Effects of hepatitis C virus core protein and nonstructural protein 4B on the Wnt/β-catenin pathway

Background Hepatitis C virus (HCV) core protein and nonstructural protein 4B (NS4B) are potentially oncogenic. Aberrant activation of the Wnt/β-catenin signaling pathway is closely associated with hepatocarcinogenesis. We investigated the effects of HCV type 1b core protein and NS4B on Wnt/β-catenin signaling in various liver cells, and explored the molecular mechanism underlying HCV-related hepatocarcinogenesis. Results Compared with the empty vector control, HCV core protein and NS4B demonstrated the following characteristics in the Huh7 cells: significantly enhanced β-catenin/Tcf-dependent transcriptional activity (F = 40.87, P < 0.01); increased nuclear translocation of β-catenin (F = 165.26, P < 0.01); upregulated nuclear β-catenin, cytoplasmic β-catenin, Wnt1, c-myc, and cyclin D1 protein expression (P < 0.01); and promoted proliferation of Huh7 cells (P < 0.01 or P < 0.05). Neither protein enhanced β-catenin/Tcf-dependent transcriptional activity in the LO2 cells (F = 0.65, P > 0.05), but they did significantly enhance Wnt3a-induced β-catenin/Tcf-dependent transcriptional activity (F = 64.25, P < 0.01), and promoted the nuclear translocation of β-catenin (F = 66.54, P < 0.01) and the Wnt3a-induced proliferation of LO2 cells (P < 0.01 or P < 0.05). Moreover, activation of the Wnt/β-catenin signaling pathway was greater with the core protein than with NS4B (P < 0.01 or P < 0.05). Conclusions HCV core protein and NS4B directly activate the Wnt/β-catenin signaling pathway in Huh7 cells and LO2 cells induced by Wnt3a. These data suggest that HCV core protein and NS4B contribute to HCV-associated hepatocellular carcinogenesis. Electronic supplementary material The online version of this article (doi:10.1186/s12866-017-1032-4) contains supplementary material, which is available to authorized users.


Background
Hepatitis C virus (HCV) is one of the main pathogens associated with hepatocellular carcinoma (HCC). It is estimated that approximately 185 million people worldwide have been infected with HCV, and more than 35 million people die annually from HCV-related liver diseases, the main diseases being cirrhosis and hepatocellular carcinoma [1]. However, the mechanisms underlying HCV-induced HCC have not been fully elucidated.
The HCV core protein comprises 191 amino acids, has RNA-binding activity, and forms the viral nucleocapsid. HCV core protein is necessary for the assembly and production of infectious virions, and is also involved in cell signaling, transcriptional regulation, apoptosis, lipid metabolism, and cell transformation [2,3]. Furthermore, the core protein induce HCC in transgenic mice [4]. HCV nonstructural protein 4B (NS4B) is an integral membrane protein that comprises 261 amino acids. Electron microscopy, and biochemical, structural, and genetic studies have shown that NS4B is the key organizer in the formation of HCV replication complexes [5,6]. NS4B induces the formation of a membranous web (MW), which is believed to provide support for HCV RNA replication [7,8]. Moreover, NS4B has NTPase activity [9] and can bind to viral RNA [7]. However, the role of HCV NS4B in the occurrence of liver cancer remains unclear. Wang et al. [10] reported that transgenic mice with intrahepatic expression of NS4B do not develop tumors, but Einav et al. [11] found that the HCV NS4B gene mediates cell transformation and tumor formation.
The Wnt/β-catenin signaling pathway has been associated with tumor cell growth, metastasis, and recurrence, and its excessive activation is closely associated with the occurrence of HCC [12,13]. Therefore, an investigation is warranted to determine whether HCV core protein and NS4B activate the Wnt/β-catenin signaling pathway, thereby inducing HCV-related HCC. Fukutomi et al. [14] reported that the HCV core protein upregulates Wnt1 and WISP2 in Huh7 cells, thereby promoting cell proliferation and cell cycle progression. Liu et al. [15] reported that in Huh7 cells, HCV core protein enhances Wnt3a-induced β-catenin/Tcf-dependent transcriptional activity via inactivation of glycogen synthase kinase-3β (GSK-3β) activity, thereby promoting the proliferation of Huh7 cells. However, these HCV studies were most often carried out in liver cancer cell lines [16], and only rarely in normal human liver cell lines. Research on the impact of NS4B on the Wnt/β-catenin pathway is also scarce. In our previous studies, we used reverse transcription-polymerase chain reaction (RT-PCR) to amplify the HCV core protein and NS4B genes from the sera of patients with chronic hepatitis C genotype 1b [17], and then fused them with the mkate2 gene, which expresses red fluorescent protein. Later, these genes were inserted into the lentiviral expression vector pLenti6.3/V5. This was followed by viral packaging and concentration, and inoculation into Huh7 and LO2 cells. Therefore, we successfully constructed human HCC Huh7 and normal human liver cell line LO2 models that stably expressed HCV core protein and NS4B. Based on this development, in the present study we explored the effects of HCV type 1b core protein and NS4B on the Wnt/β-catenin signaling pathway in Huh7 and LO2 cells, and examined the roles of those two proteins in the formation of HCV-related HCC. The results of this study will contribute to the formulation of new strategies to prevent and treat HCV-related HCC.

Construction of lentiviral vectors expressing HCV Core, NS4B and mkate2
To improve the expressions of HCV Core and NS4B genes in Huh7 and LO2 cells, we used a lentiviral expression system (Invitrogen, Carlsbad, CA). In brief, HCV Core and NS4B genes were amplified from plasmids of pDsRed-monomer-Core and pDsRed-monomer-NS4B ( [17], constructed in our lab), and then fused them with mkate2 gene, which was amplified from pmkate2-N plasmid (Invitrogen, Carlsbad, CA) by polymerase chain reaction (PCR) using primers listed in Additional file 1: Table S1. Subsequently, these genes were cloned into the pLenti6.3/V5 expression vector (Invitrogen, Carlsbad, CA) by BamHI and AscI digestion and T4 DNA ligase ligation, generating the three pLenti6.3-based vectors expressing HCV Core, NS4B and mkate2: pLenti6.3-Core, pLenti6.3-NS4B and pLenti6.3-mkate2. The inserted DNA fragments were verified by sequencing.
Establishment of stable cell lines expressing HCV Core protein, NS4B and mkate2 protein Each lentiviral construct and the three packaging plasmids (pLP1, pLP2, and pLP/VSVG) (Invitrogen, Carlsbad, CA) were co-transfected into the 293FT cells by lipofectamine 2000 (Invitrogen, Carlsbad, CA) to produce the three kinds of lentivirus: Lenti6.3-Core, Lenti6.3-NS4B and Lenti6.3-mkate2. The titer of the lentivirus was determined by serial dilution and counting the number of mkate2-positive cells in each dilution. The Huh7 and LO2 cells were infected by the lentivirus obtained at a multiplicity of infection (MOI) of 50, respectively, and the infection efficiency was assessed under fluorescent microscope. The Huh7 stable cell lines expressing HCV Core protein, NS4B and mkate2: Huh7-Core, Huh7-NS4B and Huh7-mkate2 were selected using 3 μg/ml blasticidin; the LO2 stable cell lines expressing HCV Core protein, NS4B and mkate2: LO2-Core, LO2-NS4B and LO2-mkate2 were screened using 2 μg/ml blasticidin. The expressions of HCV Core and NS4B mRNAs and proteins in these lentiviral-stable cell lines were detected by real-time qPCR and western blotting.

Dual-luciferase reporter assay
To detect β-catenin/Tcf transcriptional activity, we utilized the luciferase reporter plasmids pTOPFLASH with wild-type TCF binding sites (Upstate Biotechnology, Lake Placid, NY, USA) and pFOPFLASH with mutant TCF binding sites (Upstate Biotechnology, Lake Placid, NY), each used for the non-specific activation of the reporter. The pRL-TK-containing Renilla luciferase vector (Promega, Madison, WI, USA) was used as an internal control for transfection efficiency. The LO2-Core, LO2-NS4B, and LO2-mkate2 were seeded into 6-well plates at a density of 5.0 × 10 5 cells/well, with each cell type inoculated into three wells. When the cells had adhered to the wells, the LO2 cells were treated with complete medium with or without Wnt3a (R&D Systems, Inc., Minneapolis, USA) at concentrations of 100 and 200 ng/mL for 24 h, then co-transfected with 1.8 μg of pTOPFLASH or pFOPFLASH and 0.2 μg of pRL-TK using Lipofectamine 2000 (Invitrogen, Carlsbad, CA). The Huh7-Core, Huh7-NS4B, and Huh7-mkate2 were seeded into 6-well plates at a density of 5.0 × 10 5 cells/ well, grown to 80-90% confluence, then co-transfected with 1.8 μg of pTOPFLASH or pFOPFLASH and 0.2 μg of pRL-TK. Forty-eight hours after transfection, these cells were lysed, and luciferase activity was detected using a Dual-Luciferase Reporter Assay System (Promega). The experiment was repeated three times. β-catenin/Tcf transcriptional activity was expressed as the relative luciferase activity of pTOP/pFOP normalized to Renilla luciferase activity.
The ratio of the density of staining in the nucleus versus the cytoplasm was determined by measuring the integrated density of the ROIs in the nucleus and cytoplasm. Cells were determined to be positive for nuclear β-catenin based on the density ratio: a value equal to or less than 1 was considered negative, whereas a value more by greater was considered positive. At least 200 cells were counted in three different microscopic fields for each cell type.

3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay
The cells described above were seeded into 96-well plates at a density of 2000 cells per well, and continuously paved the plates for five days. MTT assays were then performed at five time-points (24, 48, 72, 96, and 120 h). MTT (10 μL, 5 mg/mL; Beyotime Institute of Biotechnology) was added to each well, and the plates were incubated for 4 h. Formazan lysate (100 μL) was then added to each well followed by incubation for another 4 h at 37°C. The absorbance values were then measured at 570 nm.
Plate clone assay (PCA) The cells described above were seeded into 6-well plates at a density of 5.0 × 10 5 cells per well. When the cells had adhered to the wells, the LO2 cells were divided into two groups: an inducer-free group and a 200 ng/mL Wnt3a group, and the cells in each group were cultured for 24 h; when the Huh7 cells reached 80% confluence, 0.25% trypsin (Gibco) was used to digest and collect the cells, which were then added to 10% FBS-containing RPMI 1640 or DMEM to produce a cell suspension with a final concentration of 1.0 × 10 4 cells/mL. One hundred and fifty microliters of the above cell suspension was then inoculated into new 6-well plates, 2.5 mL of 10% FBS-containing RPMI 1640 or DMEM was added, and the cells were cultured for 2 weeks at 37°C and 5% CO 2 . After fixation with 500 μL of methanol (Sinopharm Chemical Reagent Co., Ltd., Beijing, China) for 15 min, 800 μL of Giemsa staining liquid (Sinopharm Chemical Reagent Co., Ltd., Beijing, China) was added to the cell suspension, and the cells were cultured for 30 min. The number of cell clones was determined, and the cloning efficiency was calculated using the following equation: (%) = number of clones/inoculated cells × 100%. The experiment was repeated three times.

Cell cycle analysis
Huh7 and LO2 cells in the logarithmic phase were cultivated for 24 h in DMEM or RPMI 1640 nutrient solution without serum. The cells were then collected by 0.25% trypsinization and centrifugation at 1000 rpm. The collected cells were suspended in nutrient solution with 10% fetal calf serum, and inoculated into 6-well plates at a concentration of 5 × 10 5 cells. When the cells had adhered to the wells, the LO2 cells was divided into two groups: an inducer-free group and a 200 ng/mL Wnt3a group, and the cells in each group were cultured for 24 h; when the Huh7 cells had reached 80-90% confluence, the cells in each group were digested with 0.25% trypsin (Gibco), collected, centrifuged at 2000 rpm for 5 min, rinsed in PBS, and fixed overnight in pre-cooled 70% ethanol (Sinopharm Chemical Reagent Co., Ltd., Shanghai, China) at 4°C. The cells were then collected, and 5 μL of RNase A (Sigma-Aldrich) and 10 μL of propidium iodide (PI) (Becton Dickinson, Franklin Lakes, NJ, USA) were added and mixed. This was followed by incubation in darkness for 30 min. Subsequently, PI signal was detected at 617 nm wavelength using BD FACSCalibur system (Becton Dickinson, Franklin Lakes, NJ, USA) within an hour, and the cell cycle phase deduced from the fluorescence intensity using CellQuest software (Becton Dickinson).
Statistical analysis SPSS 16.0 software (SPSS Inc., Chicago, IL, USA) was used for the statistical analysis. All data are expressed as the mean ± standard deviation (SD). One-way analysis of variance was used for comparisons of multiple groups, and Student-Newman-Keuls and least significant difference tests were used for pairwise comparisons of multiple groups, with P < 0.05 considered a statistically significant difference.

Results
Expression of HCV core protein and NS4B in Huh7 and LO2 cells The pLenti6.3-Core, pLenti6.3-NS4B and pLenti6.3-mkate2 expressing HCV Core, NS4B and mkate2 were successfully constructed (Additional file 2: Figure S1). Real-time qPCR was used to investigate the expression of HCV core and NS4B mRNAs, and western blotting was used to investigate the expression of HCV core and NS4B proteins in the stable cell lines. The mRNA expression levels in the Huh7-Core and Huh7-NS4B cells were 183.71 ± 10.80 and 85.16 ± 5.60 greater than in the Huh7-mkate2 cells, respectively. The HCV core and NS4B mRNA expression levels in the LO2-Core and LO2-NS4B cells were 94.76 ± 16.93 and 2.12 × 10 5 ± 1.68 × 10 4 greater than in the LO2-mkate2 cells, respectively. Western blotting revealed the presence of the core protein (21 kDa) in the Huh7-Core cells and NS4B (27 kDa) in the Huh7-NS4B cells, whereas those proteins were not detected in the Huh7-mkate2 cells (Fig. 1a-b). Similar results were obtained for the LO2-Core and LO2-NS4B cells (Fig. 1c-d). The Huh7 and LO2 cells were visualized with visible light and fluorescence images (×100, Fig. 1e-f).

HCV core protein and NS4B increase the nuclear translocation of β-catenin in Huh7 cells or LO2 cells following Wnt3a induction
Indirect immunofluorescence staining was performed to detect the nuclear translocation of β-catenin protein, and the results showed that the percentage of cells positive for the nuclear localization of β-catenin protein in the Huh7-Core and Huh7-NS4B cells was significantly higher than in the Huh7-mkate2 cells (82.00 ± 4.36, 78.67 ± 3.51, and 31.00 ± 3.61, F = 165.26, P < 0.01) ( Fig. 3a-b). When Wnt3a was not used to stimulate the LO2 cells, there was no significant difference between the percentage of cells positive for β-catenin nuclear localization in the LO2-Core and LO2-NS4B cells and the LO2-mkate2 cells (26.33 ± 3.21, 24.67 ± 3.79, and 21.17 ± 2.93, F = 1.88, P > 0.05) (Fig. 3c-d). When stimulated with two different concentrations of Wnt3a (100 ng/mL and 200 ng/mL) for 24 h, there was a higher percentage of cells positive for the nuclear localization of β-catenin protein in the LO2-Core and LO2-NS4B stable cell lines compared with the LO2-mkate2 cells (stimulated with 200 ng/mL Wnt3a: 69.67 ± 3.51, 63.83 ± 3.75, and 36.83 ± 3.88, F = 66.54, P < 0.01) (Fig. 3e-f ).
However, there was no significant difference in the relative mRNA and protein expression levels of βcatenin, Wnt1, c-myc, and cyclin D1 between the LO2-Core, LO2-NS4B, and LO2-mkate2 cells (P > 0.05) (Fig. 4e-f ). These results suggest that HCV core protein and NS4B do not directly upregulate the mRNA and protein expression levels of β-catenin, Wnt1, c-myc, and cyclin D1 in LO2 cells.

HCV core protein and NS4B promote the proliferation of Huh7 cells or LO2 cells following Wnt3a induction
The MTT assay results showed that the Huh7-Core cells proliferated faster than the Huh7-NS4B cells (P < 0.01), and that the proliferation of the Huh7-NS4B cells was faster than that of the Huh7-mkate2 cells (P < 0.01). We found similar results for the LO2 cells (Fig. 5a-b).
Flow cytometry was performed to determine the cell cycle status of the Huh7-Core, Huh7-NS4B, and Huh7-mkate2 cells, and the results (Fig. 5f ) showed that the ratio of cells in the G0/G1 phase in the Huh7-Core and Huh7-NS4B cells was reduced relative to that in the Fig. 4 HCV core protein and NS4B up-regulate protein expressions of β-catenin and its target genes in Huh7 cells but not in LO2 cells. a Western blotting analysis of nuclear β-catenin and cytoplasmic β-catenin protein expressions in Huh7 cells. B23 and β-tubulin were used as loading controls for the nuclear protein and cytoplasmic protein. b The relative protein expression level was a density ratio of each protein band relative to its loading control band. The density ratios of nuclear β-catenin band to B23 band and cytoplasmic β-catenin band to β-tubulin band in Huh7 cells. Compared with Huh7-mkate2, **P < 0.01. c Western blotting analysis of protein expressions of Wnt1, c-myc, and cyclinD1 in Huh7 cells. β-actin was used as a loading control for the total cellular protein. d The density ratios of Wnt1, c-myc, and cyclinD1 protein bands to β-actin in Huh7 cells. Compared with Huh7-mkate2,**P < 0.01. e Western blotting analysis of protein expressions of nuclear β-catenin and cytoplasmic β-catenin in LO2 cells. B23 and β-tubulin were used as loading controls for the nuclear protein and cytoplasmic protein. Analysis of the density ratios of nuclear β-catenin band to B23 and cytoplasmic β-catenin band to β-tubulin in LO2 cells show that there was no significant difference in the relative protein expression levels of nuclear β-catenin and cytoplasmic β-catenin among LO2-Core, LO2-NS4B, and LO2-mkate2 (P > 0.05). f Western blotting analysis of protein expressions of Wnt1, c-myc, and cyclinD1 in LO2 cells. β-actin was used as a loading control for the total cellular protein. Analysis of the density ratios of Wnt1, c-myc, and cyclinD1 protein bands to β-actin in LO2 cells show that there was no significant difference in the relative protein expression levels of Wnt1, c-myc, and cyclinD1 among LO2-Core, LO2-NS4B, and LO2-mkate2 (P > 0.05) Huh7-mkate2 cells (52.01 ± 1.61, 54.77 ± 1.42, and 60.69 ± 2.33, F = 17.63, P < 0.01), but the proportion of cells in the S phase in the Huh7-Core and Huh7-NS4B cells increased relative to that in the Huh7-mkate2 cells (26.35 ± 1.28, 24.87 ± 2.41, and 18.46 ± 2.90, F = 9.98, P < 0.05). The proportion of cells in the S phase in the LO2-Core and LO2-NS4B cells was not significantly different from that in the LO2-mkate2 cells (P > 0.05) (Fig. 5g).

Discussion
The excessive activation of the Wnt/β-catenin signaling pathway is associated with the occurrence of HCC. In HCC tissues, various molecules in the Wnt/β-catenin signaling pathway, such as the scaffold protein axin, βcatenin protein, and secreted frizzled-related protein 1 (SFRP1), have shown abnormal expression [18,19]. Studies have shown that the HCV core protein and NS4B have the potential to transform cells [11,20], but whether these two proteins affect the Wnt/β-catenin signaling pathway and induce HCC remains unclear.
Analysis of the different gene expression profiles between LO2-Core and LO2-mkate2, as well as LO2-NS4B and LO2-mkate2, were conducted with cDNA microarrays; and the significant pathways of the differential genes involved were selected by the Fisher's exact test and χ 2 test according to kyoto encyclopedia of genes and genomes (KEGG) database. The results showed that HCV Core protein and NS4B did not increase the activity of Wnt/beta-catenin signaling pathway in LO2 cells, which was inconsistent with previous investigations [14,15,21]. Then we conducted Wnt3a induced LO2 cells group and non-induced LO2 cells group. Since Liu et al. [15] reported that in Huh7 cells, HCV core protein enhanced Wnt3a-induced β-catenin/Tcf-dependent transcriptional activity in a dose-dependent manner, but core alone exhibited limited activation of the pTOP-FLASH luciferase reporter in Huh7 cells, so the stimulation of HCV Core and NS4B in Huh7 by Wnt/β-catenin signaling pathway still needs further study to confirm.
In the current study, we found that HCV core protein and NS4B in Huh7 cells enhance the transcriptional activity of β-catenin/Tcf, promote the nuclear translocation of β-catenin, upregulate wnt1, β-catenin, c-myc, and cyclin D1 protein levels, and promote the proliferation of Huh7 cells, which showed that HCV core protein and NS4B would activate Wnt/β-catenin signaling pathway in Huh7 cells. Furthermore, the results of this study showed that HCV core protein and NS4B did not significantly increase the mRNA levels of β-catenin and c-myc in the Huh7 cells. This suggests that the upregulation of β-catenin and c-myc expression in Huh7 cells by these two proteins occurs at the post-transcriptional level. This corroborates the results of a study on the activation of the β-catenin signaling cascade by HCVNS5A protein [22]. Activation of the Wnt/β-catenin signaling pathway by NS4B has seldom been reported. Moreover, comparative studies on the impact of HCV core protein and NS4B on the Wnt/β-catenin signaling pathway are rare. In another study on the HCV-activated Wnt/β-catenin signaling pathway, Quan et al. [23] reported that HCV core protein can induce hypermethylation of the Wnt antagonist SFRP1 promoter, thereby downregulating SFRP1 in Huh7 and HepG2 cells, and activating the Wnt/β-catenin signaling pathway. Huang et al. [24] also reported that HCV core protein can downregulate the expression of microRNA-152, thereby upregulating Wnt1 and promoting the proliferation of HepG2 cells. Zhang et al. [25] reported that HCV can upregulate microRNA-155 to activate the Wnt/β-catenin signaling pathway, and promote liver cell proliferation and tumor formation, with adenomatous polyposis coli (APC) as the direct functional target of microRNA-155.
However, the current study showed that HCV core protein and NS4B did not activate the Wnt/β-catenin signaling pathway in LO2 cells, and did not upregulate β-catenin protein levels in the nucleus and cytoplasm of LO2 cells, or the protein levels of upstream and downstream genes (Wnt1, c-myc, and cyclin D1), indicating that these two proteins in LO2 cells alone cannot activate the Wnt/β-catenin signaling pathway. After stimulation with Wnt3a, the three LO2 cell types showed increased transcriptional activity of β-catenin/Tcf, but HCV core protein and NS4B enhanced Wnt3a-induced β-catenin/Tcf-dependent transcriptional activity. The results of an indirect immunofluorescence assay also revealed that HCV core protein and NS4B expression corresponds to a higher percentage of cells that are positive for the nuclear translocation of β-catenin. The role of HCV core protein was more obvious in these cells, with HCV core protein and NS4B in LO2 cells potentiating Wnt/β-catenin signaling activity following Wnt3a induction, and possibly playing a partial role in the pathogenesis of HCV-related HCC. These results also prompted us to speculate that, in addition to viral factors, the occurrence of HCV-related HCC may be precipitated by host genetics and environmental factors [26][27][28].
In the current study, compared with NS4B, HCV core protein exhibited a stronger ability to enhance βcatenin/Tcf-dependent transcriptional activity, induce the nuclear translocation of β-catenin, and promote cell proliferation, both in Huh7 cells and in Wnt3a-induced LO2 cells. This indicates that the impact of HCV core protein on the Wnt/β-catenin signaling pathway is stronger than that of NS4B.
The Huh7 cells used in this study constitute a hepatoma cell line that can support the replication of HCV [29]; therefore, they have been widely used as an infected cell culture model for liver-related diseases. One study showed that Huh7 cells express a mutant p53 gene that is transcriptionally inactive; thus, they are not suitable for many studies related to HCV-associated carcinogenesis [28]. Because HCC cell lines are characterized by abnormal proliferation and gene expression compared with normal human liver cells, a normal human liver LO2 cell model was established that could stably express HCV core protein and NS4B. The model better reflects the interactions between HCV proteins and host cells, and facilitates an examination of the effects of HCV proteins on cell signaling, liver cell proliferation, and carcinogenesis. However, the LO2 cells used in this study were transformed normal human liver cells, and HCV core protein and NS4B were both overexpressed in the LO2 cells; therefore, this LO2 cell model cannot fully replicate the molecular mechanisms and interactions between viral proteins and host cells in vivo. Elucidation of the roles of HCV core protein and NS4B in Wnt/βcatenin-induced HCC will require further in vivo experiments. Models of natural HCV infection in vivo and in vitro have many advantages, but also present many challenges. A previously established in vitro model does not completely replicate events in HCV infection in vivo, for example. Adult primary liver cells infected with HCV are used as a model in an environment that is similar to the physiological environment of the liver, but these cells are difficult to handle, replication is low, and the cells do not support long-term HCV replication. Therefore, the applicability of the model is limited. The effects of HCV infection on Wnt pathway signaling in vivo and in vitro require further study.

Conclusions
In conclusion, our results suggest that HCV core protein and NS4B can trigger Wnt/β-catenin signaling in Huh7 cells, thereby promoting their proliferation. In LO2 cells, these two proteins do not activate the Wnt/β-catenin signaling pathway alone. However, they enhance Wnt3ainduced Wnt/β-catenin signaling, and play a partial roles in the pathogenesis of HCV-related HCC.

Additional files
Additional file 1: Table S1.