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Updated: Feb 25, 2026

Use of Viral Entry Assays and Molecular Docking Analysis for the Identification of Antiviral Candidates against Coxsackievirus A16
Published on: July 15, 2019
Coxsackievirus A16 utilizes cell surface heparan sulfate glycosaminoglycans as its attachment receptor
Xueyang Zhang1, Jinping Shi1, Xiaohua Ye1
1Unit of Vaccinology &Antiviral Strategies, CAS Key Laboratory of Molecular Virology &Immunology, Institut Pasteur of Shanghai, Chinese Academy of Sciences, Shanghai 200031, China.
Insights
Coxsackievirus A16 (CVA16) uses heparan sulfate as an attachment receptor for hand, foot, and mouth disease. Specific viral capsid residues, particularly R166, are crucial for this interaction and viral entry.
Area of Science:
- Virology
- Molecular Biology
- Biochemistry
Background:
- Coxsackievirus A16 (CVA16) causes hand, foot, and mouth disease, a prevalent childhood illness in the Asia-Pacific region.
- Scavenger receptor B2 is a known CVA16 receptor involved in viral uncoating.
- The initial attachment receptor for CVA16 remained unidentified.
Purpose of the Study:
- To identify the attachment receptor for Coxsackievirus A16.
- To elucidate the role of viral capsid proteins in CVA16 attachment.
- To provide insights for developing CVA16 antiviral strategies.
Main Methods:
- Cell-based assays to assess viral attachment.
- Site-directed mutagenesis of CVA16 capsid proteins.
- Heparan sulfate binding assays.
- Analysis of viral infectivity.
Main Results:
- CVA16 utilizes surface heparan sulfate glycosaminoglycans for cellular attachment.
- Five positively charged residues at the virion's five-fold vertex are critical for heparan sulfate binding.
- Mutation of arginine 166 (R166) to alanine (R166A) significantly impaired heparan sulfate binding and viral attachment.
Conclusions:
- Heparan sulfate acts as a primary attachment receptor for CVA16.
- Specific residues on the CVA16 capsid mediate interaction with heparan sulfate.
- Understanding these early infection events can guide the development of novel CVA16 therapeutics and vaccines.
Abstract:
Coxsackievirus A16 (CVA16) is one of the major pathogens responsible for hand, foot and mouth disease, which affects more than two million children in the Asian-Pacific region annually. Previous studies have shown that scavenger receptor B2 is a functional receptor for CVA16 that facilitates the uncoating process. However, it remains unclear whether other receptors are required for efficient CVA16 infection. In this study, by using a variety of assays we demonstrated that CVA16 utilizes surface heparan sulfate glycosaminoglycans as its attachment receptor. We further showed that five surface-exposed positively charged residues located in a cluster at the five-fold vertex of the virion are critical to heparan sulfate binding and cellular attachment of CVA16. Among the five residues, the arginine at position 166 (R166) of VP1 capsid protein appeared to be the most important for the interaction between CVA16 and heparan sulfate. Alanine substitution at this site (R166A) almost completely abolished heparan sulfate binding and cellular attachment of the virus. Our work achieves insight into the early events of CVA16 infection, thereby providing information that may facilitate the rational design of antiviral drugs and vaccines against CVA16 infection.
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