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The Dengue virus polyprotein is the precursor for all ten proteins of the Dengue virus (DENV), an RNA virus belonging to the Flaviviridae family [1]. It is cleaved into structural proteins (Capsid, Pre-membrane, and Envelope) and non-structural proteins (NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5) [2]. The Envelope (E) protein is the primary target for vaccine-induced neutralizing antibodies as it mediates viral attachment and fusion with host cells [3]. Non-structural proteins like NS3 and NS5 serve as essential enzymes for viral replication, acting as a protease/helicase and RNA-dependent RNA polymerase, respectively [4]. NS1 is a unique secreted glycoprotein that plays a significant role in immune evasion and the induction of vascular leakage, a hallmark of severe dengue [5]. Therapeutic strategies targeting these antigens include tetravalent vaccines designed to elicit balanced immunity against all four DENV serotypes and direct-acting antivirals that inhibit specific enzymatic functions or protein-protein interactions [6]. A major challenge in targeting DENV antigens is antibody-dependent enhancement (ADE), where sub-neutralizing antibodies can facilitate viral entry into host cells, potentially worsening the disease [7].
Mechanisms include viral neutralization by antibodies (vaccines), inhibition of the NS4B protein to block replication (Mosnodenvir), inhibition of the NS5 RNA-dependent RNA polymerase (Balapiravir), and inhibition of host alpha-glucosidases to prevent proper folding of the Envelope glycoprotein (Celgosivir) [4, 6].
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