For decades, the hepatitis B virus has guarded its secrets deep within human liver cells. Now, scientists have discovered an unexpected key to unlocking them—cancer cells that once seemed useless for research.
Imagine a library where most books are locked away, preventing you from reading the stories within. For virologists studying hepatitis B virus (HBV), this has been the frustrating reality. HBV, affecting over 250 million people globally, persists by hiding in liver cells, protected from current treatments and scientific scrutiny 6 .
People affected globally by HBV
Infection persists for decades
Primary site of HBV persistence
For years, researchers struggled to find suitable models to study the complete HBV life cycle. Then came an unexpected breakthrough: SNU cell lines—hepatocellular carcinoma cells derived from Korean patients with chronic HBV infection. Initially overlooked, these cells are now revolutionizing our understanding of HBV persistence and replication.
To appreciate why SNU cell lines are so valuable, we must first understand what they help us study. Hepatitis B virus employs a sophisticated replication strategy that allows it to persist in liver cells for decades.
The viral journey begins when the virus attaches to a liver cell (hepatocyte) via its sodium taurocholate co-transporting polypeptide (NTCP) receptor 6 .
After entry, the virus releases its genetic material—relaxed circular DNA (rcDNA)—which travels to the nucleus and transforms into covalently closed circular DNA (cccDNA) 1 5 .
This cccDNA serves as the persistent viral reservoir that current treatments cannot eliminate. It acts as a template for producing all viral RNAs, including pregenomic RNA (pgRNA), which is essential for creating new viral genomes and proteins 5 .
Newly assembled viruses then exit the cell to continue the infection cycle, while some rcDNA returns to the nucleus to replenish the cccDNA pool, creating a self-sustaining loop of persistence 3 .
Visualization of viral replication processes in liver cells
The groundbreaking research published in 2025 systematically examined 11 different SNU cell lines originated from HBV-related hepatocellular carcinomas. The findings revealed these cells as unprecedented models for understanding HBV biology 2 3 .
Scientists conducted a comprehensive analysis of intracellular RNA and DNA markers of HBV replication across all SNU cell lines.
| Cell Line | HBV Replication Status | Key Characteristics |
|---|---|---|
| SNU-423, SNU-368, SNU-398, SNU-182, SNU-449, SNU-475, SNU-354, SNU-739, SNU-387 | No detectable replication | Absent intracellular HBcAg; no significant secreted HBV DNA |
| SNU-761, SNU-886 | Residual replication | Low-level maintenance of HBV replication markers |
When researchers transfected SNU cell lines with a vector that initiates efficient HBV replication in standard hepatoma cells (Huh7), they discovered three distinct patterns of how these cells suppress viral replication 3 :
Very low levels of pgRNA, total HBV RNA, replication-derived RNAs, cccDNA, and core-associated HBV DNA
Moderate pgRNA, high total HBV RNA, rd-RNAs, and cccDNA, but very low core-associated HBV DNA
Very low pgRNA, total HBV RNA, and rd-RNAs, but moderate/high cccDNA levels
These natural suppression mechanisms mirror what likely occurs during chronic HBV infection in humans, where the liver gradually becomes repopulated with hepatocytes that poorly support HBV replication—some of which may eventually develop into cancers 3 .
Despite lacking active replication, most SNU cell lines contain a rich archive of HBV genetic material in the form of integrated HBV DNA 3 . These integration events create hybrid RNAs that provide unique insights into viral persistence.
| RNA Type | Description | Significance |
|---|---|---|
| 5'-human-HBV-3' RNAs | Transcripts starting from human DNA and continuing into HBV sequence | Reveal how viral integration affects human gene expression |
| 5'-HBV-human-3' RNAs | Transcripts starting from HBV DNA and continuing into human sequence | Some can produce HBV envelope proteins independently of replication |
| Spliced HBV RNAs | Processed RNAs with removed sections | Generated independently of HBV replication; may have regulatory functions |
The discovery that these cell lines produce HBV envelope proteins from integrated DNA without active viral replication is particularly significant. This may explain why HBsAg persists in some patients despite suppressive therapy 3 .
The unique characteristics of SNU cell lines have made them invaluable components of the virologist's toolkit, especially when combined with other modern research tools.
| Research Tool | Function/Application | Utility in HBV Research |
|---|---|---|
| SNU Cell Lines | Model systems for integrated HBV DNA transcription | Study viral persistence without replication; investigate hybrid RNA formation |
| Reporter HBV Viruses | Engineered viruses with luminescent or fluorescent markers | Quantitative analysis of infection and replication; high-throughput drug screening |
| HepG2-NTCPsec+ Cells | Engineered hepatoma cells with enhanced HBV receptor | Supports complete HBV life cycle; produces high titers of infectious virus |
| High-Content Screening Assays | Image-based analysis of viral and cellular factors | Enables monitoring of entire HBV life cycle; identifies inhibitors of viral steps |
The combination of these tools has accelerated HBV research dramatically. For instance, high-content screening using susceptible cell lines has identified several promising drug candidates that inhibit various stages of the HBV life cycle, including pranlukast (inhibits HBV preS1 binding) and cytochalasin D (prevents internalization of HBV) .
SNU cell lines continue to provide insights with profound clinical implications. By understanding the molecular mechanisms behind the three natural suppression patterns observed in these cells, researchers may identify new therapeutic targets to achieve functional cure—defined as HBsAg clearance with sustained HBV DNA suppression 6 .
These cell lines also serve as models for studying HBV-associated hepatocellular carcinoma, helping researchers understand how viral integration and persistent viral protein expression contribute to cancer development 9 . This knowledge could lead to better early detection methods and targeted therapies for HBV-related liver cancer.
"We need to not only accelerate developing innovative curative therapies, but advocate for providing current therapies to treat more patients."
Development of treatments targeting cccDNA
Understanding viral integration and its consequences
Uncovering how HBV maintains chronic infection
High-throughput testing of antiviral compounds
The story of SNU cell lines reminds us that important scientific tools sometimes come from unexpected places. What initially appeared as deficient cancer cells have transformed into powerful model systems that illuminate the shadowy persistence of hepatitis B virus.
These cellular libraries, with their archived HBV integrations and natural suppression mechanisms, provide a unique window into the viral strategies that have made HBV so difficult to eradicate. As researchers continue to decode the messages within these cells, we move closer to understanding—and ultimately interrupting—the complex life cycle of this formidable pathogen.