PMID- 38005873 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20231129 IS - 1999-4915 (Electronic) IS - 1999-4915 (Linking) VI - 15 IP - 11 DP - 2023 Oct 31 TI - The Interplay of Genital Herpes with Cellular Processes: A Pathogenesis and Therapeutic Perspective. LID - 10.3390/v15112195 [doi] LID - 2195 AB - Genital herpes, primarily caused by herpes simplex virus-2 (HSV-2), remains a pressing global health concern. Its remarkable ability to intertwine with cellular processes, from harnessing host machinery for replication to subverting antiviral defenses like autophagy and programmed cell death, exemplifies the intricate interplay at the heart of its pathogenesis. While the biomedical community has extensively researched antiviral interventions, the efficiency of these strategies in managing HSV-2 remains suboptimal. Recognizing this, attention has shifted toward leveraging host cellular components to regulate HSV-2 replication and influence the cell cycle. Furthermore, innovative interventional strategies-including drug repurposing, microbivacs, connecting the host microbiome, and exploiting natural secondary metabolites-are emerging as potential game changers. This review summarizes the key steps in HSV-2 pathogenesis and newly discovered cellular interactions, presenting the latest developments in the field, highlighting existing challenges, and offering a fresh perspective on HSV-2's pathogenesis and the potential avenues for its treatment by targeting cellular proteins and pathways. FAU - Borase, Hemant AU - Borase H AUID- ORCID: 0000-0003-2097-1018 AD - Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Shukla, Deepak AU - Shukla D AUID- ORCID: 0000-0002-3039-6953 AD - Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA. AD - Department of Microbiology and Immunology, University of Illinois at Chicago, Chicago, IL 60612, USA. LA - eng GR - R01 AI139768/AI/NIAID NIH HHS/United States PT - Journal Article PT - Review DEP - 20231031 PL - Switzerland TA - Viruses JT - Viruses JID - 101509722 RN - 0 (Antiviral Agents) SB - IM MH - Humans MH - *Herpes Genitalis/drug therapy/pathology MH - Herpesvirus 2, Human/physiology MH - Autophagy MH - Antiviral Agents/pharmacology/therapeutic use MH - *Herpes Simplex/drug therapy PMC - PMC10675801 OTO - NOTNLM OT - antivirals OT - genital herpes OT - herpes simplex virus-2 OT - immune response OT - microbiome OT - vaccines COIS- The authors declare no conflict of interest. EDAT- 2023/11/25 12:47 MHDA- 2023/11/27 12:43 PMCR- 2023/10/31 CRDT- 2023/11/25 01:30 PHST- 2023/09/27 00:00 [received] PHST- 2023/10/21 00:00 [revised] PHST- 2023/10/25 00:00 [accepted] PHST- 2023/11/27 12:43 [medline] PHST- 2023/11/25 12:47 [pubmed] PHST- 2023/11/25 01:30 [entrez] PHST- 2023/10/31 00:00 [pmc-release] AID - v15112195 [pii] AID - viruses-15-02195 [pii] AID - 10.3390/v15112195 [doi] PST - epublish SO - Viruses. 2023 Oct 31;15(11):2195. doi: 10.3390/v15112195.