Target intelligence / Profile preview

Enterovirus D68 capsid protein complex

Molecular classification
Viral protein, Capsid protein, Protein complex
01

Overview

The Enterovirus D68 (EV-D68) capsid protein complex is the icosahedral shell of the virus, composed of 60 copies each of four structural proteins: VP1, VP2, VP3, and VP4 (NIH, 2019; Colorado.edu, 2024). It plays a critical role in the viral life cycle by protecting the positive-sense single-stranded RNA genome and mediating host cell entry through interactions with receptors like sialic acid and ICAM-5 (NIH, 2024; Colorado.edu, 2024). The capsid is a primary target for the host immune system and a major focus for antiviral development, as it contains the principal antigenic epitopes recognized by neutralizing antibodies (Frontiers, 2026). Small molecule inhibitors, such as pleconaril and experimental compounds like R856932, target a hydrophobic pocket (canyon) in the VP1 protein to stabilize the capsid and prevent the uncoating process required for genome release (ACS, 2019; NIH, 2024). EV-D68 is primarily associated with severe respiratory illnesses and has been linked to acute flaccid myelitis (AFM), a serious neurological condition causing muscle weakness and paralysis in children (NIH, 2023; BioRxiv, 2023). Understanding the structural transitions of the capsid is essential for the development of effective vaccines and therapeutics against emerging neurotropic strains (Colorado.edu, 2024).

Other names
EV-D68 capsidEnterovirus D68 virion shellEV-D68 structural protein complexEnterovirus D68 VP1-VP4 complex
02

Mechanism of action

Capsid stabilization and inhibition of viral uncoating by binding to the hydrophobic pocket (canyon) of the VP1 protein, thereby preventing the release of the viral RNA genome into the host cell (ACS, 2019; NIH, 2024).

03

Biological functions

Viral entryViral uncoatingGenome protectionReceptor bindingAntigenicityCapsid maturation
04

Disease associations

InfectionRespiratory diseaseAcute flaccid myelitisAsthma exacerbation
05

Safety considerations

Rapid emergence of drug resistance through mutations in the VP1 binding pocket (e.g., A129V, A156T) (ACS, 2019; NIH, 2024)Narrow antiviral spectrum with limited efficacy against contemporary circulating strains (NIH, 2024)Clinical trial failures for related enteroviruses due to poor pharmacokinetics or safety profiles (NIH, 2024)
06

Interacting drugs

Pleconaril

5 more in the full profile.

07

Biomarkers

Viral RNA (RT-qPCR)Neutralizing antibodiesVP1-specific epitopes

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