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The Respiratory Syncytial Virus Fusion glycoprotein F0 (RSV F) is one of the two major glycoproteins on the surface of the RSV virion, alongside the attachment glycoprotein (G)[1][2]. RSV F is a membrane-anchored glycoprotein that mediates viral entry into host cells by causing the virion membrane to fuse with the target cell membrane[1][4]. RSV F is synthesized as an inactive precursor (F0) that is processed by furin-like proteases at two sites to generate three polypeptides: the N-terminal fragment (F2), a 27-amino-acid glycopeptide (pep27), and the C-terminal fragment (F1)[6]. The mature, active protein exists as a trimer of F2-F1 heterodimers, folded into a compact prefusion conformation (pre-F) on the viral envelope[6]. The F protein undergoes dramatic structural rearrangements during the fusion process, transitioning from a metastable prefusion form to a highly stable postfusion conformation[3][4]. This conformational change is essential for viral entry, as it brings the viral and cellular membranes into close proximity, allowing fusion to occur[4]. The F1 subunit contains all the elements needed to promote fusion, including the fusion peptide (FP), two heptad repeats, and the transmembrane domain[6]. The RSV F protein contains three N-linked glycosylation sites (at positions N27, N70, and N500) and seven disulfide bonds, four of which are highly conserved across the Paramyxoviridae family[3][5]. The protein is the major target for antiviral drug development and is one of the primary antigens targeted by neutralizing antibodies induced by infection[1][2]. RSV F can promote fusion in cell culture without the G protein, although the G protein targets the ciliated cells of the airways during natural infection[1][5]. The protein contains multiple neutralizing epitopes, making it an important target for vaccine development[4][6].
Neutralizing antibodies bind to specific epitopes on the F protein, preventing conformational changes required for fusion Fusion inhibitors prevent the structural rearrangement from prefusion to postfusion conformation
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