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Updated: May 12, 2026

Generation, Amplification, and Titration of Recombinant Respiratory Syncytial Viruses
Published on: April 4, 2019
RAGE inhibits human respiratory syncytial virus syncytium formation by interfering with F-protein function
Jane Tian1, Kelly Huang1, Subramaniam Krishnan1
1Research Department, MedImmune LLC, One MedImmune Way, Gaithersburg, MD 20878, USA.
Abstract:
Human respiratory syncytial virus (RSV) is a major cause of severe lower respiratory tract infection. Infection is critically dependent on the RSV fusion (F) protein, which mediates fusion between the viral envelope and airway epithelial cells. The F protein is also expressed on infected cells and is responsible for fusion of infected cells with adjacent cells, resulting in the formation of multinucleate syncytia. The receptor for advanced glycation end products (RAGE) is a pattern-recognition receptor that is constitutively highly expressed by type I alveolar epithelial cells. Here, we report that RAGE protected HEK cells from RSV-induced cell death and reduced viral titres in vitro. RAGE appeared to interact directly with the F protein, but, rather than inhibiting RSV entry into host cells, virus replication and budding, membrane-expressed RAGE or soluble RAGE blocked F-protein-mediated syncytium formation and sloughing. These data indicate that RAGE may contribute to protecting the lower airways from RSV by inhibiting the formation of syncytia, viral spread, epithelial damage and airway obstruction.
Insights
The receptor for advanced glycation end products (RAGE) protects against respiratory syncytial virus (RSV) by blocking cell fusion. RAGE inhibits syncytia formation, reducing viral spread and airway damage.
Area of Science:
- Virology
- Immunology
- Cell Biology
Background:
- Human respiratory syncytial virus (RSV) causes severe lower respiratory tract infections.
- The RSV fusion (F) protein is essential for viral entry and cell-to-cell spread, forming syncytia.
- Receptor for advanced glycation end products (RAGE) is expressed in lung epithelial cells.
Purpose of the Study:
- To investigate the role of RAGE in protecting against RSV infection.
- To determine the mechanism by which RAGE interacts with the RSV F protein.
Main Methods:
- HEK cell cultures were used to assess RAGE's protective effects.
- Viral load and syncytium formation were measured in the presence and absence of RAGE.
- Interactions between RAGE and the RSV F protein were analyzed.
Main Results:
- RAGE protected HEK cells from RSV-induced cell death and reduced viral titers.
- RAGE did not inhibit RSV entry, replication, or budding.
- Membrane-bound and soluble RAGE inhibited F protein-mediated syncytium formation and cell sloughing.
Conclusions:
- RAGE inhibits RSV-induced syncytia formation, a key mechanism of viral spread and pathogenesis.
- RAGE may protect the lower airways from RSV by preventing syncytia, epithelial damage, and airway obstruction.
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