Jean Maxime J, Fiches Guillaume, Hayashi Tsuyoshi, Zhu Jian
1 Department of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York.
2 Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
AIDS Res Hum Retroviruses. 2019 Jan;35(1):1-24. doi: 10.1089/AID.2018.0153. Epub 2018 Dec 12.
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.
自从联合抗逆转录病毒疗法(cART)实施以来,1型人类免疫缺陷病毒(HIV-1)的死亡率、发病率以及新感染率都大幅下降。事实上,接受有效抑制性cART治疗的HIV-1感染者的寿命和生活质量已接近正常。然而,由于病毒在记忆性CD4 T细胞中建立了一种可逆的潜伏状态,所以需要进行长期治疗。目前正在研究两种主要策略,即“激活并杀死”策略和“阻断并锁定”策略,以根除这些HIV-1潜伏库。实际上,这两种截然不同的策略都是基于使用小分子化合物来实现治愈HIV-1的目的。在这篇综述中,我们讨论了在为这两种策略设计和开发小分子化合物方面所取得的最新进展。