Ung-type uracil-DNA glycosylases are frontline defenders of DNA sequence fidelity in bacteria, plants, and animals; Ungs also directly assist both innate and humoral immunity. Critically important in viral pathogenesis, whether acting for or against viral DNA persistence, Ungs also have therapeutic relevance to cancer, microbial, and parasitic diseases. Ung catalytic specificity is uniquely conserved, yet selective antiviral drugging of the Ung catalytic pocket is tractable. However, more promising precision therapy approaches present themselves via insights from viral strategies, including sequestration or adaptation of Ung for non-canonical roles. A universal Ung inhibition mechanism, converged upon by unrelated viruses, could also inform design of compounds to inhibit specific distinct Ungs. Extrapolating current developments, the character of such novel chemical entities is proposed. Executive Summary • Introduction Ungs are essential enzymes at the forefront of pathogenic states, both defending cells and being co-opted by pathogens. • Ung structure and mechanism Ung is an exquisitely specific catalytic domain, but pre-catalytic variations promise specificity between targeting the host enzyme and pathogenic variants. • Origins and significance of uracil-substituted DNA in pathogenesis Viruses have evolved to silence, or co-opt Ung to facilitate pathogenic states. Understanding these origins allows search for novel Ung-interacting proteins. Knowledge of Ung-interacting protein interfaces can facilitate drug discovery. • Motivations and contexts for therapeutic interventions targeting Ung Understanding the significance of Ung in diverse pathogenic states permits suitable intervention to be designed and implemented. • Convergence on a universal Ung-inhibitory mechanism by unrelated virus proteins Natural protein-protein interactions that irreversibly inhibit Ung activity, by convergence on a common mechanism have independently evolved at least 3 times from different protein architectures. The naturally evolved inhibitor proteins do not target uracil specificity of Ung. • Synthetic selective Ung inhibition and future trends Drug design centred upon uracil-analogues has shown specificity is achievable. Compounds featuring uracil and hydrophobic tails are not ideal drug candidate molecules. Compounds targeting Ung protein-protein interactions have shown selective potency against poxviruses. • Conclusions Eschewing uracil-specificity to emulate features of natural protein-protein interactions, promises novelty in selective drug discovery to target Ungs in pathogenic states. Herpesviruses (g-/ EBV, KSHV) Elongated/structured pre-catalytic loop is essential to replication [34,35]. Poxviruses [vaccinia] Divergent features/ variant pre-catalytic loop, resistant to phage-mediated inhibition; potent PPI inhibitors identified [26-28]. Mycobacterium tuberculosis Atypical catalytic structure, weakened phage-mediated inhibition [36,37]. Plasmodium falciparum Divergent sequence; uracil-analogue inhibitors identified [38]. * Pe...