The role of low-density lipoprotein receptors in emerging and reemerging viruses: a review with examples from human metapneumovirus and beyond.

The role of low-density lipoprotein receptors in emerging and reemerging viruses: a review with examples from human metapneumovirus and beyond.

Publication date: Dec 17, 2025

The frequency of new and re-emerging viral infections is rising, driven by shifts in environmental conditions and altered interactions between hosts, vectors, and pathogens. New treatments may be developed through a better understanding of the molecular processes underlying viral replication. The low-density lipoprotein receptor (LDLR) serves as a critical entry portal for a diverse range of infectious agents, facilitating the initiation and perpetuation of their infection cycles. Furthermore, numerous viruses, such as the dengue virus and the hepatitis C virus (HCV), depend on host cholesterol (CHO) for replication and spread. Consequently, targeting the LDLR with pharmacological agents presents a promising therapeutic strategy for a broad spectrum of viral infections, including those caused by human immunodeficiency virus (HIV), HCV, and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In addition, human metapneumovirus (HMPV) is a leading cause of respiratory infections in young children, underscoring the need for effective treatments. This research investigates the role of the LDLR in HMPV and other emerging viruses. A key finding is that HMPV infection depends on LDLR-mediated pathways, as evidenced by the rapid recovery observed after exogenous CHO administration. Therefore, understanding the mechanism of LDLR in viral entry and replication is crucial and presents a promising avenue for developing novel antiviral therapies.

Concepts Keywords
Environmental Animals
Immunodeficiency Antiviral Agents
Pharmacological Antiviral Agents
Promising Communicable Diseases, Emerging
Viruses Human metapneumovirus (HMPV)
Humans
Metapneumovirus
Paramyxoviridae Infections
Receptors, LDL
Receptors, LDL
SARS-CoV-2
Treatment
Viral infection
Virus Internalization
Virus Replication

Semantics

Type Source Name
disease MESH viral infections
drug DRUGBANK Tropicamide
pathway KEGG Viral replication
disease MESH infection
disease MESH dengue
disease MESH hepatitis C
pathway KEGG Hepatitis C
drug DRUGBANK Cholesterol
disease MESH severe acute respiratory syndrome
disease MESH respiratory infections
disease MESH Communicable Diseases Emerging
disease MESH Paramyxoviridae Infections

Original Article

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