Centre de Recherche du CHUM.
Département de Microbiologie, Infectiologie et Immunologie, Université de Montréal, Montreal, Quebec, Canada.
Curr Opin HIV AIDS. 2020 Sep;15(5):300-308. doi: 10.1097/COH.0000000000000637.
Close to 2 million individuals globally become infected with HIV-1 each year and just over two-thirds will have access to life-prolonging antivirals. However, the rapid development of drug resistance creates challenges, such that generation of more effective therapies is not only warranted but a necessary endeavour. This review discusses a group of HIV-1 entry inhibitors known as CD4 mimics which exploit the highly conserved relationship between the HIV-1 envelope glycoprotein and the receptor, CD4.
We review the structure/function guided evolution of these inhibitors, vital mechanistic insights that underpin broad and potent functional antagonism, recent evidence of utility demonstrated in animal and physiologically relevant in-vitro models, and current progress towards effective new-generation inhibitors.
The current review highlights the promising potential of CD4 mimetics as multifunctional therapeutics.
全球每年有近 200 万人感染 HIV-1,其中只有超过三分之二的人能够获得延长生命的抗病毒药物。然而,耐药性的迅速发展带来了挑战,因此不仅需要而且有必要开发更有效的治疗方法。本综述讨论了一组被称为 CD4 模拟物的 HIV-1 进入抑制剂,这些抑制剂利用了 HIV-1 包膜糖蛋白和受体 CD4 之间高度保守的关系。
我们综述了这些抑制剂的结构/功能引导进化,这些重要的机制见解为广泛而有效的功能拮抗提供了基础,近期在动物和生理相关的体外模型中证明了其有效性的证据,以及朝着有效新一代抑制剂的当前进展。
本综述强调了 CD4 模拟物作为多功能治疗药物的有前途的潜力。