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Matrix protein 2 (M2) is a homotetrameric integral membrane protein essential for the replication cycle of the Influenza A virus. It functions as a pH-gated, proton-selective ion channel that equilibrates the pH across the viral envelope during endocytosis (UniProt [2], Wikipedia [14]). This acidification triggers the dissociation of the viral ribonucleoprotein (vRNP) from the matrix protein 1 (M1), allowing the viral genome to enter the host cell cytoplasm for replication (PMC [12]). Additionally, M2 plays a vital role in viral assembly and budding and prevents the premature conformational change of hemagglutinin by regulating the pH of the trans-Golgi network (PubMed [7], ResearchGate [8]). Historically, M2 has been the target of adamantane-class antiviral drugs like amantadine and rimantadine, which block the channel's pore to prevent infection (Patsnap Synapse [3]). However, widespread resistance mutations, particularly the S31N amino acid substitution, have significantly reduced the clinical utility of these drugs in modern seasonal influenza treatment (PubMed [7], MDPI [1]).
M2 channel blockers bind within the transmembrane pore of the homotetrameric M2 protein, physically obstructing the channel and preventing the influx of protons from the endosome into the viral interior; this inhibition prevents the dissociation of the viral ribonucleoprotein from the matrix protein 1, thereby halting viral uncoating and genome release into the host cell cytoplasm.
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