Target intelligence / Profile preview

Respiratory syncytial virus fusion glycoprotein (prefusion conformation, subtype B) (RSV F (pre-F))

Target
RSV F (pre-F)
Molecular classification
Viral surface protein, Class I viral fusion protein, Type I transmembrane protein
01

Overview

The Respiratory syncytial virus (RSV) fusion (F) glycoprotein is a critical class I viral fusion protein responsible for mediating the entry of the virus into host cells [PubMed: 23559249]. It exists in two primary conformational states: a metastable prefusion (pre-F) form and a stable postfusion (post-F) form [Science, 2013]. The pre-F conformation is the primary target for potent neutralizing antibodies because it displays highly conserved epitopes, such as Site Ø, which are lost upon transition to the post-F state [Nature Communications, 2017]. Subtype B represents one of the two major antigenic lineages of RSV circulating globally, often alternating in dominance with subtype A [Journal of Infectious Diseases, 2020]. Targeting the pre-F conformation of subtype B is essential for broad-spectrum protection in vaccines and monoclonal antibody therapies [NEJM, 2022]. By stabilizing the protein in its prefusion state, therapeutic agents can effectively block the fusion process and prevent infection of the respiratory epithelium [Science, 2019].

Other names
RSV-B F proteinRespiratory syncytial virus fusion proteinPre-F proteinRSV-F subtype BFusion glycoprotein F0
02

Mechanism of action

Binding to the prefusion conformation of the F protein prevents the structural transition to the postfusion state, thereby inhibiting the fusion of the viral envelope with the host cell membrane and blocking viral entry.

03

Biological functions

Viral-cell membrane fusionViral attachmentSyncytium formationHost cell entry
04

Disease associations

Respiratory syncytial virus infectionBronchiolitisPneumoniaRSV-associated lower respiratory tract disease (LRTD)
05

Safety considerations

Viral escape mutations (e.g., substitutions at Site Ø or Site V)Potential for vaccine-associated enhanced respiratory disease (VAERD) - though significantly mitigated by pre-F stabilizationInjection site reactionsHypersensitivity reactions
06

Interacting drugs

Nirsevimab

4 more in the full profile.

07

Biomarkers

Anti-RSV F antibody titersRSV viral load (RT-PCR)Neutralizing antibody levelsSite Ø-specific antibody concentration

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