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The Coxsackievirus A16 (CVA16) capsid is an icosahedral shell composed of sixty protomers, each containing the structural proteins VP1, VP2, VP3, and VP4 (PubMed: 25131274). The surface-exposed proteins VP1, VP2, and VP3 harbor critical neutralizing epitopes, such as the BC loop of VP1, which are the primary targets for protective antibodies (PubMed: 23658201). These proteins are essential for viral fitness, mediating attachment to host receptors like Scavenger Receptor Class B Member 2 (SCARB2) and facilitating the delivery of the viral RNA genome into the cytoplasm (PubMed: 19575010). CVA16 is a major causative agent of hand, foot, and mouth disease (HFMD), a common childhood illness that can occasionally progress to severe neurological or cardiovascular complications (PubMed: 24501061). Therapeutic and preventive efforts focus on these capsid proteins, with several inactivated and virus-like particle (VLP) vaccines currently in clinical or preclinical development (PubMed: 28254791). Neutralizing monoclonal antibodies targeting specific sites on VP1, VP2, or VP3 are also being explored as potential treatments to block viral entry and spread (PubMed: 26178995).
Neutralization of viral infectivity by blocking receptor binding or preventing viral uncoating (PubMed: 26178995).
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