mTOR as a multifunctional therapeutic target in HIV infection

Drug Discov Today. 2011 Aug;16(15-16):715-21. doi: 10.1016/j.drudis.2011.05.008. Epub 2011 May 23.

Abstract

Patients undergoing long-term highly active antiretroviral therapy treatment are probably at a higher risk of various HIV-related complications. Hyperactivation of The mammalian target of rapamycin (mTOR) has been found to contribute to dysregulated apoptosis and autophagy which determine CD4(+)-T-cell loss, impaired function of innate immunity and development of neurocognitive disorders. Dysregulated mTOR activation has also been shown to play a key part in the development of nephropathy and in the pathogenesis of HIV-associated malignancies. These studies strongly support a multifunctional key role for mTOR in the pathogenesis of HIV-related disorders and suggest that specific mTOR inhibitors could represent a novel approach for the prevention and treatment of these pathologies.

MeSH terms

  • Animals
  • Anti-HIV Agents / pharmacology*
  • Antiretroviral Therapy, Highly Active / methods
  • Apoptosis
  • Autophagy
  • CD4-Positive T-Lymphocytes / metabolism
  • Drug Delivery Systems
  • HIV Infections / complications
  • HIV Infections / drug therapy*
  • HIV Infections / physiopathology
  • Humans
  • Immunity, Innate
  • TOR Serine-Threonine Kinases / antagonists & inhibitors*

Substances

  • Anti-HIV Agents
  • TOR Serine-Threonine Kinases