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Respiratory syncytial virus (RSV) antigens most commonly refer, in the context of therapeutic targeting, to the virus’s two main surface glycoproteins: the attachment glycoprotein (G) and the fusion glycoprotein (F). The G protein mediates viral attachment to ciliated epithelial cells of the airways primarily through interaction with the host receptor CX3CR1, while the F protein promotes viral and cell membrane fusion, a key step in infection. Both F and G are primary targets for neutralizing antibodies, vaccine candidates, and therapeutic monoclonal antibodies. The F protein, in particular, is the current focus of most prophylactic drug and vaccine efforts (e.g., palivizumab, nirsevimab), due to its role in cell entry and as a highly conserved target of neutralizing antibody responses. The G protein’s functions additionally include immune evasion through decoy mechanisms (the secreted form sG) and immune modulation. Though G is a bona fide target, it is less commonly targeted therapeutically due to variable immunogenicity and safety concerns in the context of vaccine enhancement[1][2][3][4][5][6][7].
Inhibition of viral entry (fusion or attachment blockade); Neutralization by binding viral surface proteins, preventing host infection; Interference with protein–receptor interactions (e.g., G binding to CX3CR1)
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