Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages

Ongoing with current combinations of antiretroviral drugs for the treatment of Human Immunodeficiency Virus (HIV) infection can successfully maintain long-term suppression of HIV-1 replication in plasma. Still, none of these therapies is capable of extinguishing the virus from the long-lived cellula...

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Main Authors: Stefano Aquaro, Ana Borrajo, Michele Pellegrino, Valentina Svicher
Format: Article
Language:English
Published: Taylor & Francis Group 2020-12-01
Series:Virulence
Subjects:
Online Access:http://dx.doi.org/10.1080/21505594.2020.1760443
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author Stefano Aquaro
Ana Borrajo
Michele Pellegrino
Valentina Svicher
author_facet Stefano Aquaro
Ana Borrajo
Michele Pellegrino
Valentina Svicher
author_sort Stefano Aquaro
collection DOAJ
description Ongoing with current combinations of antiretroviral drugs for the treatment of Human Immunodeficiency Virus (HIV) infection can successfully maintain long-term suppression of HIV-1 replication in plasma. Still, none of these therapies is capable of extinguishing the virus from the long-lived cellular reservoir, including monocyte-derived macrophages (MDM), that means the principal obstacle to HIV cure. MDM are widely distributed in all tissues and organs, including central system nervous (CNS) where they represent the most frequent HIV-infected cells that means the principal obstacle to HIV cure. Current FDA-approved antiretroviral drugs target viral reverse transcriptase, protease, integrase, and entry processes (coreceptor or fusion blockade). It is desirable to continue to develop new antiretrovirals directed against alternative targets in the virus lifecycle in order to further optimize therapeutic options, overcome resistance to existing medications, and potentially contribute to the elimination of viral reservoirs. This review provides a comprehensive overview of the activity of antiretroviral drugs (classical and upcoming) in monocytes-derived macrophages (MDM). Defining the antiviral activity of these drugs in this important cellular HIV-1 reservoir provides crucial hints about their efficacy in HIV-1 infected patients.
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spelling doaj.art-2e3d473fcd324eb4a90cd7850e8684d02022-12-21T18:42:55ZengTaylor & Francis GroupVirulence2150-55942150-56082020-12-0111140041310.1080/21505594.2020.17604431760443Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophagesStefano Aquaro0Ana Borrajo1Michele Pellegrino2Valentina Svicher3Health and Nutritional Sciences, University of CalabriaUniversity of Rome Tor VergataHealth and Nutritional Sciences, University of CalabriaUniversity of Rome Tor VergataOngoing with current combinations of antiretroviral drugs for the treatment of Human Immunodeficiency Virus (HIV) infection can successfully maintain long-term suppression of HIV-1 replication in plasma. Still, none of these therapies is capable of extinguishing the virus from the long-lived cellular reservoir, including monocyte-derived macrophages (MDM), that means the principal obstacle to HIV cure. MDM are widely distributed in all tissues and organs, including central system nervous (CNS) where they represent the most frequent HIV-infected cells that means the principal obstacle to HIV cure. Current FDA-approved antiretroviral drugs target viral reverse transcriptase, protease, integrase, and entry processes (coreceptor or fusion blockade). It is desirable to continue to develop new antiretrovirals directed against alternative targets in the virus lifecycle in order to further optimize therapeutic options, overcome resistance to existing medications, and potentially contribute to the elimination of viral reservoirs. This review provides a comprehensive overview of the activity of antiretroviral drugs (classical and upcoming) in monocytes-derived macrophages (MDM). Defining the antiviral activity of these drugs in this important cellular HIV-1 reservoir provides crucial hints about their efficacy in HIV-1 infected patients.http://dx.doi.org/10.1080/21505594.2020.1760443hiv-1macrophagesvirus reservoirantiretroviral drugs target
spellingShingle Stefano Aquaro
Ana Borrajo
Michele Pellegrino
Valentina Svicher
Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages
Virulence
hiv-1
macrophages
virus reservoir
antiretroviral drugs target
title Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages
title_full Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages
title_fullStr Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages
title_full_unstemmed Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages
title_short Mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages
title_sort mechanisms underlying of antiretroviral drugs in different cellular reservoirs with a focus on macrophages
topic hiv-1
macrophages
virus reservoir
antiretroviral drugs target
url http://dx.doi.org/10.1080/21505594.2020.1760443
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