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This target entry represents a combination of the primary surface glycoproteins from three major respiratory pathogens: Influenza A virus, Influenza B virus, and SARS-CoV-2. Influenza hemagglutinin (HA) is a trimeric protein responsible for binding host cell sialic acid receptors and mediating membrane fusion within endosomes (UniProt P03437 [1]; Mayo Clinic [3]). The SARS-CoV-2 spike (S) glycoprotein similarly facilitates viral entry by binding to the human angiotensin-converting enzyme 2 (ACE2) receptor (UniProt P0DTC2 [2]; Nature [5]). These proteins are the critical components of most current vaccines, as they are the primary targets for neutralizing antibodies that prevent infection (NIH [4]; Nature [5]). Because these viruses undergo frequent mutations—antigenic drift in influenza and the emergence of variants in SARS-CoV-2—these targets require constant monitoring and periodic vaccine updates to maintain efficacy (Mayo Clinic [3]; Nature [5]). Therapeutic interventions include monoclonal antibodies that block receptor binding domains and small molecules designed to inhibit the conformational changes necessary for fusion (NIH [4]). The development of multi-valent vaccines targeting both HA and S proteins is an active area of research to provide broad protection against seasonal and pandemic respiratory viruses. Citations: [1] https://www.uniprot.org/uniprotkb/P03437/entry [2] https://www.uniprot.org/uniprotkb/P0DTC2/entry [3] https://www.mayoclinic.org/diseases-conditions/flu/symptoms-causes/syc-20351719 [4] https://www.covid19treatmentguidelines.nih.gov/ [5] https://www.nature.com/articles/s41577-020-00434-6
Neutralization of viral entry by blocking the interaction between viral glycoproteins and host cell receptors (sialic acid or ACE2) or by inhibiting the conformational changes required for membrane fusion.
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