Novel Latency Reversal Agents for HIV-1 Cure

Annu Rev Med. 2018 Jan 29:69:421-436. doi: 10.1146/annurev-med-052716-031710. Epub 2017 Nov 3.

Abstract

Antiretroviral therapy (ART) has rendered HIV-1 infection a treatable illness; however, ART is not curative owing to the persistence of replication-competent, latent proviruses in long-lived resting T cells. Strategies that target these latently infected cells and allow immune recognition and clearance of this reservoir will be necessary to eradicate HIV-1 in infected individuals. This review describes current pharmacologic approaches to reactivate the latent reservoir so that infected cells can be recognized and targeted, with the ultimate goal of achieving an HIV-1 cure.

Keywords: HIV-1 reservoir; NF-κB; SMAC; STAT5; benzotriazole; disulfiram; ingenol; latency reversal agents; protein kinase C; shock and kill; viral latency.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acetaldehyde Dehydrogenase Inhibitors / therapeutic use
  • Adjuvants, Immunologic / therapeutic use
  • Disulfiram / therapeutic use
  • HIV Infections / drug therapy*
  • HIV-1 / immunology*
  • Histone Deacetylase Inhibitors / therapeutic use
  • Humans
  • Inflammation
  • Lymphocyte Activation
  • Protein Kinase C
  • T-Lymphocytes / immunology*
  • Toll-Like Receptors / agonists
  • Virus Activation*
  • Virus Latency*

Substances

  • Acetaldehyde Dehydrogenase Inhibitors
  • Adjuvants, Immunologic
  • Histone Deacetylase Inhibitors
  • Toll-Like Receptors
  • Protein Kinase C
  • Disulfiram