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Host respiratory epithelial cell surface entry receptors and co-factors engaged by RSV F and G glycoproteins

Molecular classification
Receptor, G protein-coupled receptor, Receptor tyrosine kinase, RNA-binding protein, Proteoglycan, Cell adhesion molecule
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Overview

The host respiratory epithelial cell surface entry receptors and co-factors engaged by RSV F and G glycoproteins represent a diverse group of membrane-associated proteins that facilitate the infection cycle of Respiratory Syncytial Virus (RSV) (Reactome, 2023). The RSV G glycoprotein initiates the process by binding to attachment factors such as heparan sulfate proteoglycans (HSPGs) and the CX3C chemokine receptor 1 (CX3CR1), which is a key determinant of the virus's tropism for ciliated airway epithelial cells (Tripp et al., 2001; PLOS, 2015). Subsequently, the RSV F glycoprotein mediates membrane fusion by interacting with specific host receptors, most notably nucleolin (NCL) and the insulin-like growth factor 1 receptor (IGF1R) (Tayyari et al., 2011; Griffiths et al., 2020). IGF1R activation triggers a signaling cascade involving protein kinase C zeta (PKCζ) that recruits nucleolin from the nucleus to the apical cell surface, where it functions as a fusion receptor (Nature, 2020). Other co-factors, including the epidermal growth factor receptor (EGFR), intercellular adhesion molecule 1 (ICAM-1), and Toll-like receptor 4 (TLR4), further modulate viral entry, signaling, and the host inflammatory response (Currier et al., 2016; Frontiers, 2021). While current clinical interventions like palivizumab and nirsevimab target the viral F protein, these host factors are increasingly recognized as potential therapeutic targets for preventing or treating RSV-associated diseases such as bronchiolitis and pneumonia (ASM, 2024).

Other names
RSV entry receptorsRSV host factorsRSV attachment factorsRSV co-receptorsRespiratory syncytial virus host cell receptors
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Mechanism of action

Inhibition of viral attachment and fusion by targeting viral glycoproteins or host cell surface receptors and their associated signaling pathways.

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Biological functions

Cellular entry of virusViral attachmentMembrane fusionSignal transductionImmune responseChemotaxis
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Disease associations

InfectionRespiratory syncytial virus infectionBronchiolitisPneumoniaAsthma exacerbation
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Safety considerations

Potential for off-target effects on host signaling (e.g., IGF1R, EGFR)Interference with normal chemokine signaling (CX3CR1)Impact on normal cellular functions of nucleolin (RNA processing)Potential toxicity from targeting ubiquitous host proteins
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Interacting drugs

Palivizumab

7 more in the full profile.

07

Biomarkers

RSV viral loadNucleolin surface expressionCX3CR1 expression on ciliated cellsIGF1R activation/phosphorylation

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