability to associate with viral or transfected DNA, activate stimulator of interferon genes (STING), and coordinate IRF3 and NF-kB signaling in response to DNA viruses (
11). Interferon-inducible protein 16's capacity to recognize viral DNA in both the cytoplasm and nucleus positions it as a versatile sentinel in the cellular defense against DNA viruses (
12). The regulatory role of IFI16 is further complicated by post-translational modifications such as acetylation, which are integral to its function (
13). The acetylation process is essential for the cytoplasmic translocation and subsequent signal transduction of IFI16 (
13).
A novel aspect of this study is the investigation of the interaction between IFI16 and Sirt1, an NAD-dependent deacetylase known to reduce the acetylation of IFI16, thereby inhibiting its cytoplasmic localization and antiviral responses (
14). Sirtuin 1, which has diverse regulatory roles in aging, metabolism, apoptosis, and inflammation, emerges as a potential partner in this molecular symphony (
15). Recent investigations into Sirt1's role in antiviral responses, particularly in the context of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and HSV-1 infections, have revealed conflicting outcomes, highlighting the nuanced nature of Sirt1's involvement in viral replication (
16).
Stimulator of IFN genes, which is downstream of IFI16, is an interferon-stimulated genes (ISG) and a key adapter protein in DNA-induced innate immune activation (
17,
18). Given its crucial roles in activating innate immunity and autophagy, STING has emerged as a promising therapeutic target for a spectrum of diseases, including cancer, inflammatory conditions, and viral infections (
19). Notably, agonist-induced STING signaling activation has been reported to boost antitumor immunity and may contribute to priming CD8+ T cells against immunogenic tumors, including HCC (
20,
21). One study focuses on exploring the potential inhibitory effect of STING activation on HBV covalently closed circular DNA (cccDNA) and HBV-induced liver fibrosis, contributing valuable insights into the intricate interplay between STING signaling and the pathogenesis of HBV infection (
22).
Our study aims to fill these gaps by investigating the collaborative efforts of IFI16 and Sirt1 in HBV replication. We focus on the molecular intricacies of their interaction and its impact on STING, a central player in regulating ISGs. Our exploration extends beyond the realm of IFI16 and Sirt1 to investigate the effects of their interaction on STING, shedding light on the regulatory network governing ISGs during HBV replication.
To further enrich our understanding of the host-virus interplay, we extend our investigation to the consequences of knocking down IFI16 and Sirt1. Surprisingly, the data reveal a scenario where knocking down IFI16 alone does not significantly affect HBV replication, but the dual inhibition of IFI16 and Sirt1 leads to a substantial reduction. As we navigate through the experimental landscape, our attention turns to the level of STING protein, a crucial component in the antiviral response. The observed changes in STING protein levels upon IFI16 and Sirt1 knockdown suggest a potential connection between IFI16, Sirt1, and STING in the regulation of ISGs and, consequently, HBV replication.