Abstract
Human astrovirus (HAstV) is a major cause of viral enteritis in children and the older adults worldwide. The eight serotypes of classical HAstVs (HAstV1-8), employ the neonatal Fc receptor (FcRn) as an entry receptor. To elucidate the receptor binding mechanism of HAstVs, we determined the crystal structure of the HAstV8 spike protein complexed with human FcRn. The structure reveals that the HAstV8 spike protein engaged FcRn via a conserved surface depression, which is also present across the other seven classical HAstVs serotypes. The binding interface of HAstV8 spike protein on FcRn largely overlaps with the footprints of three clinically approved FcRn blockers to treat an autoimmune disease. Accordingly, these FcRn inhibitors potently suppress astrovirus infection, significantly reducing viral RNA levels in astrovirus permissive Caco2 cells. Therefore, our study reports a conserved receptor recognition mechanism among human astroviruses and suggests the potential of repurposing clinically approved therapeutics to treat astrovirus infection.
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Data availability
Coordinates and structure factors of HAstV8 spike complexed FcRn, HAstV1 spike and HAstV8 spike are available in the Protein Data Bank under accession codes 9WYD, 9WYE and 9WYG, respectively. Source data are provided with this paper.
References
Bosch, A., Pintó Rosa, M. & Guix, S. Human astroviruses. Clin. Microbiol. Rev. 27, 1048–1074 (2014).
Vu, D.-L., Bosch, A., Pintó, R. M. & Guix, S. Epidemiology of classic and novel human astrovirus: gastroenteritis and beyond. Viruses 9, 33 (2017).
Herrmann John, E., Taylor David, N., Echeverri, P. & Blacklow Neil, R. Astroviruses as a cause of gastroenteritis in children. N. Engl. J. Med. 324, 1757–1760 (1991).
Vu, D.-L., Cordey, S., Brito, F. & Kaiser, L. Novel human astroviruses: novel human diseases? J. Clin. Virol. 82, 56–63 (2016).
Naccache, S. N. et al. Diagnosis of neuroinvasive astrovirus infection in an immunocompromised adult with encephalitis by unbiased next-generation sequencing. Clin. Infect. Dis. 60, 919–923 (2015).
Quan, P.-L. et al. Astrovirus encephalitis in boy with X-linked agammaglobulinemia. Emerg. Infect. Dis. 16, 918–925 (2010).
Sato, M. et al. Acute encephalopathy in an immunocompromised boy with astrovirus-MLB1 infection detected by next generation sequencing. J. Clin. Virol. 78, 66–70 (2016).
Cortez, V. et al. Astrovirus biology and pathogenesis. Annu. Rev. Virol. 4, 327–348 (2017).
York Royce, L. et al. Structural, mechanistic, and antigenic characterization of the human astrovirus capsid. J. Virol. 90, 2254–2263 (2016).
Arias, C. F. & DuBois, R. M. The astrovirus capsid: a review. Viruses 9, 15 (2017).
Méndez, E., Fernández-Luna, T., López, S., Méndez-Toss, M. & Arias Carlos, F. Proteolytic processing of a serotype 8 human astrovirus ORF2 polyprotein. J. Virol. 76, 7996–8002 (2002).
Méndez, E., Salas-Ocampo, E. & Arias Carlos, F. Caspases mediate processing of the capsid precursor and cell release of human astroviruses. J. Virol. 78, 8601–8608 (2004).
Dryden, K. A. et al. Immature and mature human astrovirus: structure, conformational changes, and similarities to hepatitis E virus. J. Mol. Biol. 422, 650–658 (2012).
Dong, J., Dong, L., Méndez, E. & Tao, Y. Crystal structure of the human astrovirus capsid spike. Proc. Natl. Acad. Sci. USA 108, 12681–12686 (2011).
Ingle, H. et al. The neonatal Fc receptor is a cellular receptor for human astrovirus. Nat. Microbiol. 9, 3321–3331 (2024).
Haga, K. et al. Neonatal Fc receptor is a functional receptor for classical human astrovirus. Genes Cells 29, 983–1001 (2024).
Aguilera-Flores, C. et al. Functional characterization of DPP4 and FcRn as receptor and coreceptor for classical human astroviruses in Caco-2 cells. PLoS Pathog. 21, e1013316 (2025).
Bussel James, B., Cines Douglas, B. & Blumberg Richard, S. Neonatal Fc receptor—biology and therapeutics. N. Engl. J. Med. 392, 1621–1635 (2025).
Bril, V. et al. Safety and efficacy of rozanolixizumab in patients with generalised myasthenia gravis (MycarinG): a randomised, double-blind, placebo-controlled, adaptive phase 3 study. Lancet Neurol. 22, 383–394 (2023).
Howard, J. F. Jr. et al. Safety, efficacy, and tolerability of efgartigimod in patients with generalised myasthenia gravis (ADAPT): a multicentre, randomised, placebo-controlled, phase 3 trial. Lancet Neurol. 20, 526–536 (2021).
Antozzi, C. et al. Safety and efficacy of nipocalimab in adults with generalised myasthenia gravis (Vivacity-MG3): a phase 3, randomised, double-blind, placebo-controlled study. Lancet Neurol. 24, 105–116 (2025).
Zhao, X. et al. Human neonatal Fc receptor is the cellular uncoating receptor for enterovirus B. Cell 177, 1553–1565 (2019).
Bogdanoff Walter, A., Perez Edmundo, I., López, T., Arias Carlos, F. & DuBois Rebecca, M. Structural basis for escape of human astrovirus from antibody neutralization: broad implications for rational vaccine design. J. Virol. 92, e0154617 (2017).
Burmeister, W. P., Gastinel, L. N., Simister, N. E., Blum, M. L. & Bjorkman, P. J. Crystal structure at 2.2 Å resolution of the MHC-related neonatal Fc receptor. Nature 372, 336–343 (1994).
Agrawal, S. et al. Structural hijacking of FcRn by human astrovirus spikes reveals conserved epitopes for broad-spectrum antivirals. Cell Rep. 44, 116679 (2025).
Lentz, A. et al. Structure of the human astrovirus capsid spike in complex with the neonatal Fc receptor. Nat. Commun. 16, 9621 (2025).
Ricemeyer, L. et al. Structures of two human astrovirus capsid/neutralizing antibody complexes reveal distinct epitopes and inhibition of virus attachment to cells. J. Virol. 96, e0141521 (2022).
Lanning, S. et al. Discovery of three novel neutralizing antibody epitopes on the human astrovirus capsid spike and mechanistic insights into virus neutralization. J. Virol. 99, e0161924 (2025).
Bogdanoff Walter, A. et al. Structure of a human astrovirus capsid-antibody complex and mechanistic insights into virus neutralization. J. Virol. 91, 0185916 (2017).
Brinkhaus, M. et al. The Fab region of IgG impairs the internalization pathway of FcRn upon Fc engagement. Nat. Commun. 13, 6073 (2022).
Smith, B. et al. Generation and characterization of a high affinity anti-human FcRn antibody, rozanolixizumab, and the effects of different molecular formats on the reduction of plasma IgG concentration. MAbs 10, 1111–1130 (2018).
Seth, N. P. et al. Nipocalimab, an immunoselective FcRn blocker that lowers IgG and has unique molecular properties. MAbs 17, 2461191 (2025).
Ghosh, A. et al. Structure and antigenicity of the divergent human astrovirus VA1 capsid spike. PLoS Pathog. 20, e1012028 (2024).
Delgado-Cunningham, K., López, T., Khatib, F., Arias, C. F. & DuBois, R. M. Structure of the divergent human astrovirus MLB capsid spike. Structure 30, 1573–1581 (2022).
Yeager, C. L. et al. Human aminopeptidase N is a receptor for human coronavirus 229E. Nature 357, 420–422 (1992).
Delmas, B. et al. Aminopeptidase N is a major receptor for the enteropathogenic coronavirus TGEV. Nature 357, 417–420 (1992).
Li, W. et al. Broad receptor engagement of an emerging global coronavirus may potentiate its diverse cross-species transmissibility. Proc. Natl. Acad. Sci. USA 115, E5135–E5143 (2018).
Wang, B. et al. Porcine deltacoronavirus engages the transmissible gastroenteritis virus functional receptor porcine aminopeptidase N for infectious cellular entry. J. Virol. 92, 0031818 (2018).
Oganesyan, V. et al. Structural insights into neonatal Fc receptor-based recycling mechanisms. J. Biol. Chem. 289, 7812–7824 (2014).
Rodewald, R. pH-dependent binding of immunoglobulins to intestinal cells of the neonatal rat. J. Cell Biol. 71, 666–669 (1976).
Vaughn, D. E. & Bjorkman, P. J. Structural basis of pH-dependent antibody binding by the neonatal Fc receptor. Structure 6, 63–73 (1998).
Liu, K. et al. BL02U1: the relocated macromolecular crystallography beamline at the Shanghai Synchrotron Radiation Facility. Nucl. Sci. Tech. 34, 193 (2023).
Kabsch, W. XDS. Acta Crystallogr. D Biol. Crystallogr. 66, 125–132 (2010).
Read, R. Pushing the boundaries of molecular replacement with maximum likelihood. Acta Crystallogr. D Biol. Crystallogr. 57, 1373–1382 (2001).
Adams, P. D. et al. PHENIX: a comprehensive Python-based system for macromolecular structure solution. Acta Crystallogr. D Biol. Crystallogr. 66, 213–221 (2010).
Emsley, P. & Cowtan, K. Coot: model-building tools for molecular graphics. Acta Crystallogr. D Biol. Crystallogr. 60, 2126–2132 (2004).
Chen, V. B. et al. MolProbity: all-atom structure validation for macromolecular crystallography. Acta Crystallogr. D Biol. Crystallogr. 66, 12–21 (2010).
Krissinel, E. & Henrick, K. Inference of macromolecular assemblies from crystalline state. J. Mol. Biol. 372, 774–797 (2007.
Acknowledgements
This work is supported by Scientific Research Innovation Capability Support Project for Young Faculty (Grant No. SRICSPYF-ZY2025124, S.Z.), the Fundamental Research Funds for the Central Universities (Grant Nos. YDZX2026037 and KYQN2022013, Y.X.; KJJQ2025006 and KJJQ2024008, S.Z.), National Natural Science Foundation of China (NSFC, Grant Nos. 32170158, S.Z.; 32100128, Y.X.; 32470138, Y.L.), Jiangsu Agricultural Science and Technology Innovation Fund (CX(23)3074, S.Z.), Natural Science Foundation of Jiangsu Province (Grant Nos. BK20240087, S.Z.; BK20252061 and BK20200553, Y.X.), High-level personnel project of Jiangsu Province (Grant No. JSSCBS20210290, Y.X.). We thank the staff of BL02U1 and BL18U beamlines at Shanghai Synchrotron Radiation Facility for their technical assistance in crystal data collection.
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W.W., Z.L. and K.M. expressed and purified the recombinant proteins. W.W. and D.L. carried out the SPR experiment. W.W. and X.K. grew the virus and performed the ELISA. W.W., Z.L. and R.W. collected the X-ray diffraction data. S.Z. solved the crystal structures. R.C., B.S., X.S., Y.L., X.K., Y.X. and S.Z. designed the experiments. W.W., X.S., Y.L., X.K., Y.X. and S.Z. analyzed the data and wrote the manuscript.
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Wang, W., Xu, Y., Li, Z. et al. The conserved human astrovirus-receptor interface reveals a targetable vulnerability for antiviral development. Nat Commun (2026). https://doi.org/10.1038/s41467-026-70465-5
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DOI: https://doi.org/10.1038/s41467-026-70465-5


