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The Norwalk virus GI.1 capsid is the icosahedral protein shell of the prototype norovirus strain, which is the leading cause of epidemic acute gastroenteritis worldwide [2, 11]. It is primarily composed of 180 copies of the major structural protein VP1, which self-assembles into a T=3 symmetry structure [7, 9]. The VP1 protein is divided into a conserved shell (S) domain that forms the inner core and a protruding (P) domain that extends from the surface [6, 13]. The P2 subdomain, located at the outermost surface, is the most variable region and contains the binding sites for host histo-blood group antigens (HBGAs), which serve as essential attachment factors for viral entry [6, 14]. Because of its role in host cell recognition and its high immunogenicity, the capsid is a primary target for the development of vaccines, including virus-like particles (VLPs) and viral-vectored platforms [6, 16]. Therapeutic strategies also include the use of monoclonal antibodies and small-molecule glycomimetics designed to block the P2 domain's interaction with HBGAs [6]. However, the rapid antigenic drift of the P2 domain and the high environmental stability of the capsid present significant hurdles for long-term vaccine efficacy and outbreak control [16, 17]. Understanding the dynamic nature of the capsid structure is crucial for designing broad-spectrum inhibitors that can overcome the genetic diversity of norovirus genogroups [17].
Vaccines such as VXA-NVV-104 and TAK-214 utilize the VP1 protein or virus-like particles (VLPs) to induce neutralizing antibodies and mucosal IgA that block the interaction between the viral P2 domain and host histo-blood group antigens (HBGAs), thereby preventing viral attachment and entry [6, 16]. Experimental monoclonal antibodies like 5B18 and small-molecule glycomimetics also target the P2 domain to competitively inhibit receptor binding and neutralize the virus [6, 17].
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