The hepatitis E virus (HEV), a nonenveloped RNA virus, is the causative agent of
hepatitis E. The mode by which HEV attaches to and enters into target cells for productive
infection remains unidentified. Open reading frame 2 (ORF2) of HEV encodes its major
capsid protein, pORF2, which is likely to have the determinants for virus attachment and entry. Using an approximately 56-kDa recombinant pORF2 that can self-assemble as virus-like particles, we demonstrated that cell surface
heparan sulfate proteoglycans (HSPGs), specifically
syndecans, play a crucial role in the binding of pORF2 to Huh-7 liver cells. Removal of cell surface
heparan sulfate by enzymatic (
heparinase) or chemical (
sodium chlorate) treatment of cells or competition with
heparin,
heparan sulfate, and their oversulfated derivatives caused a marked reduction in pORF2 binding to the cells.
Syndecan-1 is the most abundant
proteoglycan present on these cells and, hence, plays a key role in pORF2 binding. Specificity is likely to be dictated by well-defined sulfation patterns on
syndecans. We show that pORF2 binds
syndecans predominantly via 6-O sulfation, indicating that binding is not entirely due to random electrostatic interactions. Using an in vitro
infection system, we also showed a marked reduction in HEV
infection of
heparinase-treated cells. Our results indicate that, analogous to some enveloped viruses, a nonenveloped virus like HEV may have also evolved to use HSPGs as cellular attachment receptors.