Cyclin-dependent kinases as therapeutic targets for HIV-1 infection

Expert Opin Ther Targets. 2016 Dec;20(12):1453-1461. doi: 10.1080/14728222.2016.1254619. Epub 2016 Nov 10.

Abstract

A number of cyclin-dependent kinases (CDKs) mediate key steps in the HIV-1 replication cycle and therefore have potential to serve as therapeutic targets for HIV-1 infection, especially in HIV-1 cure strategies. Current HIV-1 cure strategies involve the development of small molecules that are able to activate HIV-1 from latent infection, thereby allowing the immune system to recognize and clear infected cells. Areas covered: The role of seven CDK family members in the HIV-1 replication cycle is reviewed, with a focus on CDK9, as the mechanism whereby the viral Tat protein utilizes CDK9 to enhance viral replication is known in considerable detail. Expert opinion: Given the essential roles of CDKs in cellular proliferation and gene expression, small molecules that inhibit CDKs are unlikely to be feasible therapeutics for HIV-1 infection. However, small molecules that activate CDK9 and other select CDKs such as CDK11 have potential to reactivate latent HIV-1 and contribute to a functional cure of infection.

Keywords: CDK; CDK11; CDK9; Cyclin T1; HIV; HIV cure; P-TEFb; latency; latency reversing agents; shock and kill.

Publication types

  • Review

MeSH terms

  • Anti-HIV Agents / pharmacology*
  • Cyclin-Dependent Kinase 9 / metabolism
  • Cyclin-Dependent Kinases / metabolism*
  • Gene Products, tat / metabolism
  • HIV Infections / drug therapy*
  • HIV Infections / enzymology
  • HIV Infections / virology
  • HIV-1 / enzymology
  • Humans
  • Molecular Targeted Therapy
  • Virus Replication / drug effects

Substances

  • Anti-HIV Agents
  • Gene Products, tat
  • Cyclin-Dependent Kinase 9
  • Cyclin-Dependent Kinases