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The host airway epithelial cell plasma membrane serves as the critical biological substrate for the entry of Respiratory Syncytial Virus (RSV) into the human respiratory tract [1]. This entry is mediated by the RSV fusion (F) protein, which triggers the merging of the viral envelope with the host cell's lipid bilayer [1, 3]. The plasma membrane provides the necessary environment and specific host factors, such as nucleolin and heparan sulfate proteoglycans, that facilitate viral attachment and subsequent membrane fusion [2, 3]. Although the membrane itself is a complex cellular structure rather than a discrete molecular target, it is the functional site for the action of fusion inhibitors [1]. These therapeutic agents, including monoclonal antibodies like palivizumab and nirsevimab, work by binding to the viral F protein to prevent the conformational changes required for it to fuse with the host membrane [4]. Consequently, the host plasma membrane is a central component of the RSV infection cycle and a primary focus for understanding viral pathogenesis and developing preventative treatments [3, 4]. Small molecule inhibitors like presatovir also target the fusion process at this interface by stabilizing the pre-fusion state of the F protein [1].
Inhibition of viral-host membrane fusion by binding to the RSV fusion (F) protein, thereby preventing the merging of the viral envelope with the host airway epithelial cell plasma membrane [1, 4].
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