HIV-1 Integrase Inhibitors: A Review of Their Chemical Development

Highly active antiretroviral therapy (HAART) significantly decreases plasma viral load, increases CD4+ T-cell counts in HIV-1-infected patients and has reduced progression to AIDS in developed countries. However, adverse side effects, and emergence of drug resistance, mean there is still a demand fo...

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Veröffentlicht in:Antiviral Chemistry and Chemotherapy 2011-12, Vol.22 (3), p.95-105
Hauptverfasser: Ingale, Kundan B, Bhatia, Manish S
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creator Ingale, Kundan B
Bhatia, Manish S
description Highly active antiretroviral therapy (HAART) significantly decreases plasma viral load, increases CD4+ T-cell counts in HIV-1-infected patients and has reduced progression to AIDS in developed countries. However, adverse side effects, and emergence of drug resistance, mean there is still a demand for new anti-HIV agents. The HIV integrase (IN) is a target that has been the focus of rational drug design over the past decade. In 2007, raltegravir was the first IN inhibitor approved by the US Food and Drug Administration for antiretroviral combination therapy, while another IN inhibitor, elvitegravir, is currently in Phase III clinical trials. This article reviews the development and resistance profiling of small molecule HIV-1 IN inhibitors.
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subjects Antiretroviral drugs
CD4 antigen
Clinical trials
Drug development
Drug Discovery
Drug resistance
Drug Resistance, Viral - drug effects
Highly active antiretroviral therapy
HIV
HIV Infections - drug therapy
HIV Infections - virology
HIV Integrase - metabolism
HIV Integrase Inhibitors - adverse effects
HIV Integrase Inhibitors - chemistry
HIV Integrase Inhibitors - pharmacology
Human immunodeficiency virus
Humans
Integrase
Lymphocytes T
title HIV-1 Integrase Inhibitors: A Review of Their Chemical Development
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