Human respiratory syncytial virus (RSV) is the leading cause of paediatric respiratory disease and is the focus of antiviral-and vaccine-development programmes. These goals have been aided by an understanding of the virus genome architecture and the mechanisms by which it is expressed and replicated. RSV is a member of the order Mononegavirales and, as such, has a genome consisting of a single strand of negative-sense RNA. At first glance, transcription and genome replication appear straightforward, requiring self-contained promoter regions at the 39 ends of the genome and antigenome RNAs, short cis-acting elements flanking each of the genes and one polymerase. However, from these minimal elements, the virus is able to generate an array of capped, methylated and polyadenylated mRNAs and encapsidated antigenome and genome RNAs, all in the appropriate ratios to facilitate virus replication. The apparent simplicity of genome expression and replication is a consequence of considerable complexity in the polymerase structure and its cognate cis-acting sequences; here, our understanding of mechanisms by which the RSV polymerase proteins interact with signals in the RNA template to produce different RNA products is reviewed.
Background and scope of the reviewThe World Health Organization estimates that Human respiratory syncytial virus (RSV) is responsible for 64 million infections and 160 000 deaths per annum. Its victims are mostly young infants, but it is increasingly recognized as a significant cause of disease in the elderly population and can often be fatal for patients with compromised immune systems . RSV is a member of the subfamily Pneumovirinae in the family Paramyxoviridae, order Mononegavirales, i.e. the non-segmented, negativestrand RNA viruses. This order includes several exotic pathogens, such as the Ebola and Nipah viruses, and other, more familiar ones, such as the parainfluenza, measles and mumps viruses. Most of our initial understanding of mononegavirus transcription and genome replication stemmed from studies with the paramyxovirus Sendai virus (SeV) and the rhabdovirus Vesicular stomatitis virus (VSV). These viruses can be grown to very high titres, which has facilitated analysis of their RNA-synthesis mechanisms using biochemical techniques. These studies still provide a blueprint for mononegavirus RNA synthesis; however, sequence analysis of different virus genomes and advances in reverse-genetics techniques have opened up this field. Recent investigations have revealed that mononegaviruses differ in the layout of their promoter and gene-junction regions, template structure and polymerase composition. Therefore, although the overall strategy of transcription and replication is similar for all non-segmented, negative-strand RNA viruses, it is possible that the molecular mechanisms that individual viruses use to achieve this differ. Given that RSV is an important human pathogen, it is worth consideration in its own right and, in this review, we aim to examine the data regarding RSV specifically, h...