Target intelligence / Profile preview

RSV F glycoprotein (RSV F)

Target
RSV F
Molecular classification
Class I viral fusion protein, Viral glycoprotein, Surface protein (homotrimeric)
01

Overview

The RSV F glycoprotein is a type I membrane protein on the surface of respiratory syncytial virus that mediates viral entry into host cells by catalyzing membrane fusion. It is synthesized as an inactive precursor (F0) and activated by host protease cleavage, yielding F1 and F2 subunits linked by disulfide bonds. The active fusion protein exists as a homotrimer in a metastable prefusion conformation, triggering dramatic structural rearrangement upon activation to enable fusion. RSV F is the primary target for neutralizing antibodies and for vaccine and antiviral drug development, with licensed vaccines and monoclonal antibodies directly targeting its prefusion state. The target is specific and correctly identified in the context of infection and respiratory disease.

Other names
RSV Fusion proteinF proteinFusion glycoproteinRSV F
02

Mechanism of action

Neutralizing antibodies bind exposed epitopes on prefusion or postfusion RSV F, preventing the conformational change necessary for membrane fusion, thereby blocking viral entry into host cells. Vaccine antigens elicit protective immune responses—mainly neutralizing antibodies targeting antigenic sites on prefusion F.

03

Biological functions

Mediates membrane fusion between viral and host cell membranes, necessary for viral entryDrives virion-to-host membrane fusion through dramatic conformational change; transitions from a metastable prefusion state to a stable postfusion state following proteolytic activation by host proteasesMajor antigen for neutralizing antibodies during natural infection and vaccination
04

Disease associations

Central to acute respiratory infection by RSV, including infant bronchiolitis and pneumoniaContributes to broader viral pathogenesis in pediatric and elderly populationsInfection is the relevant category
05

Safety considerations

Antigenic variability: F protein sequence is relatively conserved, but antigenic drift can affect some antibody therapiesOveractivation of immune responses: Historical RSV vaccine efforts (e.g., formalin-inactivated RSV) led to enhanced disease upon infection, necessitating improved antigen designTherapeutic monoclonal antibodies can cause hypersensitivity or injection-site reactions (at a low rate)
06

Interacting drugs

Nirsevimab

3 more in the full profile.

07

Biomarkers

RSV F-antibody titers are used for assessing vaccine efficacy and for patient selection in clinical trials of monoclonal antibodiesSpecific antigenic site reactivity (e.g., sites Ø, I, II, IV on F protein) are measured in neutralization assays

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