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Similarity in genome organization between Molluscum contagiosum virus (MCV) and vaccinia virus (VV): Identification of MCV homologues of the VV genes for protein kinase 2, structural protein VP8, RNA polymerase 35 kDa subunit and 3β-hydroxysteroid dehydrogenase

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Molluscum contagiosum virus (MCV) and vaccinia virus (VV) are serologically unrelated poxviruses with a disparate genome composition (MCV, 66% G+C; VV, 33% G+C). Molecular studies of MCV have been hindered by the inability to propagate the virus in cells cultured in vitro. We sequenced 7765 bp of MCV DNA cloned from four widely spaced regions throughout the MCV genome and identified a total of 11 potential open reading frames (ORF), designated CX1-11. These include MCV homologues of the VV genes encoding protein kinase 2, structural protein VP8, RNA polymerase 35 kDa subunit and 3beta-hydroxysteroid dehydrogenase. The position and orientation of the MCV ORFs was collinear to the VV genome, with the exception of the region around ORF CX11 which is inverted in the MCV genome.
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... 1,8,10,11 Even though MCV is serologically distinct from VV, the sequencing of MCV has shown several homologues of the VV for signaling proteins, an RNA polymerase subunit, and structural proteins. 12 Hence, VV can be used as a surrogate to study MC proteins in vivo. 11 The genome of the MCV type I was decoded in 1997. ...
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Background: Molluscum contagiosum (MC) is an acute infection caused by the molluscum contagiosum virus (MCV) with a worldwide incidence of approximately 8,000 cases per 100,000 individuals annually. Greater than 90% of MC cases occur in the pediatric population, and affected adults are more likely to be younger or immunocompromised. MC has minimal inflammation initially; however, a strong inflammatory response can occur during resolution of the infection, termed the beginning of the end (BOTE). MC infections may last months to years, and it is hypothesized that persistent infections may be due to suppression of immunity by MCV proteins, thus affecting MC’s clinical progression. Objective: We reviewed the current proposed mechanisms of MCV immune evasion and discuss potential therapeutic options for MC treatment. Methods: A literature search was conducted using electronic databases (Pubmed, Google Scholar, Medline). Results: We compiled 18 original research articles and identified 11 proteins produced by MCV that are postulated to participate in evasion of host immunity through various molecular pathways. These proteins and/or their downstream pathways may be influenced by MC treatments in phase 3 development, including berdazimer gel 10.3% and VP-102 cantharidin, 0.7%. Conclusion: MCV is distinctive in evading immune surveillance by inhibiting or dampening several immune pathways via the production of viral proteins. The result is decreasing local inflammatory response which contributes to the prolonged survival of MCV in the epidermis. Persistent MC can be a nuisance for some patients and treatment may be desired. Currently, no treatment has been approved by the US Food and Drug Administration (FDA). Two approaches in the pipeline may affect the immune avoidance mechanisms; nevertheless, their exact mechanisms between the potential therapeutics and viral proteins remain enigmatic. J Drugs Dermatol. 2023;22(2):182-189. doi:10.36849/JDD.7230.
... Protein A44 shares 31% aa identity with human 3β-hydroxysteroid dehydrogenase (3β-HSD), an enzyme needed for steroid biosynthesis [226,227,266]. Several other poxviruses such as molluscum contagiosum virus [267], fish lymphocystis virus [268] and avipoxviruses (fowlpox virus and canarypox virus) [269] also encode 3β-HSD. VACV A44 is an active 3β-HSD and is an early, non-essential protein that promotes virulence [163,223,224]. ...
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The increasing frequency of monkeypox virus infections, new outbreaks of other zoonotic orthopoxviruses and concern about the re-emergence of smallpox have prompted research into developing antiviral drugs and better vaccines against these viruses. This article considers the genetic engineering of vaccinia virus (VACV) to enhance vaccine immunogenicity and safety. The virulence, immunogenicity and protective efficacy of VACV strains engineered to lack specific immunomodulatory or host range proteins are described. The ultimate goal is to develop safer and more immunogenic VACV vaccines that induce long-lasting immunological memory.
... Molluscum contagiosum 1 and 2 are related to orthopox and parapox viruses and share some homology with vaccinia. 1,2 Nitric oxide (NO) has been shown to have antiviral effects in DNA, RNA, enveloped and encapsidated viruses. 3,4 It reduces replication of herpes simplex type 1, 5 vaccinia and the orthopox ectromelia virus, 6 murine coronavirus 7 and in vitro, but not in vivo, has antiviral properties for avian reovirus infection. ...
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A double-blind, group-sequential clinical trial of acidified nitrite was performed to demonstrate the efficacy of this nitric oxide donor in treating molluscum contagiosum. Subjects received either 5% sodium nitrite co-applied with 5% salicylic acid under occlusion, or identical cream with 5% salicylic acid, omitting sodium nitrite. Active and control treatment groups were well matched for the number and duration of lesions and made a similar number of applications. We found a 75% cure rate in the active treatment group and 21% cure with control treatment (P = 0.01). The mean time to cure was 1.83 months. Staining of the skin and irritation were frequent side-effects but did not prevent successful treatment.
... This is in contrast to VV, which causes a general infection throughout the body and provokes a much greater antibody response [Buller and Palumbo, 1991]. Furthermore, no cross-reactivity was found between the anti-VV and the anti-MCV sera, despite the existing homology at the amino acid level between antigenic VV proteins and their MCV counterparts [Blake et al., 1991; Sonntag et al., 1995; Douglass et al., 1996; Martin-Gallardo et al., 1996; Senkevich et al., 1996 Senkevich et al., , 1997 Moratilla et al., 1997]. On the other hand, the MCV genome encodes a number of speci®c proteins that presumably interact with the host immune system [Senkevich et al., 1996 [Senkevich et al., , 1997 Moratilla et al., 1997]. ...
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