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Published on: March 1, 2019
Middle East respiratory syndrome coronavirus (MERS-CoV) entry inhibitors targeting spike protein
Shuai Xia1, Qi Liu2, Qian Wang1
1Key Lab of Medical Molecular Virology of MOE/MOH, Shanghai Medical College, Fudan University, 130 Dong An Road, Xuhui District, Shanghai 200032, China.
Abstract:
The recent outbreak of Middle East respiratory syndrome (MERS) coronavirus (MERS-CoV) infection has led to more than 800 laboratory-confirmed MERS cases with a high case fatality rate (∼35%), posing a serious threat to global public health and calling for the development of effective and safe therapeutic and prophylactic strategies to treat and prevent MERS-CoV infection. Here we discuss the most recent studies on the structure of the MERS-CoV spike protein and its role in virus binding and entry, and the development of MERS-CoV entry/fusion inhibitors targeting the S1 subunit, particularly the receptor-binding domain (RBD), and the S2 subunit, especially the HR1 region, of the MERS-CoV spike protein. We then look ahead to future applications of these viral entry/fusion inhibitors, either alone or in combination with specific and nonspecific MERS-CoV replication inhibitors, for the treatment and prevention of MERS-CoV infection.
Insights
Middle East respiratory syndrome coronavirus (MERS-CoV) poses a global health threat. Research focuses on MERS-CoV spike protein inhibitors for effective treatment and prevention strategies.
Area of Science:
- Virology
- Infectious Diseases
- Drug Discovery
Background:
- The Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak presents a significant global public health risk.
- High case fatality rates necessitate urgent development of therapeutic and prophylactic interventions.
Purpose of the Study:
- To review recent studies on MERS-CoV spike protein structure and function.
- To discuss the development of novel MERS-CoV entry/fusion inhibitors targeting key protein subunits.
Main Methods:
- Analysis of recent research on MERS-CoV spike protein structure, focusing on the S1 subunit (receptor-binding domain) and S2 subunit (HR1 region).
- Review of emerging MERS-CoV entry/fusion inhibitors designed to block viral binding and entry.
Main Results:
- The MERS-CoV spike protein's structure, particularly the S1 and S2 subunits, is crucial for viral entry.
- Development of inhibitors targeting the S1 receptor-binding domain and S2 HR1 region shows promise.
Conclusions:
- Targeting MERS-CoV entry and fusion mechanisms offers a viable therapeutic strategy.
- Combination therapies involving entry inhibitors and replication inhibitors may enhance MERS-CoV treatment and prevention.
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