USING RECOMBINANT ORF2 AND ORF3 POLYPEPTIDES IN LABORATORY DIAGNOSIS OF VIRAL HEPATITIS E
Abstract
Background. Hepatitis E virus, which causes an infectious disease in humans, is classified as the species Paslahepevirus balayani. The viral genome contains three open reading frames (ORFs). ORF2 encodes the major capsid protein of the HEV virion, which is involved in the assembly of viral particles. The ORF3 protein is critically required for virion egress from the cell and for the formation of infectious particles. Objective. To study the immunological effectiveness of using recombinant antigens that are analogs of the ORF2 and ORF3 proteins of hepatitis E virus genotype 3. Material and methods. 96-well breakable plates, recombinant polypeptides ORF2 and ORF3 of HEV genotype 3, 26 human serum samples containing IgM antibodies, and 29 human serum samples containing IgG antibodies were used. Results. Statistically significant differences were established between the recombinant ORF2 and ORF3 polypeptides of hepatitis E virus genotype 3 for the detection of IgM-class antibodies (U = 384.500; p<0.001). The optical density (OD) values of samples obtained using sensitized recombinant ORF2 polypeptide exceeded those obtained using sensitized recombinant ORF3 polypeptide by 4.4-fold (2.657–7.076). Statistically significant differences were also observed between the recombinant ORF2 and ORF3 polypeptides for the detection of IgG-class immunoglobulins (U=317.500; p<0.001). The OD values of samples with sensitized recombinant ORF2 polypeptide exceeded those obtained with sensitized recombinant ORF3 polypeptide by 76.0-fold (26.22–140.89). Conclusion. The ORF2 capsid protein of hepatitis E virus is the principal antigen responsible for the induction of IgMand IgG-class antibodies during HEV infection. This is supported by the presence of immunodominant epitopes within the ORF2 structure, the dominant reactivity of patient sera, and the widespread use of ORF2 in serological diagnostics. IgG antibodies directed against ORF2 constitute the basis for the assessment of post-infectious immune responses. In contrast, the regulatory ORF3 protein does not play a leading role in the induction of IgM and IgG responses and has limited antigenic significance.
References
Liu Y, Dyall-Smith M, Oksanen HM. ICTV Virus Taxonomy Profile: Pleolipoviridae 2022. J Gen Virol. 2022;103(11):001793. https://doi.org/10.1099/jgv.0.001793.
Lin S, Zhang YJ. Advances in Hepatitis E Virus Biology and Pathogenesis. Viruses. 2021;13(2):267. https://doi.org/10.3390/v13020267.
Montpellier C, Wychowski C, Sayed IM, Meunier JC, Saliou JM, Ankavay M, Bull A, Pillez A, Abravanel F, Helle F, Brochot E, Drobecq H, Farhat R, Aliouat-Denis CM, Haddad JG, Izopet J, Meuleman P, Goffard A, Dubuisson J, Cocquerel L. Hepatitis E Virus Lifecycle and Identification of 3 Forms of the ORF2 Capsid Protein. Gastroenterology. 2018;154(1):211-223.e8. https://doi.org/10.1053/j.gastro.2017.09.020.
Ju X, Ding Q. Hepatitis E Virus Assembly and Release. Viruses. 2019;11(6):539. https://doi.org/10.3390/v11060539.
Mehnert AK, Stegmaier S, Ramirez Alvarez C, Toprak E, Magalhães VG, Siebenkotten C, Hu J, Costa AL, Kirrmaier D, Knop M, Wu X, Tubiana T, Herrmann C, Binder M, Dao Thi VL. The hepatitis E virus capsid protein ORF2 counteracts cell-intrinsic antiviral responses to enable persistent replication in cell culture. PLoS Pathog. 2025;21(9):e1013516. https://doi.org/10.1371/journal.ppat.1013516.
Surjit M, Varshney B, Lal SK. The ORF2 glycoprotein of hepatitis E virus inhibits cellular NF-κB activity by blocking ubiquitination mediated proteasomal degradation of IκBα in human hepatoma cells. BMC Biochem. 2012;13:7. https://doi.org/10.1186/1471-2091-13-7.
Tsarev SA, Tsareva TS, Emerson SU, Govindarajan S, Shapiro M, Gerin JL, Purcell RH. Recombinant vaccine against hepatitis E: dose response and protection against heterologous challenge. Vaccine. 1997;15(17-18):1834-8. https://doi.org/10.1016/s0264-410x(97)00145-x.
Shrestha MP, Scott RM, Joshi DM, Mammen MP Jr, Thapa GB, Thapa N, Myint KS, Fourneau M, Kuschner RA, Shrestha SK, David MP, Seriwatana J, Vaughn DW, Safary A, Endy TP, Innis BL. Safety and efficacy of a recombinant hepatitis E vaccine. N Engl J Med. 2007;356(9):895-903. https://doi.org/10.1056/NEJMoa061847.
Zhu FC, Zhang J, Zhang XF, Zhou C, Wang ZZ, Huang SJ, Wang H, Yang CL, Jiang HM, Cai JP, Wang YJ, Ai X, Hu YM, Tang Q, Yao X, Yan Q, Xian YL, Wu T, Li YM, Miao J, Ng MH, Shih JW, Xia NS. Efficacy and safety of a recombinant hepatitis E vaccine in healthy adults: a large-scale, randomised, double-blind placebo-controlled, phase 3 trial. Lancet. 2010;376(9744):895-902. https://doi.org/10.1016/S0140-6736(10)61030-6.
Huang S, Zhang X, Su Y, Zhuang C, Tang Z, Huang X, Chen Q, Zhu K, Hu X, Ying D, Liu X, Jiang H, Zang X, Wang Z, Yang C, Liu D, Wang Y, Tang Q, Shen W, Cao H, Pan H, Ge S, Huang Y, Wu T, Zheng Z, et al. Long-term efficacy of a recombinant hepatitis E vaccine in adults: 10-year results from a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2024;403(10429):813-823. https://doi.org/10.1016/S0140-6736(23)02234-1.
Moin SM, Panteva M, Jameel S. The hepatitis E virus Orf3 protein protects cells from mitochondrial depolarization and death. J Biol Chem. 2007;282(29):21124-33. https://doi.org/10.1074/jbc.M701696200.
Zhou Z, Xie Y, Wu C, Nan Y. The Hepatitis E Virus Open Reading Frame 2 Protein: Beyond Viral Capsid. Front Microbiol. 2021;12:739124. https://doi.org/10.3389/fmicb.2021.739124.
Takahashi M, Yamada K, Hoshino Y, Takahashi H, Ichiyama K, Tanaka T, Okamoto H. Monoclonal antibodies raised against the ORF3 protein of hepatitis E virus (HEV) can capture HEV particles in culture supernatant and serum but not those in feces. Arch Virol. 2008;153(9):1703-13. https://doi.org/10.1007/s00705-008-0179-6.
Zhavoronok SV, Zadora IS, Davydov VV, Rogacheva TA, Anisko LA, Alatortseva GI, Simirsky VV, Shcherban AI, Sсhuka NV, Bayur NG, Shebeko YuK, Mitko JA. Ispolzovanie belkov ORF2 i ORF3 dlja sozdanija test-sistemy dlja immunofermentnogo analiza pri virusnom gepatite E [The use of ORF2 and ORF3 proteins for creating an enzyme-linked immunosorbent assay for viral hepatitis E]. Immunopatologija, allergologija, infektologija [Immunopathology, allergology, infectology]. 2022(2):28-30. https://doi.org/10.14427/jipai.2022.2.28. https://www.elibrary.ru/lcrpmx. (Russian).
Alatortseva GI, Sidorov AV, Nesterenko LN, Lukhverchik LN, Amiantova II, Dotsenko VV, Vorobev DS, Ammur YuI, Zhukina MV, Bajyzbekova DA, Mikhajlov MI, Potemkin IA, Kyuregyan KK, Nurmatov ZSh, Nurmatov AZ, Kasymov OT, Zhavoronok SV, Krasochko PA, Zverev VV, inventors. FGBNU NIIVS im. I. I. Mechnikova, assignee. Rekombinantnyj belok, soderzhashchij antigenno-znachimyje fragmenty belkov virusa gepatita E, ispolzujemyj v test-sistemah dlja serodiagnostiki gepatita E (varianty) [Recombinant protein containing antigen-significant fragments of hepatitis e virus proteins, used in test systems for hepatitis E serodiagnosis (embodiments)]. RU patent 2711907. 2020 Jan 23. NBFICC. (Russian).
Khudyakov YE, Lopareva EN, Jue DL, Crews TK, Thyagarajan SP, Fields HA. Antigenic domains of the open reading frame 2-encoded protein of hepatitis E virus. J Clin Microbiol. 1999;37(9):2863-71. https://doi.org/10.1128/JCM.37.9.2863-2871.1999.
Pezzoni G, Stercoli L, Pegoiani E, Brocchi E. Antigenic Characterization of ORF2 and ORF3 Proteins of Hepatitis E Virus (HEV). Viruses. 2021;13(7):1385. https://doi.org/10.3390/v13071385.
Yan H, Chi Z, Zhao H, Zhang Y, Zhang Y, Wang Y, Chang S, Zhao P. Application of ORF3 Subunit Vaccine for Avian Hepatitis E Virus. Vet Sci. 2022;9(12):676. https://doi.org/10.3390/vetsci9120676.
Alatortseva GI, Sidorov AV, Nesterenko LN, Luhverchik LN, Milovanova AV, Ammur YI, Mikhailov MI, Kyuregyan KK, Zhavoronok SV, Zverev VV. Poluchenie rekombinantnogo belka ORF3 virusa gepatita E 3 genotipa i ocenka ego antigennyh svojstv [Obtaining the recombinant ORF3 protein of hepatitis E genotype 3 and evaluation of its antigenic properties]. Zhurnal mikrobiologii, jepidemiologii i immunobiologii [Journal of microbiology, epidemiology and immunobiology]. 2018;95(5):46-53. https://doi.org/10.36233/0372-9311-2018-5-46-53. (Russian).
European Association for the Study of the Liver. EASL Clinical Practice Guidelines on hepatitis E virus infection. J Hepatol. 2018;68(6):1256-1271. https://doi.org/10.1016/j.jhep.2018.03.005.
Subramaniam S, Fares-Gusmao R, McGivern DR. Quantification of Hepatitis E Virus ORF2 Protein by a Novel Sandwich ELISA. Viruses. 2024;16(3):393. https://doi.org/10.3390/v16030393.
Sayed IM, Karam-Allah Ramadan H, Hafez MHR, Elkhawaga AA, El-Mokhtar MA. Hepatitis E virus (HEV) open reading frame 2: Role in pathogenesis and diagnosis in HEV infections. Rev Med Virol. 2022;32(6):e2401. https://doi.org/10.1002/rmv.2401.
Xiu BS, Feng XY, He J, Chen K, Liu J, Dai ZH, Yang XQ, Wang GH, Wang YC, Zhang HQ, Song XG, Zhu CX. Use of immuno-dominant epitope derived from genotype 4 as a diagnostic reagent for detecting the antibodies against Hepatitis E Virus. Virol J. 2013;10:131. https://doi.org/10.1186/1743-422X-10-131.
Yamada K, Takahashi M, Hoshino Y, Takahashi H, Ichiyama K, Nagashima S, Tanaka T, Okamoto H. ORF3 protein of hepatitis E virus is essential for virion release from infected cells. J Gen Virol. 2009;90(Pt 8):1880-1891. https://doi.org/10.1099/vir.0.010561-0.
He M, Wang M, Huang Y, Peng W, Zheng Z, Xia N, Xu J, Tian D. The ORF3 Protein of Genotype 1 Hepatitis E Virus Suppresses TLR3-induced NF-κB Signaling via TRADD and RIP1. Sci Rep. 2016;6:27597. https://doi.org/10.1038/srep27597.















1.png)


