Effect of matrix metalloproteinase-9 inhibitors in hepatitis B virus replication

Authors

  • Kemal Fariz Kalista Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Kuntjoro Harimurti Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Suzanna Immanuel Department of Clinical Pathology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Diah Iskandriati Primate Research Center, IPB University, Bogor, Indonesia
  • Cosmas Rinaldi Adithya Lesmana Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Fera Ibrahim Department of Microbiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Rino Alvani Gani Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.13181/mji.oa.257895

Keywords:

hepatitis B, IFNAR1, interferon beta, matrix metalloproteinase-9

Abstract

BACKGROUND Hepatitis B virus (HBV) remains difficult to eradicate due to the persistence of covalently closed circular DNA (cccDNA). Matrix metalloproteinase-9 (MMP-9) enhances HBV replication, but the effects of its inhibition remain unexplored. This study aimed to investigate the effects of MMP-9 inhibitors on HBV replication markers.

METHODS Primary hepatocyte cultures were obtained from the livers of 6 Tupaia javanica. Cultures were infected with HBV from human sera and divided into control and intervention groups. The intervention group received MMP-9 inhibitors at 1, 3, and 7 nM. The control group received phosphate-buffered saline. Levels of hepatitis B surface antigen (HBsAg), HBV DNA, cccDNA, MMP-9, interferon alpha and beta receptor subunit 1 (IFNAR1), and interferon beta (IFN-β) were measured in both groups before and 72 hours post-intervention.

RESULTS MMP-9 inhibitor administration at 1, 3, and 7 nM consistently reduced HBsAg, HBV DNA, cccDNA, and MMP-9 levels, though not statistically significant. Median HBV DNA levels at 1, 3, and 7 nM were 7.05, 5.29, and 5.98 ×103 copies/ml, respectively. Mean cccDNA levels at 1, 3, and 7 nM were 14.15, 11.04, and 13.94 ×103 copies/ml, respectively. The 3 nM dose increased IFNAR1 levels, while the 7 nM dose increased IFN-β, but neither change was significant. Among the tested doses, 3 nM showed the most favorable effects despite the lack of significance.

CONCLUSIONS MMP-9 inhibitor suppressed HBsAg, HBV DNA, cccDNA, and MMP-9 while increasing IFNAR1 and IFN-β in vitro.

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References

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Published

2025-12-03

How to Cite

1.
Kalista KF, Harimurti K, Immanuel S, Iskandriati D, Lesmana CRA, Ibrahim F, et al. Effect of matrix metalloproteinase-9 inhibitors in hepatitis B virus replication. Med J Indones [Internet]. 2025 Dec. 3 [cited 2026 Jan. 16];34(4):234–8. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/7895

Issue

Section

Basic Medical Research

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