Second Department of Internal Medicine, University of Fukui
2
Shaoxing People's Hospital, Department of Clinical Laboratory
Background Hepatitis B virus (HBV) causes over 50% of virus-related Hepatocellular carcinoma (HCC). Host factors play crucial roles in HBV-related HCC progression. Our previous study identified alpha-1-B glycoprotein (A1BG) as a candidate host factor in regulating HBV infection (PLOS One 2025). We explored the anti-HBV and antitumor effects of A1BG. Methods A1BG expression in HCC was analyzed using TCGA-LIHC and GSE121248 datasets. DEGs between high and low A1BG groups were identified using DESeq2. HepG2.1-E10 (Low HBV transcription) and HepG2.D11 (High HBV t.) cell lines, transfected with HBV genotype C2 genome, were used to study A1BG's effects. siRNA and plasmid vectors were used to knockdown and overexpression A1BG. MTT, CFSE, Annexin V/PI, wound healing, and transwell assays evaluated cell proliferation, apoptosis, migration, and invasion. Results A1BG expression was lower in HCC samples than in adjacent tissues. Lower A1BG expression correlated with higher pathological stage and poorer overall survival. A1BG-related DEGs were enriched in Wnt signaling pathway and extracellular matrix. Overexpression of A1BG reduced HBV-RNA levels, suppressed cell proliferation, increased apoptosis, and inhibited cell migration and invasion, while knockdown showed opposite effects. Conclusions A1BG regulates viral production and tumor progression in HepG2 cells transfected with HBV genome, highlighting its potential as a therapeutic target for HBV-related HCC.