A model for virus–cell membrane fusion (24). The model shown is based
primarily on studies of the HIV-1 gp41-mediated membrane fusion
process. The HRSV F protein likely undergoes similar conformational
changes. In the native state, the fusion peptide (not shown) is
inaccessible. Upon activation, the fusion protein undergoes a
conformational change to the prehairpin intermediate, in which the
fusion peptide (red lines) is inserted into the target-cell membrane,
and the HR-N peptide region (gray) is a trimeric coiled coil. The HR-C
peptide region (yellow) has not yet associated with the N peptide
coiled coil. This intermediate is vulnerable to HR-C peptide inhibition
(Lower, inhibitory peptides shown in orange). The
prehairpin intermediate resolves to the fusion-active hairpin structure
when the HR-C peptide region binds to the HR-N peptide coiled coil and
adopts a helical conformation. This rearrangement results in membrane
apposition. Whether hairpin formation precedes the actual
membrane-fusion event or occurs simultaneously with fusion is unknown.
Figure was adapted from Chan and Kim (24).