Unraveling the Dual Immunomodulatory and Immunogenic Roles of the Central Conserved Cysteine-Rich Region in Respiratory Syncytial Virus G Protein

Respiratory syncytial virus (RSV) causes severe respiratory disease in infants and high-risk adults, in part by subverting host immunity. The RSV G glycoprotein's central conserved cysteine-rich domain (CCD) contains a CX3C motif implicated in immune modulation, but the relationship between CCD redox state, structure and function is unresolved. We recombinantly expressed a CCD peptide (Gpep, residues 149-196) and combined structural and biophysical characterizations with cellular immunology and human serology to define how redox-dependent conformations govern immunogenicity and immunomodulation. Reduced Gpep is compact and rapidly folds via a dominant intermediate into an oxidized, extended monomer; at higher concentrations intermolecular disulfide isomerization produces covalent oligomers. Functionally, monomeric Gpep potently suppresses innate and adaptive activation inhibiting LPS- or UV-inactivated RSV-induced maturation of mouse bone marrow-derived dendritic cells, reducing antigen-specific CD4+ T cell proliferation and IFN-γ production, and attenuating multiple human neutrophil responses (chemotaxis, CD11b upregulation, ROS, MPO release and NET formation), without cytotoxicity. Oligomerized Gpep lacks these suppressive activities. To link molecular mechanism and human exposure, analysis of sera from an ambulatory pediatric cohort (0-72 months) showed a progressive transient increase in the anti-F/anti-G IgG ratio with repeated early RSV exposures, maturating into a functional 2 to 3 ratio. This serologic shift is consistent with previously reported enrichment of F-directed neutralizing immunity. We propose a redox-dependent immune-evasion model in which soluble, monomeric G mediates transient immunosuppression that is removed by disulfide-driven oligomerization, which may occur in membrane-bound G. This may impact therapeutic strategies that commonly favor F-focused responses.