key: cord-0799076-lsvae4bi
authors: Domanska, Aušra; Guryanov, Sergey; Butcher, Sarah J.
title: A comparative analysis of parechovirus protein structures with other picornaviruses
date: 2021-07-28
journal: Open biology
DOI: 10.1098/rsob.210008
sha: 562c8d8c84caff15305df76de3aaa9de6d20360e
doc_id: 799076
cord_uid: lsvae4bi

Parechoviruses belong to the genus Parechovirus within the family Picornaviridae and are non-enveloped icosahedral viruses with a single-stranded RNA genome. Parechoviruses include human and animal pathogens classified into six species. Those that infect humans belong to the Parechovirus A species and can cause infections ranging from mild gastrointestinal or respiratory illness to severe neonatal sepsis. There are no approved antivirals available to treat parechovirus (nor any other picornavirus) infections. In this parechovirus review, we focus on the cleaved protein products resulting from the polyprotein processing after translation comparing and contrasting their known or predicted structures and functions to those of other picornaviruses. The review also includes our original analysis from sequence and structure prediction. This review highlights significant structural differences between parechoviral and other picornaviral proteins, suggesting that parechovirus drug development should specifically be directed to parechoviral targets.

Parechoviruses belong to a single genus within a large family, Picornaviridae, which comprise small, icosahedral, non-enveloped, single-stranded RNA (ssRNA) viruses approximately 30 nm in diameter. The Parechovirus genus is currently divided into six species Parechovirus A-F (PeV-A-F) (table 1) out of which PeV-A contains human parechoviruses. Based on the region of the genome coding for the capsid protein VP1 and VP1's antigenicity, parechoviruses from PeV-A have been divided into 19 types [7, 13] . According to the national enterovirus surveillance programs implemented in a number of countries, PeV-A1 is the most prevalent human parechovirus type globally, followed by PeV-A3 and PeV-A4 [14] . Other human parechovirus types are less frequently reported, mainly in Africa and South America. Human parechoviruses cause infections ranging from asymptomatic or mild to severe illnesses, predominantly in neonates and young children [14] . The most severe symptoms are frequently associated with PeV-A3 infections in neonates, manifesting in sepsis-like disease and central nervous system infections. PeV-A3 has caused three consecutive epidemics in Australia [15] . As of yet, there are no treatments available for parechoviral infections. Parechoviruses have also been detected in other vertebrates, having been isolated from bank voles and gulls (PeV-B), rodents (PeV-C), ferrets, bats (PeV-D) and falcons (PeV-E) [2] [3] [4] [5] 16, 17] . Parechovirus in geckos (PeV-F) has been identified in a large meta-transcriptomic survey [6] . There is very little information on parechoviruses that belong to PeV-B-F species.

Most of our understanding on picornavirus structure and infectious cycle comes from the remarkable efforts put into research on poliovirus and other enteroviruses [18, 19] . The rest of the Picornaviridae family members, including parechoviruses, have received much less attention. In this review, we summarize current knowledge on the structure of the parechovirus virion as well as the structure and function of the viral proteins, highlighting similarities and differences with other picornaviruses. Cryo-EM and X-ray data on the mature human parechoviruses PeV-A1 and PeV-A3, as well as PeV-B1 enabled detailed characterization of the viral capsid; however, there are no structural data available for parechoviral non-structural proteins [14, [20] [21] [22] [23] . For better understanding of the structure and function of these proteins, we performed amino acid sequence analysis and homology modelling. First, we aligned amino acid sequences of non-structural proteins from six parechovirus isolates, each from different species, and from an unassigned Rattus tanezumi parechovirus (RtPV) (table 1) . Then, these sequences were compared to the sequences of the homologous proteins for which molecular models are available in the Protein Data Bank (PDB). Homologous proteins, of both viral and non-viral origin, were found using the Basic Local Alignment Search Tool (BLAST) against proteins deposited in the wwPDB and further verified by multiple sequence alignments with the MUSCLE algorithm in the UGENE software suite (table 2) [21, [24] [25] [26] [27] [28] . The sequence comparison, based on the reference sequences in table 1, was used as the basis for structuring the review, going through protein-by-protein. Parechoviruses exhibit at least six distinct features at both structural and functional level which are different from that of many other picornaviruses, which we will discuss in detail later, but summarize here. (i) VP0 is not cleaved nor myristoylated in parechoviruses [29, 30] . (ii) A lipid factor, present in the hydrophobic pocket in VP1 of many enteroviruses, is absent from the parechovirus capsids [20] [21] [22] [23] . (iii) The interactions between multiple packaging signals in genomic ssRNA and capsid proteins occurs at different sites in parechoviruses compared to enteroviruses [31, 32] . (iv) The parechovirus 2A protein is homologous to eukaryotic phospholipid-metabolizing enzymes [33] . (v) Parechoviruses do not cause protein synthesis shut-off during virus replication described for enteroviruses [34] . (vi) As opposed to the guanidine hydrochloride sensitive 2C protein from enteroviruses, parechovirus infection is resistant to guanidine hydrochloride, revealing a functional difference between parechovirus and enterovirus 2C proteins [35] .

Picornavirus genome organization and overall capsid structure are conserved. They have a positive-sense, ssRNA genome with a covalently linked genome-linked viral protein (VPg) at the 5 0untranslated region (UTR). The picornavirus genomic RNA consists of a single open reading frame (ORF) flanked by 5 0and 3 0 -UTRs. The start of the 5 0 -UTR is predicted to fold into a clover-leaf structure important for the replication, which is followed by an internal ribosome entry site (IRES) controlling the translation [36, 37] . The 3 0 -UTR contains a poly-A tail resembling the messenger RNA in the host cell. The genome also possesses a cis-active RNA element (CRE), which acts as a template for VPg uridylylation, a key step in protein-primed RNA replication and transcription [38, 39] . The location of CRE sites in the picornavirus genome varies, for example, poliovirus CRE is in the 2C while human parechovirus CRE is found in the VP0 coding sequence [40] . The picornavirus ORF is translated into a single polyprotein with the P1 region encoding structural proteins, followed by the P2 and P3 regions encoding non-structural proteins (figure 1). The polyprotein is cleaved by viral encoded protease(s) yielding functional proteins. The structural proteins form the protein capsid of the virion with human Homo sapiens -PLAAT3 NP_001121675 [12] royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008 T = 1, quasi T = 3 icosahedral symmetry. The major structural proteins of picornaviruses have a common jelly-roll fold formed by eight antiparallel β-strands arranged in two four-stranded β-sheets (figure 2a, inset) [42] .

3. Parechoviral structural proteins and genomic ssRNA 3.1. Capsid structure Icosahedral capsids of picornaviruses are composed of 60 protomers each made of 3 or 4 structural proteins. Five of the protomers assemble into a pentamer, 12 of which enclose genomic ssRNA to form the complete capsid (figure 2a). Some of the most prominent features of picornavirus capsids include starshaped protuberances at fivefold axes that are surrounded by depressions and a propeller-like protrusions at the threefold axes (figure 2b) [43] . Proteins forming the protomers in parechoviruses are VP0, VP1 and VP3 (289, 231 and 253 amino acids in PeV-A1, respectively). In contrast with enteroviruses, in parechoviruses VP0 is not cleaved into VP2 and VP4 [30] . Among other picornaviruses where VP0 has been shown to remain uncleaved, only the Aichi virus (genus Kobuvirus) capsid structure has been published [44, 45] . In enteroviruses, as the best-studied picornaviruses, VP0 cleavage into VP2 and VP4 is linked to N-terminal myristoylation of VP0, which does not occur in parechoviruses [29] . It is unclear whether VP0 from Aichi virus is myristoylated or not but it possesses a classical myristoylation motif Gxxx(S/T), where x stands for any amino acid [45] . In the assembled parechovirus virion, copies of structural protein VP1 are located around the fivefold axes, whereas VP0 and VP3 alternate around the threefold axes (figure 2a). The short helices from two VP0 molecules meet at each twofold axis [20] [21] [22] [23] .

As mentioned above, the capsid proteins of all picornaviruses possess eight-stranded β-barrels [42] (figure 2a). The structural differences among different picornavirus capsids are determined by the loops between the β-strands as well as by the capsid proteins' C-and N-termini. High-resolution structures of parechoviruses solved by X-ray crystallography and cryo-EM revealed structural differences with other picornaviruses [20] [21] [22] [23] 46] . The surface exposed loops in parechovirus capsid proteins are shorter compared to other picornaviruses leading to the formation of a shallow depression around the fivefold axis, known as a 'canyon' in enteroviruses [42] . Furthermore, in PeV-B1, the longer C-termini of VP1 (297 amino acids) make distinct protrusions on the surface around the fivefold axes [2, 21] . What is more, most enteroviruses possess a 'pocket' within the VP1 β-barrel core, which is occupied by a fatty acid molecule known as a pocket factor [42] . The pocket factor can be displaced by small-molecule antivirals, such as pleconaril or WIN compounds, which leads to capsid stabilization and thereby inhibition of viral infectivity [42, 47] . Parechoviruses are not able to bind the pocket factor because the corresponding space is occupied by bulky amino acid side chains [20, 21, 23 ].

Notably, in all parechovirus three-dimensional reconstructions with icosahedral averaging, extensively ordered regions of viral RNA (up to 20% of the genome) were identified in the royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008 capsid interior beneath the fivefold vertices, but not in any other picornavirus (figure 2c) [20] [21] [22] [23] . The longest stretch of modelled viral RNA inside the parechovirus capsid is eightnucleotide long, resolved in the reconstruction of PeV-A3 in complex with antibody fragments [22] . The stretch of ssRNA is anchored to the capsid via stacking interactions between a purine base and the side chain of Trp24 from VP3 (numbering for PeV-A3 A308/99) (figure 2d ). Additional interactions of Figure 1 . Schematic representation of parechovirus genome. Genomic ssRNA has viral protein VPg attached to its 5 0 end. 5 0 UTR contains clover-leaf and IRES elements necessary for RNA replication and protein synthesis initiation. The 3 0 UTR contains a stem-loop structure important for virus replication as well as a polyA-tail. Virus protein-coding regions are highlighted with boxes. P1, P2 and P3 coding regions are delineated above. 2A NPGP protein region is shown in brackets to indicate its presence in 0-2 non-identical copies. royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008 viral RNA with residues from VP1 and VP3, many of which are aromatic or positively charged, stabilize the RNA-capsid network at the inner surface of the viral capsid. Electron density attributed to viral RNA in cryo-EM structure of PeV-B1 (EMD-6394) superimpose with good agreement on the modelled RNA stretches of PeV-A3 (PDB ID: 6GV4), along with Trp15 at the N-terminus of VP3 in PeV-B structure aligning with VP3 Trp24 in PeV-A3 [21, 22] . In enteroviruses, there is no conserved Trp at the position corresponding to the Trp24 in PeV-A3 VP3. Instead, structures of many enteroviruses show from one to few nucleotides (or bases only) interacting with the Trp38 side chain from the structural protein VP2 close to the twofold symmetry axes [43, [48] [49] [50] . Structural comparison between parechovirus and enterovirus capsids reveals that the site below the fivefold vertices where ordered ssRNA resides in parechoviruses is largely occupied by VP4 in enteroviruses (figure 2e). This may also imply the differences in the process of initial interactions between the capsid protomers and the viral ssRNA as well as in subsequent steps of virus assembly. The N-termini of capsid proteins VP1, VP2 (VP0) and sometimes VP3 (for example in Aichi virus), which are located in the virion interior, are often disordered and not seen in high-resolution structures of many picornaviruses [43, 44, 51] . Nevertheless, the RNA affinity purification and peptide mass fingerprinting (RCAP) experiments on PeV-A1 indicate that these disordered N-termini of capsid proteins can bind viral ssRNA in the assembled virion (VP0, VP1 and VP3) and as recombinantly expressed proteins (VP0 and VP1) [52] . Consistent with the structural data discussed above, packaging signals were found throughout the parechovirus genomic ssRNA [31] . RNA-based systematic evolution of ligands by exponential enrichment (RNA SELEX) along with bioinformatics analysis revealed multiple regions, termed packaging signals, dispersed throughout the PeV-A1 RNA genome. ssRNA sequences corresponding to these packaging signals can fold into stem-loop structures, all presenting a GxU motif in their loop essential for interaction with the capsid proteins. Virus assembly mediated by multiple packaging signals implies sequence-specific binding of RNA to capsid proteins promoting protein-protein interactions needed to build the capsid [53] . Recently, similar experiments revealed the existence of packaging signals also in enteroviruses, but the capsid-ssRNA contacts occur at VP2 Trp38 rather than at VP3 Trp24 [32] .

In terms of functions, the picornavirus 2A proteins are the most diverse proteins encoded by picornaviruses and can fall into one of at least five categories, (i) proteases, (ii) H-NC box proteins, (iii) short peptides mediating 'self-cleavage', (iv) unique 2A protein from hepatitis A virus with no functional motifs recognized so far and (v) unique 2A protein from cardioviruses possessing three functional motifs [54] . Many picornaviruses (e.g. enteroviruses) have 2A pro protease that cleaves viral polyprotein between VP1 and 2A [55] and plays a role in shut down of host protein synthesis by cleaving several cellular proteins including eIF4G [56] [57] [58] . The 2A H-NC proteins encoded by all parechoviruses and members of some other picornavirus genera including Kobuvirus, Avisivirus, Gallivirus, Avihepatovirus and Passerivirus have a conserved H-NC box and belong to the NlpC/P60 superfamily of proteins [54] . Proteins of NlpC/P60 superfamily are widely found across all domains of life (eukaryotes, bacteria and archaea) [59] . There are no structural data on picornaviral 2A H-NC proteins, but there are structures available for other H-NC box proteins. We identified human phospholipase A and acyltransferase 3 (PLAAT3) (UniprotKB P53816), a member of NlpC/P60 superfamily, as the closest homologue to parechoviral 2A H-NC in a BLAST search against wwPDB database (accessed on 17 August 2020) [28] . Then, we compared sequences of PLAAT3 and 2A H-NC from isolates belonging to different parechovirus species (table 1) . This analysis led us to conclude that parechovirus 2A H-NC proteins are relatively conserved as non-human parechovirus 2A H-NC proteins are 38-47% identical to human parechovirus 2A H-NC , and they all are 16-22% identical to PLAAT3 (table 2) . PLAAT3 belongs to a group of phospholipid-metabolizing enzymes together with PLAAT1 (UniprotKB Q9HDD0), PLAAT2 (UniprotKB Q9NWW9) and PLAAT4 (UniprotKB Q9UL19) [60, 61] . The X-ray structure of PLAAT3 presents the active site of H-NC box proteins with strictly conserved catalytic Cys113 and His23 serving as a general base (PDB ID: 4DOT) [12] . The third amino acid stabilizing the position of His23 in the catalytic reaction is His35, which is not strictly conserved and replaced by Asn in PLAAT1 [12] . however, remains to be tested. Interestingly, during enterovirus infection, the enzymatic function of a host phospholipase PLAAT3 is implicated in viral genome release into the cytoplasm [63] . The parechovirus 2A H-NC is a non-structural protein and thus its involvement in the viral RNA exit into the cytoplasm is questionable, unless a few copies of this protein are present in the virion. The parechovirus 2A H-NC could possibly work at later steps in the viral infectious cycle, in line with data showing that human parechovirus 2A H-NC protein binds to RNA with preferred specificity to human parechovirus 3 0 -UTR [64] .

In the non-human parechoviruses, the 2A H-NC protein is preceded in polyprotein sequence by one or more unrelated 2A NPGP proteins, and in these cases, 2A proteins are designated as 2A1, 2A2 and so forth ( figure 1 ). The C-termini of parechovirus 2A NPGP proteins share the DxExNPGP 'self-cleavage' motif similar to cardio-, erbo-, tescho-and aphthovirus 2A NPGP peptides [2] (figure 3b). The DxExNPGP motif mediates so-called 'ribosome skipping', when the peptide bond between the DxExNPG sequence and the first Pro of the following protein is not formed during polyprotein translation [65] . Although the 'ribosome skipping' efficiencies of 2A NPGP sequences from different viruses vary, this allows rapid release of P1-2A part from the rest of the polyprotein (P2 and P3) [66] . Such self-cleavage motifs, first identified in picornaviruses, are also found in other RNA viruses [67, 68] .

The RNA replication of positive-sense ssRNA viruses occurs in viral-induced compartmentalized membranes, called royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008 replication organelles, where viral replication complexes assemble [69] . It has been shown in a well-established enterovirus system that, upon infection, intracellular membrane rearrangements are triggered by non-structural viral proteins 2B, 2C, their precursor 2BC and 3A which were shown to localize in intracellular membranes [70] [71] [72] [73] . Similarly, 2B, 2C and 3A from human parechoviruses were found in cellular membranes [74] . Enterovirus infection leads to disassembly of the Golgi complex concurrently with the assembly of replication organelles [75, 76] . During enterovirus infection massive rearrangements of intracellular membranes occur [75, 77, 78] . By contrast, parechovirus infection leads to relatively minor changes in the intracellular membrane architecture [79] . This mild rearrangement of intracellular membranes is possibly reflected in the parechovirus insensitivity to itraconazole and naturally occurring compound OSW-1, both blocking enterovirus infection via oxysterol-binding protein 1 (UniprotKB P22059) [80, 81] . Oxysterol-binding protein 1 is a lipid transporter which shuttles sterols from the endoplasmic reticulum (ER) to the Golgi complex in exchange to phosphatidylinositol 4phosphate (PI4P) [82] . The lipid composition of virus induced organelles differs from the intracellular membranes as replication organelles are enriched in PI4P [76, 83] . PI4P, a ubiquitous small lipid with regulatory functions, produced by cellular phosphatidylinositol 4-kinase beta (PI4Kbeta, UniprotKB Q9UBF8) is found in membrane compartments of all eukaryotic cells [84] . In uninfected cells, the PI4Kbeta is associated with the Golgi complex [85] .

To better understand parechoviral 2B protein functions, we analysed 2B amino acid sequence conservation among selected parechovirus and poliovirus isolates (table 1). The parechovirus 2B proteins comprising 122-142 amino acids are longer than their counterparts in enteroviruses which are only 95-99 amino acids long. In pairwise amino acid sequence alignment, the non-human parechovirus 2B proteins show 35-51% sequence identity with PeV-A1 2B. When all parechovirus species are similarly compared to prototype enterovirus poliovirus 2B amino acid sequence, the parechovirus 2B proteins show low sequence identity (10-16%) (table 2). It has been shown that enterovirus 2B proteins have two transmembrane helices which insert into the membranes and increase their permeability, a feature intrinsic to viroporins [86] [87] [88] . Using an algorithm for transmembrane region predictions in parechoviral 2B proteins, we identified an extended transmembrane region sufficient to form two transmembrane helices (figure 3c). The predicted transmembrane helices in the case of PeV-A1 2B protein (figure 3c) likely correspond to the hydrophobic regions HR1 and HR2 in 2B from enteroviruses (poliovirus, CVB3 and EV-A71) indicating that parechovirus 2B proteins may act as viroporins, too [89] . In line with this, the individually expressed PeV-A1 2B protein was found to localize to the ER [74] .

The non-structural protein 2C is one of the most conserved proteins within the Picornaviridae family [90] . These proteins royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008

bear an ATPase domain exhibiting features similar to helicase superfamily 3 proteins and are involved in many vital processes during the viral life cycle [91, 92] . Our analysis shows that 2C proteins in non-human parechoviruses are 41-51% identical to PeV-A1 2C, and parechovirus 2C proteins (329-330 amino acids long) are 23-25% identical to poliovirus 2C (table 2 ). In the case of cells infected with PeV-A1, the 2C protein is found in the trans-Golgi and altered ER membranes [79] . Similarly to enterovirus 2C proteins, which comprise 322-330 amino acids and localize in Golgi-derived membranes, PeV-A1 2C possesses enzymatic ATPase activity and additionally AMP kinase activity [77, [93] [94] [95] . Unlike enterovirus 2C, the parechovirus 2C protein is resistant to guanidine hydrochloride, as parechovirus infection is not affected by this compound [35] . X-ray data are available for a soluble domain of 2C from poliovirus and EV-A71 [96, 97] . Amino acid sequence analysis of parechovirus 2C shows a similar domain organization to that of 2C proteins in enteroviruses (figure 3d). The exception is a missing zinc finger domain in parechovirus 2C. The ATPase domain from both poliovirus and EV-A71 2C proteins includes canonical Walker motifs A and B as well as helicase superfamily 3-specific motif C. Motif C is followed by an arginine finger (R-finger) [96, 97] . Walker motifs A, B and motif C are responsible for nucleotide binding and the R-finger is involved in modulating NTP binding or hydrolysis [91] . The zinc finger composed of 3 or 4 Cys residues coordinating a zinc atom is essential for correct overall folding of the enteroviral 2C protein [97] . The pocket-binding domain located at the very end of the 2C is thought to be important for protein oligomerization [97] . Superfamily 3 helicases function as oligomers, for example as hexamers or double hexamers [91, 98] . Disrupting self-oligomerization of 2C abolishes ATPase activity [97] . Modelling has shown that in poliovirus 2C, as in numerous other AAA+ ATPases, the neighbouring protomer contributes the R-finger to the active site, explaining why 2C oligomerization is key for ATPase activity [96, 98] . Notably, the parechoviral 2C proteins contribute to the severity of the symptoms of the viral infection, as shown for PeV-A3. PeV-A3 variants carrying changes from polar to basic amino acids at positions 317 and 324 in the C-terminus of 2C are more frequently associated with severe symptoms [15] . The mechanism of action related to this phenomenon is not clear yet, though these changes are located in the pocketbinding domain of 2C and thus might contribute to protein oligomerization and in turn to its activity (figure 3d).

Our sequence analysis shows that parechovirus 3A proteins are significantly longer (117-130 amino acids) than their enterovirus counterparts (77-89 amino acids). In addition, the 3A proteins from non-human parechoviruses have relatively low (16-26%) sequence identity to 3A from PeV-A1 in pairwise amino acid sequence comparison. Even lower (10-12%) identity is detected between amino acid sequences of 3A proteins if all parechoviruses are compared to poliovirus (table 2) . It has been shown that individually expressed 3A proteins from PeV-A1 co-localize with Golgi markers without causing large membrane alterations [74] . In addition, mammalian two-hybrid assay showed that 3A from PeV-A1 binds to a Golgi resident protein GCP60 (Uni-protKB Q9H3P7) [99] . This is similar to enterovirus 3A proteins which were shown to localize in intracellular membranes and to interact with various cellular factors, including GCP60, leading to inhibition of the ER-to-Golgi vesicle transport and disassembly of the Golgi complex [99, 100] . In uninfected cells GCP60, a non-integral membrane protein, resides in the Golgi apparatus and its association with the membranes is tightly controlled by the Golgi transmembrane protein Golgin subfamily B member 1 (UniprotKB Q14789) [101] . The important function of Golgi resident protein GCP60 in the cells is the recruitment of PI4Kbeta to the Golgi membranes, and stimulation of PI4P production [102] . As we discussed in the 2B protein section above, the picornaviral replication sites on the membranes are enriched in PI4P.

There are no structural data on parechovirus 3A protein, but structural studies done with other picornaviral 3A shed light on how PI4Kbeta is recruited to the viral replication organelles [103, 104] . Atomic structures and computational simulations indicate that enteroviral 3A is anchored to the membrane via a C-terminal alpha-helix whereas the cytoplasmic domain wraps around the GCP60 GOLD domain [104] . This way the 3A protein recruits Golgi resident protein GCP60 to the site of virus replication, which helps then to recruit other cellular factors required for viral replication machinery. Although showing limited identity to 3A sequence from enteroviruses, parechoviral 3A protein may recruit GCP60 via a similar mechanism through interaction with the GOLD domain.

Similarly to 3A alone, individually expressed human parechovirus 3AB localizes in the Golgi membranes [74] . As shown for enteroviruses, in 3AB, the 3B (also known as VPg) is responsible for interaction with the 3D pol polymerase [105] . To serve as a primer for 3D pol , however, VPg has to be released from 3AB, which is done by 3CD pro , precursor for both viral protease 3C pro and polymerase 3D pol [106, 107] . VPg is a peptide of 26-33 amino acids in parechoviruses (for comparison, in poliovirus VPg is 22 amino acids long). The N-terminal part, including Tyr3, is strictly conserved in all parechovirus as well as other picornavirus VPg peptides. As shown for enteroviruses, the side chain of Tyr3 in VPg is di-uridylylated by the viral polymerase 3D pol and VPg remains linked to the 5 0 -end of the ssRNA genome in the virion [38, 108, 109] . A two-molecule model for 3D pol during picornavirus VPg uridylylation was suggested, based on structural as well as biochemical studies of enteroviruses and foot-and-mouth disease virus (FMDV) [108, [110] [111] [112] . According to this mechanism, one molecule of 3D pol binds VPg via a noncatalytic site and presents Tyr at position 3 for the uridylylation by another 3D pol molecule [111, 112] . There are no similar studies reported for the parechovirus system so far.

Parechoviruses possess only one protease 3C pro . Parechovirus 3C pro is a chymotrypsin-like cysteine protease, 194-198 amino acids in length, classified into the PA(C) clan of peptidases together with proteases from other RNA viruses including 2A pro and 3C pro from picornaviruses [113] . The parechovirus 3C pro presumably processes all the junctions between intermediate and mature peptides in the virus polyprotein apart from 'self-cleaved' 2A NPGP sites. Our royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008 analysis shows that 3C pro proteins from non-human parechovirus species have 32-51% sequence identity to PeV-A1 3C pro , while 3C pro from different parechovirus species has just 17-23% sequence identity to poliovirus 3C pro (table 2) . To date, there is no experimentally solved three-dimensional structure of parechovirus 3C pro although there are structures from a number of enterovirus 3C pro proteins. We used homology-based modelling to predict three-dimensional structure of PeV-A1 3C pro (figure 4a). As mentioned above, the 3C pro proteins from picornaviruses share a two β-barrel fold characteristic for chymotrypsin (a serine protease secreted by a pancreas as proenzyme) [116] . The active site of such proteases consists of His, Asp (in parechoviruses) or Glu (in enteroviruses), and Cys catalytic triad (figure 4a). The 3C pro uses the active site Cys as a nucleophile to break the peptide bond in the polyprotein. The imidazole ring of the His works as a general base, and Asp or Glu is important to keep the imidazole ring in the proper position for interaction with the catalytic Cys [116] . Comparison of cleavage site sequences in PeV-A1 polyprotein reveals 3C pro preference for Gln, Glu or Asn in P1 position, and Gly or Ala in P1 0 position (figure 4b). This implies relatively broad and diverse specificity of parechovirus 3C pro in contrast with poliovirus 3C pro which cleaves preferentially Gln-Gly bonds [117] . In addition to the active site, picornavirus 3C pro has an RNAbinding site located on the opposite side of the protein molecule [118] . Importantly, picornavirus 3CD pro exhibits protease activity and is known to specifically bind viral RNA [119] . The 3D pol domain within the 3CD precursor modulates the protease specificity and binding to RNA sequences [120, 121] .

Structure prediction algorithms suggest that the PeV-A1 3C pro polypeptide adopts the enterovirus 3C pro structure fold ( figure 4a) . Interestingly, the predicted model features three extended loops compared to poliovirus 3C pro . Multiple sequence alignment of prototypic parechovirus 3C pro proteins suggests that these loops are characteristic for all parechovirus species (figure 4c). The loop between β3 and β4 strands is adjacent to the His41 in the active site, the loop between β8 and β9 strands is spatially close to the active site, and the loop between β10 and β11 strands is part of a putative RNA-binding domain [118] . Possibly, these structural differences between enterovirus and parechovirus 3C pro proteins contribute to peptide substrate and RNA-binding specificity.

3D pol protein is an RNA-dependent RNA polymerase (RdRP) that replicates genomic viral RNA without a DNA intermediate. Parechovirus 3D pol polymerase is 467-472 amino acids long and is located at the very end of the full-length viral polyprotein (figure 1). Our amino acid sequence comparisons between 3D pol proteins from non-human parechoviruses show 37-50% identity to that of PeV-A1. In comparison, amino acid sequences from all parechovirus 3D pol proteins have 24-30% identity to poliovirus 3D pol (table 2) . To date, there are X-ray or cryo-EM three-dimensional structures of RdRPs available for a plethora of positive-strand RNA viruses, but not parechoviruses [122] [123] [124] . The structural data available for positive-strand RNA virus RdRPs show a high level of conservation. All DNA and RNA polymerases, including viral RdRPs, possess canonical human right-hand architecture with palm, finger and thumb domains originally described in the structure of the DNA polymerase I Klenow fragment [125, 126] (figure 5a). A unique feature of the Figure 4 . Parechovirus 3C pro homology model and specificity. (a) Structure model of PeV-A1 Harris 3D pro based on I-TASSER structure prediction [114] . Active site amino acid residues are labelled, and loops β3-β4, β8-β9 and β10-β11 are highlighted in purple, yellow and orange, respectively. (b) Cleavage site sequences in PeV-A1 Harris polyprotein. VP0↓VP3 and VP3↓VP1 sites have been confirmed experimentally [1] ; other sites are predicted by homology. The sequence logo on top depicts amino acid residue frequency in positions around the cleavage site [115] . (c) Multiple sequence alignments of loop regions β3-β4, β8-β9, β10-β11 of parechovirus and poliovirus (PV1) 3C pro . Residues in positions with conservation over 35% are shown in colour. Sequences used in the alignment are indicated in table 1. royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008

RdRPs is the finger domain loops, named fingertips, which interconnect finger and thumb domains, thereby creating a 'closed-hand' architecture [123, 124, 129] . The 'closed-hand' architecture is not seen in other than RdRP type of polymerases [123, 124, 129] . The most conserved palm domain accommodates the active site of the polymerase. The finger and thumb domains interact with the template RNA [122, 124, 130] . The RdRP is a dynamic structure, the palm domain undergoes conformational changes upon NTP binding and the thumb domain accommodates movements allowing translocation of the template RNA [131] . Polymerases use a two-metal catalytic mechanism, in which two magnesium ions are coordinated by two aspartic acid residues located in the palm domain, the priming nucleotide 3 0 hydroxyl group and the NTP triphosphate [132] . The active site closure mechanism used by the RdRP from (+)ssRNA viruses differs from (−)ssRNA viruses and is related to the high RNA replication rate and low fidelity, meaning that picornavirus polymerases introduce a high number of errors during replication (in the range of 10 −4 per nucleotide copied) [133, 134] . Low replicative fidelity leads to a population of virus variants known as quasispecies, which gives the flexibility to adapt to the changing environment [135] .

We performed three-dimensional structure prediction, showing that the amino acid sequence of PeV-A1 3D pol likely folds into the characteristic 'closed-hand' architecture found in all RdRPs (figure 5a). In comparison with the wellcharacterized poliovirus RdRP, human parechovirus 3D pol potentially interacts with template and product RNAs through different mechanisms. For example in poliovirus, the binding pocket for +2 nucleotide base of template RNA is formed by Pro20 and Lys24 which correspond to Asn15 and Gln19 in human parechoviruses, respectively (figure 5b). Moreover, we observed significant variation in these residues when we compared 3D pol sequences from different parechovirus species. In non-human parechovirus 3D pol sequences the [114] . Fingers, palm and thumb domains [127] are coloured in orange, grey and blue, respectively. Conserved motifs A, B, C, D, F and G [128] are highlighted in yellow, green, red, cyan, salmon, olive green and purple, respectively. royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008

binding residues for +2 nucleotide base of template RNA is Pro15, which aligns well with poliovirus Pro20 but differs from Asn15 in PeV-A1. In regard to the second residue in the RNA template binding pocket corresponding to poliovirus Lys24, there is much more variation in non-human parechovirus 3D pol sequences (Lys19, Gln19, Ala19 or Ser19). In addition, all parechovirus RdRPs have Glu426 (PeV-A1 numbering) to interact with the +3 nucleotide 2 0 OH of the product RNA, while in poliovirus 3D pol this position corresponds to Leu420, making a hydrophobic contact with the RNA ribose cycle (figure 5c) [126] . Altogether human parechovirus RdRPs tend to make more H-bonds and potentially bind RNA with higher affinity. Apart from the conserved motifs, RdRPs within the human parechovirus isolates may have considerable variations in amino acid residues in certain positions, mostly on the protein surface ( figure 5d ). Furthermore, multiple sequence alignments of sequence motifs A-G [128] in parechovirus RdRP with homologues from other picornaviruses often reveal significant sequence variations (figure 5e).

RNA viruses are present in great numbers and diversity in a wide range of hosts, including vertebrates and invertebrates. RNA viruses have a significant impact not only on human health but also on agricultural industry, and they often carry a zoonotic potential. Our knowledge on RNA viruses is still growing as seen, for example, by a large number of new genera recently defined in the Picornaviridae. Many picornaviruses including parechoviruses were identified in large metagenomics screens of diverse host species [6, 136, 137] . In this review, we combined data on parechoviruses available through scientific reports and public databases, such as GenBank and wwPDB. Detailed structural information available on parechovirus virions show prominent differences with enteroviruses, the best-studied group of picornaviruses. The data on parechoviral non-structural proteins is mostly limited to nucleotide or amino acid sequences. The exception is PeV-A1, for which non-structural protein localization and some functional studies have been performed. Here, we show that in pairwise alignments to PeV-A1 proteins parechovirus 2C is the most conserved protein within Parechovirus genus, followed by 3D pol , 2B, 3C pro and 2A H-NC proteins (table 2). The parechoviral 3A is least conserved among non-structural proteins (table 2) . When amino acid sequences of parechoviruses were compared to the corresponding sequences of poliovirus, the highest conservation was observed with 3D pol , 2C and 3C pro (table 2) . Proteins 2B and 3A show limited conservation to corresponding poliovirus amino acid sequences (table 2) . The parechovirus 2A H-NC protein has homologues in members of numerous Picornaviridae genera but not in isolates from the Enterovirus genus. We identified human phospholipase PLAAT3, an H-NC protein, as the closest protein to parechoviral 2A H-NC for which a three-dimensional structure has been published. Virus proteins critical for the virus infectious cycle can be used as drug targets in the fight against the diseases caused by these viruses. Nowadays, information about the threedimensional structure of the target proteins, in addition to the knowledge of their functions, is extensively used in the identification and optimization of candidate drug molecules. Structure-based drug design became tightly integrated into the therapeutic drug development platforms since the end of the last century when X-ray crystallography, the main structural method, has been established and led to the accumulation of structural data on various biological molecules [138] . The structure-based approach has been successfully used to develop antivirals against important pathogens such as HIV and influenza virus, driving to licensed drugs against HIV-1 protease (nelfinavir) and against influenza neuraminidase (zanamivir) [139, 140] . Regarding antivirals against picornaviruses, to date there are no FDA-approved drugs to treat picornavirus infections despite tremendous efforts exerted by academia and the pharmaceutical industry. These efforts, however, helped to identify a number of molecules that block picornavirus (specifically enterovirus) replication [141] . Some of the picornavirus replication inhibitors were evaluated in clinical trials, among which also capsid binders, such as pleconaril, and inhibitors of viral non-structural proteins acting on protease (rupintrivir and AG7404), polymerase (ribavirin), 2C (fluoxetine), as well as IRES-dependent translation (amantadine) [142] . In parallel to de novo drug development, drug repurposing has been widely adopted for finding potential FDA-approved drugs to treat other medical conditions. For example nitazoxanide, a drug licensed as antiparasitic therapy, shows broad-spectrum antiviral activity and has been repurposed for influenza treatment [143] . Furthermore, a clinical trial to evaluate the efficacy and safety of nitazoxanide in the treatment of colds caused by the enterovirus and rhinovirus infections has been recently completed, but results have not yet been published (NCT03605862). Another example is the FDA-approved anti-fungal drug itraconazole, which was also found to inhibit enterovirus, but not PeV-A1, infection [80] . Mutations that confer resistance to itraconazole map to 3A protein involved in PI4Kbeta recruitment [144] .

This review highlights that potential drug targets in parechoviruses show considerable dissimilarity with their homologues from well-studied picornavirus genera including entero-, aphtho-and cardioviruses. This divergence in virusencoded proteins translates into parechovirus insensitivity to known inhibitors of picornavirus infectious cycle, like pleconaril, itraconazole and guanidine hydrochloride. While structural data on parechovirus capsid proteins provides remarkable insight into virus assembly and neutralization by antibodies, the non-structural proteins remain to be studied in more detail.

Data accessibility. Accession numbers for protein sequences used for the analysis are listed in table 1. PDB IDs for structural data and UniProt accession numbers for proteins are indicated in relevant figures or throughout the text.

A distinct picornavirus group identified by sequence analysis

Molecular analysis of three Ljungan virus isolates reveals a new, close-to-root lineage of the Picornaviridae with a cluster of two unrelated 2A proteins

Genomic characterization of Sebokele virus 1 (SEBV1) reveals a new candidate species among the genus Parechovirus

Metagenomic analysis of the ferret fecal viral flora

2017 Ljungan/Sebokele-like picornavirus in birds of prey, common kestrel (Falco tinnunculus) and red-footed falcon (F. vespertinus)

The evolutionary history of vertebrate RNA viruses

Phenotypic and genomic characterization of human coxsackievirus A16 strains with distinct virulence in mice

Primary structure, gene organization and polypeptide expression of poliovirus RNA

Genomic nucleotide sequence of a foot-and-mouth disease virus clone and its persistent derivatives. Implications for the evolution of viral quasispecies during a persistent infection

Dipyridamole reversibly inhibits mengovirus RNA replication

Structural basis for the acyltransferase activity of lecithin:retinol acyltransferase-like proteins

Typing of human enteroviruses by partial sequencing of VP1

Parechovirus A pathogenesis and the enigma of genotype A-3

Evolutionary analysis of human parechovirus type 3 and clinical outcomes of infection during the

Ljungan virus from wild birds in Japan

Genomic characterization of the first parechovirus in bats

Milestones in early poliomyelitis research (1840 to 1949)

Cultivation of the lansing strain of poliomyelitis virus in cultures of various human embryonic tissues

Multiple capsid-stabilizing interactions revealed in a high-resolution structure of an emerging picornavirus causing neonatal sepsis

Structure of Ljungan virus provides insight into genome packaging of this picornavirus

A 2.8-angstrom-resolution cryoelectron microscopy structure of human parechovirus 3 in complex with Fab from a neutralizing antibody

The structure of human parechovirus 1 reveals an association of the rna genome with the capsid

Unipro UGENE: a unified bioinformatics toolkit

Unipro UGENE NGS pipelines and components for variant calling, RNA-seq and ChIP-seq data analyses. PeerJ 2, e644

2018 NGL viewer: web-based molecular graphics for large complexes

Identification of protein coding regions by database similarity search

Gapped BLAST and PSI-BLAST: a new generation of protein database search programs

Cellular N-myristoyltransferases play a crucial picornavirus genus-specific role in viral assembly, virion maturation, and infectivity

Molecular and biological characteristics of echovirus 22, a representative of a new picornavirus group

Genomic RNA folding mediates assembly of human parechovirus

Assembly of infectious enteroviruses depends on multiple, conserved genomic RNA-coat protein contacts

The 2A proteins of three diverse picornaviruses are related to each other and to the H-rev107 family of proteins involved in the control of cell proliferation

Echovirus 22 is an atypical enterovirus

Differences in the selective virus inhibitory action of 2-(alpha-hydroxybenzyl)-benzimidazole and guanidine HCl

Relevance of RNA structure for the activity of picornavirus IRES elements

Conserved structural domains in the 5'-untranslated region of picornaviral genomes: an analysis of the segment controlling translation and neurovirulence

Identification of an RNA hairpin in poliovirus RNA that serves as the primary template in the in vitro uridylylation of VPg

Initiation of proteinprimed picornavirus RNA synthesis

Analysis of a new human royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008 parechovirus allows the definition of parechovirus types and the identification of RNA structural domains

UCSF Chimera-a visualization system for exploratory research and analysis

Structure of a human common cold virus and functional relationship to other picornaviruses

The structure of coxsackievirus B3 at 3.5 A resolution

Structure of Aichi Virus 1 and its empty particle: clues to kobuvirus genome release mechanism

Complete nucleotide sequence and genetic organization of Aichi virus, a distinct member of the Picornaviridae associated with acute gastroenteritis in humans

Interaction of αVβ3 and αVβ6 integrins with human parechovirus 1

Structural analysis of antiviral agents that interact with the capsid of human rhinoviruses

The crystal structure of coxsackievirus A9: new insights into the uncoating mechanisms of enteroviruses

Analysis of the structure of a common cold virus, human rhinovirus 14, refined at a resolution of 3.0 A

The refined structure of human rhinovirus 16 at 2.15 A resolution: implications for the viral life cycle

Structure determination of echovirus 1

Intrinsicallydisordered N-termini in human parechovirus 1 capsid proteins bind encapsidated

A modelling paradigm for RNA virus assembly

Structures and corresponding functions of five types of picornaviral 2A proteins. Front. Microbiol. 8, 1373

A second virus-encoded proteinase involved in proteolytic processing of poliovirus polyprotein

Poliovirus proteinase 2A induces cleavage of eucaryotic initiation factor 4F polypeptide p220

2A proteinases of coxsackie-and rhinovirus cleave peptides derived from eIF-4γ via a common recognition motif

Eukaryotic initiation factor 4GII (eIF4GII), but not eIF4GI, cleavage correlates with inhibition of host cell protein synthesis after human rhinovirus infection

Evolutionary history, structural features and biochemical diversity of the NlpC/P60 superfamily of enzymes

Identification and functional characterization of adipose-specific phospholipase A2 (AdPLA)

Enzymological analysis of the tumor suppressor A-C1 reveals a novel group of phospholipid-metabolizing enzymes

The EMBL-EBI search and sequence analysis tools APIs in 2019

PLA2G16 represents a switch between entry and clearance of Picornaviridae

Specific interaction between human parechovirus nonstructural 2A protein and viral RNA

Analysis of the aphthovirus 2A/2B polyprotein 'cleavage' mechanism indicates not a proteolytic reaction, but a novel translational effect: a putative ribosomal 'skip

High cleavage efficiency of a 2A peptide derived from porcine teschovirus-1 in human cell lines, zebrafish and mice

Occurrence, function and evolutionary origins of '2A-like' sequences in virus genomes

Foot-and-mouth disease virus 2A oligopeptide mediated cleavage of an artificial polyprotein

Membranous replication factories induced by plus-strand RNA viruses

Membrane rearrangement and vesicle induction by recombinant poliovirus 2C and 2BC in human cells

Poliovirus 2C protein determinants of membrane binding and rearrangements in mammalian cells

Membrane permeabilization by poliovirus proteins 2B and 2BC

A critical role of a cellular membrane traffic protein in poliovirus RNA replication

Intracellular localization and effects of individually expressed human parechovirus 1 nonstructural proteins

The transformation of enterovirus replication structures: a threedimensional study of single-and double-membrane compartments

Viral reorganization of the secretory pathway generates distinct organelles for RNA replication

Complex dynamic development of poliovirus membranous replication complexes

Illuminating the sites of enterovirus replication in living cells by using a split-GFP-tagged viral protein

Replication complex of human parechovirus 1

Itraconazole inhibits enterovirus replication by targeting the oxysterolbinding protein

Broad-range inhibition of enterovirus replication by OSW-1, a natural compound targeting OSBP

A four-step cycle driven by PI(4)P hydrolysis directs sterol/PI(4)P exchange by the ER-Golgi tether OSBP

The 3A protein from multiple picornaviruses utilizes the golgi adaptor protein ACBD3 to recruit PI4KIIIbeta

Phosphoinositides: tiny lipids with giant impact on cell regulation

PAP7; GCP60): an emerging signaling molecule

Viroporin-mediated membrane permeabilization. Pore formation by nonstructural poliovirus 2B protein

Determinants for membrane association and permeabilization of the coxsackievirus 2B protein and the identification of the Golgi complex as the target organelle

The coxsackievirus 2B protein increases efflux of ions from the endoplasmic reticulum and Golgi, thereby inhibiting protein trafficking through the Golgi

2020 A nonstructural 2B protein of enterovirus A71 increases cytosolic Ca 2+ and induces apoptosis in human neuroblastoma SH-SY5Y cells

Virus-encoded RNA helicases

Structure and mechanism of helicases and nucleic acid translocases

Human enterovirus nonstructural protein 2C ATPase functions as both an RNA helicase and ATP-independent RNA chaperone

ATP hydrolysis and AMP kinase activities of nonstructural protein 2C of human parechovirus 1

Characterization of the nucleoside triphosphatase activity of poliovirus protein 2C reveals a mechanism by which guanidine inhibits poliovirus replication

Poliovirus protein 2C contains two regions involved in RNA binding activity

Crystal structure of a soluble fragment of poliovirus 2CATPase

Crystal structure of 2C helicase from enterovirus 71. Sci. Adv. 3, e1602573

Conserved arginine residues implicated in ATP hydrolysis, nucleotide-sensing, and intersubunit interactions in AAA and AAA+ ATPases

ACBD3 interaction with TBC1 domain 22 protein is differentially affected by enteroviral and kobuviral 3A protein binding

Inhibition of endoplasmic reticulum-to-Golgi traffic by poliovirus protein 3A: genetic and ultrastructural analysis

Identification and characterization of a novel Golgi protein, GCP60, that interacts with the integral membrane protein giantin

Structural insights and in vitro reconstitution of membrane targeting and activation of human PI4KB by the ACBD3 protein

Kobuviral non-structural 3A proteins act as molecular harnesses to hijack the host ACBD3 protein

Convergent evolution in the mechanisms of ACBD3 recruitment to picornavirus replication sites

Complete protein linkage map of poliovirus P3 proteins: interaction of polymerase 3Dpol with VPg and with genetic variants of 3AB

Properties of purified recombinant poliovirus protein 3aB as substrate for viral proteinases and as cofactor for RNA polymerase 3Dpol

Membrane topography of the hydrophobic anchor sequence of poliovirus 3A and 3AB proteins and the functional effect of 3A/3AB membrane association upon RNA replication

Picornavirus genome replication: assembly and organization of the VPg uridylylation ribonucleoprotein (initiation) complex

Protein is linked to the 5' end of poliovirus RNA by a phosphodiester linkage to tyrosine

Enterovirus 71 VPg uridylation uses a two-molecular mechanism of 3D polymerase

The structure of a protein primer-polymerase complex in the initiation of genome replication

The crystal structure of coxsackievirus B3 RNA-dependent RNA polymerase in complex with its protein primer VPg confirms the existence of a second VPg binding site on Picornaviridae polymerases

MEROPS the pepdidase data base

2015 The I-TASSER Suite: protein structure and function prediction

AlignmentViewer protein multiple sequence alignment visualization & analysis. Accessed 1

Thiolateimidazolium ion pair is not an obligatory catalytic entity of cysteine peptidases: the active site of picornain 3C

Structural domains of the poliovirus polyprotein are major determinants for proteolytic cleavage at Gln-Gly pairs

Mutations at KFRDI and VGK domains of enterovirus 71 3C protease affect its RNA binding and proteolytic activities

Interaction of poliovirus royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008 polypeptide 3CDpro with the 5' and 3' termini of the poliovirus genome. Identification of viral and cellular cofactors needed for efficient binding

Purification and characterization of poliovirus polypeptide 3CD, a proteinase and a precursor for RNA polymerase

Modulation of the RNA binding and protein processing activities of poliovirus polypeptide 3CD by the viral RNA polymerase domain

Structural basis for active site closure by the poliovirus RNA-dependent RNA polymerase

Crystal structure of the RNAdependent RNA polymerase from hepatitis C virus reveals a fully encircled active site

A mechanism for initiating RNAdependent RNA polymerization

Domain of E. coli DNA polymerase I showing sequence homology to T7 DNA polymerase

Picornaviral polymerase structure, function, and fidelity modulation

Structural basis for proteolysis-dependent activation of the poliovirus RNA-dependent RNA polymerase

Evolution of tertiary structure of viral RNA dependent polymerases

Common and unique features of viral RNA-dependent polymerases

The structural basis for RNA specificity and Ca 2+ inhibition of an RNAdependent RNA polymerase

RNAdependent RNA polymerases of picornaviruses: from the structure to regulatory mechanisms

Structural biology: a mechanism for all polymerases

Rates of spontaneous mutation

Mutational and fitness landscapes of an RNA virus revealed through population sequencing

Structure-function relationships underlying the replication fidelity of viral RNA-dependent RNA polymerases

Genetic characterization of a novel picornavirus detected in Miniopterus schreibersii bats

Virome analysis for identification of novel mammalian viruses in bat species from Chinese provinces

Cryo-EM for small molecules discovery, design, understanding, and application

Rational design of potent sialidase-based inhibitors of influenza virus replication

Molecular recognition of the inhibitor AG-1343 by HIV-1 protease: conformationally flexible docking by evolutionary programming

Replication and inhibitors of enteroviruses and parechoviruses

Antivirals against enteroviruses: a critical review from a public-health perspective

Drug repurposing of nitazoxanide: can it be an effective therapy for COVID-19?

Discovery of itraconazole with broad-spectrum in vitro antienterovirus activity that targets nonstructural protein 3A

Acknowledgements. We acknowledge Zlatka Plavec for critical reading of the manuscript. We acknowledge the Instruct Eric Centre Finland.royalsocietypublishing.org/journal/rsob Open Biol. 11: 210008