Antiretroviral Therapy in HTLV-1 Infection: An Updated Overview

The human T cell leukemic/lymphotropic virus type 1 (HTLV-1), discovered several years ago, is the causative agent for a rapid progressive haematological malignancy, adult T cell leukemia (ATL), for debilitating neurological diseases and for a number of inflammatory based diseases. Although the hete...

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Main Authors: Francesca Marino-Merlo, Emanuela Balestrieri, Claudia Matteucci, Antonio Mastino, Sandro Grelli, Beatrice Macchi
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/9/5/342
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author Francesca Marino-Merlo
Emanuela Balestrieri
Claudia Matteucci
Antonio Mastino
Sandro Grelli
Beatrice Macchi
author_facet Francesca Marino-Merlo
Emanuela Balestrieri
Claudia Matteucci
Antonio Mastino
Sandro Grelli
Beatrice Macchi
author_sort Francesca Marino-Merlo
collection DOAJ
description The human T cell leukemic/lymphotropic virus type 1 (HTLV-1), discovered several years ago, is the causative agent for a rapid progressive haematological malignancy, adult T cell leukemia (ATL), for debilitating neurological diseases and for a number of inflammatory based diseases. Although the heterogeneous features of the diseases caused by HTLV-1, a common topic concerning related therapeutic treatments relies on the use of antiretrovirals. This review will compare the different approaches and opinions in this matter, giving a concise overview of preclinical as well as clinical studies covering all the aspects of antiretrovirals in HTLV-1 infection. Studies will be grouped on the basis of the class of antiretroviral, putting together both pre-clinical and clinical results and generally following a chronological order. Analysis of the existing literature highlights that a number of preclinical studies clearly demonstrate that different classes of antiretrovirals, already utilized as anti-HIV agents, are actually capable to efficiently contrast HTLV-1 infection. Nevertheless, the results of most of the clinical studies are generally discouraging on the same point. In conclusion, the design of new antiretrovirals more specifically focused on HTLV-1 targets, and/or the establishment of early treatments with antiretrovirals could hopefully change the perspectives of diseases caused by HTLV-1.
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spelling doaj.art-8cdac821e51c4aa094f52d41ca2420532023-11-19T23:15:10ZengMDPI AGPathogens2076-08172020-05-019534210.3390/pathogens9050342Antiretroviral Therapy in HTLV-1 Infection: An Updated OverviewFrancesca Marino-Merlo0Emanuela Balestrieri1Claudia Matteucci2Antonio Mastino3Sandro Grelli4Beatrice Macchi5IRCCS Centro Neurolesi Bonino-Pulejo, 98123 Messina, ItalyDepartment of Experimental Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Experimental Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Chemical, Biological, Pharmaceutical, and Environmental Sciences, University of Messina, 98166 Messina, ItalyDepartment of Experimental Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Chemical Science and Technologies, University of Rome “Tor Vergata”, 00133 Rome, ItalyThe human T cell leukemic/lymphotropic virus type 1 (HTLV-1), discovered several years ago, is the causative agent for a rapid progressive haematological malignancy, adult T cell leukemia (ATL), for debilitating neurological diseases and for a number of inflammatory based diseases. Although the heterogeneous features of the diseases caused by HTLV-1, a common topic concerning related therapeutic treatments relies on the use of antiretrovirals. This review will compare the different approaches and opinions in this matter, giving a concise overview of preclinical as well as clinical studies covering all the aspects of antiretrovirals in HTLV-1 infection. Studies will be grouped on the basis of the class of antiretroviral, putting together both pre-clinical and clinical results and generally following a chronological order. Analysis of the existing literature highlights that a number of preclinical studies clearly demonstrate that different classes of antiretrovirals, already utilized as anti-HIV agents, are actually capable to efficiently contrast HTLV-1 infection. Nevertheless, the results of most of the clinical studies are generally discouraging on the same point. In conclusion, the design of new antiretrovirals more specifically focused on HTLV-1 targets, and/or the establishment of early treatments with antiretrovirals could hopefully change the perspectives of diseases caused by HTLV-1.https://www.mdpi.com/2076-0817/9/5/342HTLV-1antiretroviralsHAM/TSPATL
spellingShingle Francesca Marino-Merlo
Emanuela Balestrieri
Claudia Matteucci
Antonio Mastino
Sandro Grelli
Beatrice Macchi
Antiretroviral Therapy in HTLV-1 Infection: An Updated Overview
Pathogens
HTLV-1
antiretrovirals
HAM/TSP
ATL
title Antiretroviral Therapy in HTLV-1 Infection: An Updated Overview
title_full Antiretroviral Therapy in HTLV-1 Infection: An Updated Overview
title_fullStr Antiretroviral Therapy in HTLV-1 Infection: An Updated Overview
title_full_unstemmed Antiretroviral Therapy in HTLV-1 Infection: An Updated Overview
title_short Antiretroviral Therapy in HTLV-1 Infection: An Updated Overview
title_sort antiretroviral therapy in htlv 1 infection an updated overview
topic HTLV-1
antiretrovirals
HAM/TSP
ATL
url https://www.mdpi.com/2076-0817/9/5/342
work_keys_str_mv AT francescamarinomerlo antiretroviraltherapyinhtlv1infectionanupdatedoverview
AT emanuelabalestrieri antiretroviraltherapyinhtlv1infectionanupdatedoverview
AT claudiamatteucci antiretroviraltherapyinhtlv1infectionanupdatedoverview
AT antoniomastino antiretroviraltherapyinhtlv1infectionanupdatedoverview
AT sandrogrelli antiretroviraltherapyinhtlv1infectionanupdatedoverview
AT beatricemacchi antiretroviraltherapyinhtlv1infectionanupdatedoverview