Current Strategies for Elimination of HIV-1 Latent Reservoirs Using Chemical Compounds Targeting Host and Viral Factors

AIDS Res Hum Retroviruses. 2019 Jan;35(1):1-24. doi: 10.1089/AID.2018.0153. Epub 2018 Dec 12.

Abstract

Since the implementation of combination antiretroviral therapy (cART), rates of HIV type 1 (HIV-1) mortality, morbidity, and newly acquired infections have decreased dramatically. In fact, HIV-1-infected individuals under effective suppressive cART approach normal life span and quality of life. However, long-term therapy is required because the virus establish a reversible state of latency in memory CD4+ T cells. Two principle strategies, namely "shock and kill" approach and "block and lock" approach, are currently being investigated for the eradication of these HIV-1 latent reservoirs. Actually, both of these contrasting approaches are based on the use of small-molecule compounds to achieve the cure for HIV-1. In this review, we discuss the recent progress that has been made in designing and developing small-molecule compounds for both strategies.

Keywords: HIV cure; HIV latency; latency-promoting agents; latency-reversing agents; “block and lock”; “shock and kill”.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Antiviral Agents / pharmacology*
  • Biomedical Research / trends
  • CD4-Positive T-Lymphocytes / drug effects*
  • CD4-Positive T-Lymphocytes / virology*
  • Drug Discovery / trends
  • HIV Infections / drug therapy*
  • HIV-1 / drug effects*
  • Host-Pathogen Interactions / drug effects*
  • Humans
  • Virus Latency / drug effects*

Substances

  • Antiviral Agents