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Pharmacology · Antivirals

Anti-influenza agents

Therapia antiviralis contra grippum

The study of anti-influenza drugs is based on understanding the structure of the influenza virus and the stages of its reproduction in the body. The interaction of viral structures with the host cell determines key targets for pharmacological intervention.

Virus typesOrthomyxoviruses are divided into types A, B, and C; type A is the most contagious.
M2 proteinForms an ion channel in the envelope, ensuring acidification and "uncoating" of the virion.
RimantadineBlocks M2 ion channels, disrupting proton transport and preventing deproteinization.
NeuraminidaseAn enzyme that breaks the bonds between the virus and sialic acids to allow egress from the cell.
OseltamivirInhibits neuraminidase, preventing the release of new virions and the spread of infection.
2 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Structure of the influenza virus and surface proteins

Influenza viruses belong to the family Orthomyxoviridae and contain single-stranded segmented RNA. The internal structure is represented by a ribonucleoprotein surrounded by the matrix protein M1. The outer lipid envelope (supercapsid) contains surface glycoproteins that determine the viral subtype and act as antigens.

Key surface structures include:

  • Hemagglutinin (H) — ensures adhesion of the virion to sialic acids of respiratory epithelial cells.
  • Neuraminidase (N) — breaks the bonds between hemagglutinin and cellular receptors, helping the virus enter and release after replication.

Adsorption, penetration, and the role of the M2 protein

The infectious process begins with the attachment of the virus to the target cell through the interaction of hemagglutinin with sialic acids. Then the virion penetrates inside via endocytosis, forming an endosome.

Inside the endosome, the medium becomes acidified. Hydrogen ions enter the viral particle through the proton channel formed by the M2 protein. This process leads to the dissociation of the matrix protein and ribonucleoproteins — deproteinization occurs, and the viral RNA enters the cytoplasm.

The pharmacological agent rimantadine selectively blocks M2 ion channels, preventing acidification of the virion and its "uncoating".

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Intracellular synthesis, assembly, and virion release

The released viral RNA is transported into the nucleus of the host cell, where genome replication and viral mRNA transcription occur using viral RNA polymerase. The resulting mRNA enters the cytoplasm, where necessary proteins are synthesized on ribosomes.

The assembly of new virions occurs at the cell membrane, after which viral particles bud off. At the final stage, hemagglutinin holds new virions on the surface of the infected cell.

The enzyme neuraminidase breaks this bond, ensuring the final detachment of viral particles. The drug oseltamivir inhibits neuraminidase, blocking the spread of infection.

How to memorize

M2 — Bear outpost (blocked by rimantadine), Neuraminidase — Scissors (cut the bond with the cell, blocked by oseltamivir).

Class and exam questions

What is the function of the M2 protein in the influenza virus?

The M2 protein forms a specific ion channel in the viral envelope. Through it, hydrogen ions penetrate inside the virion during endosome acidification, which triggers the deproteinization process.

Which drug blocks M2 ion channels and what is its effect?

Rimantadine blocks the function of M2 ion channels. This disrupts proton transport into the virion and prevents its "uncoating".

What is the role of neuraminidase in the viral life cycle?

Neuraminidase breaks the bond of hemagglutinin with sialic acids of the cell membrane. This ensures the detachment of new virions from the infected cell and their release to infect other cells.

Where do replication and transcription of the influenza virus take place?

The processes of viral genome replication and mRNA transcription occur in the nucleus of the host cell.

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What else to study on this topic

  • Classification and structure of influenza virus types A, B, and C
  • Structure of segmented RNA and ribonucleoproteins
  • The role of the M1 matrix protein in the virion structure
  • Mechanisms of endocytosis and endosome formation
  • Processes of viral protein translation on host cell ribosomes

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