Antiretroviral Drugs Impact Autophagy with Toxic Outcomes

Antiretroviral drugs have dramatically improved the morbidity and mortality of people living with HIV (PLWH). While current antiretroviral therapy (ART) regimens are generally well-tolerated, risks for side effects and toxicity remain as PLWH must take life-long medications. Antiretroviral drugs imp...

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Main Authors: Laura Cheney, John M. Barbaro, Joan W. Berman
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/4/909
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author Laura Cheney
John M. Barbaro
Joan W. Berman
author_facet Laura Cheney
John M. Barbaro
Joan W. Berman
author_sort Laura Cheney
collection DOAJ
description Antiretroviral drugs have dramatically improved the morbidity and mortality of people living with HIV (PLWH). While current antiretroviral therapy (ART) regimens are generally well-tolerated, risks for side effects and toxicity remain as PLWH must take life-long medications. Antiretroviral drugs impact autophagy, an intracellular proteolytic process that eliminates debris and foreign material, provides nutrients for metabolism, and performs quality control to maintain cell homeostasis. Toxicity and adverse events associated with antiretrovirals may be due, in part, to their impacts on autophagy. A more complete understanding of the effects on autophagy is essential for developing antiretroviral drugs with decreased off target effects, meaning those unrelated to viral suppression, to minimize toxicity for PLWH. This review summarizes the findings and highlights the gaps in our knowledge of the impacts of antiretroviral drugs on autophagy.
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spelling doaj.art-5686efc4c7354ae9a85d5d7adc52016e2023-11-21T15:41:46ZengMDPI AGCells2073-44092021-04-0110490910.3390/cells10040909Antiretroviral Drugs Impact Autophagy with Toxic OutcomesLaura Cheney0John M. Barbaro1Joan W. Berman2Division of Infectious Diseases, Department of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USADepartment of Pathology, Montefiore Medical Center and Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USADepartment of Pathology, Montefiore Medical Center and Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USAAntiretroviral drugs have dramatically improved the morbidity and mortality of people living with HIV (PLWH). While current antiretroviral therapy (ART) regimens are generally well-tolerated, risks for side effects and toxicity remain as PLWH must take life-long medications. Antiretroviral drugs impact autophagy, an intracellular proteolytic process that eliminates debris and foreign material, provides nutrients for metabolism, and performs quality control to maintain cell homeostasis. Toxicity and adverse events associated with antiretrovirals may be due, in part, to their impacts on autophagy. A more complete understanding of the effects on autophagy is essential for developing antiretroviral drugs with decreased off target effects, meaning those unrelated to viral suppression, to minimize toxicity for PLWH. This review summarizes the findings and highlights the gaps in our knowledge of the impacts of antiretroviral drugs on autophagy.https://www.mdpi.com/2073-4409/10/4/909HIVantiretroviral drugsside effectstoxicityautophagymitophagy
spellingShingle Laura Cheney
John M. Barbaro
Joan W. Berman
Antiretroviral Drugs Impact Autophagy with Toxic Outcomes
Cells
HIV
antiretroviral drugs
side effects
toxicity
autophagy
mitophagy
title Antiretroviral Drugs Impact Autophagy with Toxic Outcomes
title_full Antiretroviral Drugs Impact Autophagy with Toxic Outcomes
title_fullStr Antiretroviral Drugs Impact Autophagy with Toxic Outcomes
title_full_unstemmed Antiretroviral Drugs Impact Autophagy with Toxic Outcomes
title_short Antiretroviral Drugs Impact Autophagy with Toxic Outcomes
title_sort antiretroviral drugs impact autophagy with toxic outcomes
topic HIV
antiretroviral drugs
side effects
toxicity
autophagy
mitophagy
url https://www.mdpi.com/2073-4409/10/4/909
work_keys_str_mv AT lauracheney antiretroviraldrugsimpactautophagywithtoxicoutcomes
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AT joanwberman antiretroviraldrugsimpactautophagywithtoxicoutcomes