Current drugs for HIV-1: from challenges to potential in HIV/AIDS

The human immunodeficiency virus (HIV) persists in latently infected CD4+T cells and integrates with the host genome until cell death. Acquired immunodeficiency syndrome (AIDS) is associated with HIV-1. Possibly, treating HIV/AIDS is an essential but challenging clinical goal. This review provides a...

Full description

Bibliographic Details
Main Authors: Yuan Peng, Yanjun Zong, Dongfeng Wang, Junbing Chen, Zhe-Sheng Chen, Fujun Peng, Zhijun Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1294966/full
_version_ 1797648923341357056
author Yuan Peng
Yanjun Zong
Dongfeng Wang
Junbing Chen
Junbing Chen
Zhe-Sheng Chen
Fujun Peng
Zhijun Liu
author_facet Yuan Peng
Yanjun Zong
Dongfeng Wang
Junbing Chen
Junbing Chen
Zhe-Sheng Chen
Fujun Peng
Zhijun Liu
author_sort Yuan Peng
collection DOAJ
description The human immunodeficiency virus (HIV) persists in latently infected CD4+T cells and integrates with the host genome until cell death. Acquired immunodeficiency syndrome (AIDS) is associated with HIV-1. Possibly, treating HIV/AIDS is an essential but challenging clinical goal. This review provides a detailed account of the types and mechanisms of monotherapy and combination therapy against HIV-1 and describes nanoparticle and hydrogel delivery systems. In particular, the recently developed capsid inhibitor (Lenacapavir) and the Ainuovirine/tenofovir disoproxil fumarate/lamivudine combination (ACC008) are described. It is interestingly to note that the lack of the multipass transmembrane proteins serine incorporator 3 (SERINC3) and the multipass transmembrane proteins serine incorporator 5 (SERINC5) may be one of the reasons for the enhanced infectivity of HIV-1. This discovery of SERINC3 and SERINC5 provides new ideas for HIV-1 medication development. Therefore, we believe that in treating AIDS, antiviral medications should be rationally selected for pre-exposure and post-exposure prophylaxis to avoid the emergence of drug resistance. Attention should be paid to the research and development of new drugs to predict HIV mutations as accurately as possible and to develop immune antibodies to provide multiple guarantees for the cure of AIDS.
first_indexed 2024-03-11T15:39:01Z
format Article
id doaj.art-3c4f0fc05f4f437ca473d335e8d89a66
institution Directory Open Access Journal
issn 1663-9812
language English
last_indexed 2024-03-11T15:39:01Z
publishDate 2023-10-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj.art-3c4f0fc05f4f437ca473d335e8d89a662023-10-26T12:13:07ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-10-011410.3389/fphar.2023.12949661294966Current drugs for HIV-1: from challenges to potential in HIV/AIDSYuan Peng0Yanjun Zong1Dongfeng Wang2Junbing Chen3Junbing Chen4Zhe-Sheng Chen5Fujun Peng6Zhijun Liu7School of Clinical Medicine, Weifang Medical University, Weifang, ChinaDepartment of Medical Microbiology, School of Basic Medical Sciences, Weifang Medical University, Weifang, ChinaSchool of Basic Medical Sciences, Weifang Medical University, Weifang, ChinaDepartment of Liver Surgery and Transplantation, Zhongshan Hospital, Liver Cancer Institute, Fudan University, Shanghai, ChinaKey Laboratory of Carcinogenesis and Cancer Invasion, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John’s University, New York, NY, United StatesSchool of Basic Medical Sciences, Weifang Medical University, Weifang, ChinaDepartment of Medical Microbiology, School of Basic Medical Sciences, Weifang Medical University, Weifang, ChinaThe human immunodeficiency virus (HIV) persists in latently infected CD4+T cells and integrates with the host genome until cell death. Acquired immunodeficiency syndrome (AIDS) is associated with HIV-1. Possibly, treating HIV/AIDS is an essential but challenging clinical goal. This review provides a detailed account of the types and mechanisms of monotherapy and combination therapy against HIV-1 and describes nanoparticle and hydrogel delivery systems. In particular, the recently developed capsid inhibitor (Lenacapavir) and the Ainuovirine/tenofovir disoproxil fumarate/lamivudine combination (ACC008) are described. It is interestingly to note that the lack of the multipass transmembrane proteins serine incorporator 3 (SERINC3) and the multipass transmembrane proteins serine incorporator 5 (SERINC5) may be one of the reasons for the enhanced infectivity of HIV-1. This discovery of SERINC3 and SERINC5 provides new ideas for HIV-1 medication development. Therefore, we believe that in treating AIDS, antiviral medications should be rationally selected for pre-exposure and post-exposure prophylaxis to avoid the emergence of drug resistance. Attention should be paid to the research and development of new drugs to predict HIV mutations as accurately as possible and to develop immune antibodies to provide multiple guarantees for the cure of AIDS.https://www.frontiersin.org/articles/10.3389/fphar.2023.1294966/fullanti-HIV-1 drugsmonotherapycombination therapyHIV/AIDS treatmentpredict HIV mutationsSERINC3
spellingShingle Yuan Peng
Yanjun Zong
Dongfeng Wang
Junbing Chen
Junbing Chen
Zhe-Sheng Chen
Fujun Peng
Zhijun Liu
Current drugs for HIV-1: from challenges to potential in HIV/AIDS
Frontiers in Pharmacology
anti-HIV-1 drugs
monotherapy
combination therapy
HIV/AIDS treatment
predict HIV mutations
SERINC3
title Current drugs for HIV-1: from challenges to potential in HIV/AIDS
title_full Current drugs for HIV-1: from challenges to potential in HIV/AIDS
title_fullStr Current drugs for HIV-1: from challenges to potential in HIV/AIDS
title_full_unstemmed Current drugs for HIV-1: from challenges to potential in HIV/AIDS
title_short Current drugs for HIV-1: from challenges to potential in HIV/AIDS
title_sort current drugs for hiv 1 from challenges to potential in hiv aids
topic anti-HIV-1 drugs
monotherapy
combination therapy
HIV/AIDS treatment
predict HIV mutations
SERINC3
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1294966/full
work_keys_str_mv AT yuanpeng currentdrugsforhiv1fromchallengestopotentialinhivaids
AT yanjunzong currentdrugsforhiv1fromchallengestopotentialinhivaids
AT dongfengwang currentdrugsforhiv1fromchallengestopotentialinhivaids
AT junbingchen currentdrugsforhiv1fromchallengestopotentialinhivaids
AT junbingchen currentdrugsforhiv1fromchallengestopotentialinhivaids
AT zheshengchen currentdrugsforhiv1fromchallengestopotentialinhivaids
AT fujunpeng currentdrugsforhiv1fromchallengestopotentialinhivaids
AT zhijunliu currentdrugsforhiv1fromchallengestopotentialinhivaids