Clinical Use of Inhibitors of HIV-1 Integration: Problems and Prospects
- Authors: Korolev SP1, Agapkina Y.Y.1, Gottikh MB1,2
-
Affiliations:
- Lomonosov Moscow State University
- Belozersky Research Institute of Physico-Chemical Biology, Lomonosov Moscow State University
- Issue: Vol 3, No 3 (2011)
- Pages: 12-28
- Section: Articles
- Submitted: 17.01.2020
- Published: 15.09.2011
- URL: https://actanaturae.ru/2075-8251/article/view/10667
- DOI: https://doi.org/10.32607/20758251-2011-3-3-12-28
- ID: 10667
Cite item
Abstract
The HIV-1 integrase enzyme is responsible for one of the key stages of retroviral replication; it acts as a catalyst for the integration of viral cDNA into the cell’s genome. Inhibitors of HIV-1 integration have been under development for over 10 years; yet, only one integration inhibitor, raltegravir, has been approved for clinical use so far. Raltegravir binds two metal ions in the enzyme’s active centre and blocks one of the integration stages: the strand transfer. Unfortunately, the clinical use of raltegravir results in the development of viral resistance among some patients. Several more HIV-1 integration inhibitors are undergoing clinical trials at the moment. However, the structure and mechanism of action of those are similar to raltegravir, which results in the emergence of cross resistance with raltegravir. The present review is focused on the history of the development and clinical trials of raltegravir and its analogues, the problems connected with the emergence of viral resistance to integration inhibitors, and the prospect of their future clinical use.
Keywords
Full Text
Clinical Use of Inhibitors of HIV-1 Integration: Problems and Prospects×
About the authors
S P Korolev
Lomonosov Moscow State University
Email: spkorolev@mail.ru
Department of Chemistry
Yu Yu Agapkina
Lomonosov Moscow State UniversityDepartment of Chemistry
M B Gottikh
Lomonosov Moscow State University; Belozersky Research Institute of Physico-Chemical Biology, Lomonosov Moscow State UniversityDepartment of Chemistry
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