2015
DOI: 10.1007/82_2015_435
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Targeting HIV Transcription: The Quest for a Functional Cure

Abstract: Antiretroviral therapy (ART) potently suppresses HIV-1 replication, but the virus persists in quiescent infected CD4+T cells as a latent integrated provirus, and patients must indefinitely remain on therapy. If ART is terminated, these integrated proviruses can reactivate, driving new rounds of infection. A functional cure for HIV requires eliminating low-level ongoing viral replication that persists in certain tissue sanctuaries and preventing viral reactivation. The HIV Tat protein plays an essential role in… Show more

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Cited by 61 publications
(80 citation statements)
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“…Since the “shock and kill” strategy still requires significant efforts to solve the above issues, other alternative strategies have been explored to reach an HIV-1 cure (Darcis et al, 2017; Mousseau et al, 2015b). One is to “block” the occasional reactivation of HIV-1 proviruses so that integrated proviruses are “locked” in a deep and permanent latency.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Since the “shock and kill” strategy still requires significant efforts to solve the above issues, other alternative strategies have been explored to reach an HIV-1 cure (Darcis et al, 2017; Mousseau et al, 2015b). One is to “block” the occasional reactivation of HIV-1 proviruses so that integrated proviruses are “locked” in a deep and permanent latency.…”
Section: Introductionmentioning
confidence: 99%
“…Since no drug component in cART inhibits HIV-1 transcription, there is still sporadically reactivated HIV-1 expression (“blip”) that continues the replenishment of HIV-1 latent reservoir and maintains its persistence. For the “block and lock” strategy, latency-promoting agents (LPAs) will be complemented with cART regimen to suppress resurrected viral transcription and reduce the residual viremia (Darcis et al, 2017; Mousseau et al, 2015b). Such combination treatment will facilitate the decay of HIV-1 latent reservoir and significantly reduce its size (Darcis et al, 2017; Mousseau et al, 2015b).…”
Section: Introductionmentioning
confidence: 99%
“…3.) basal HIV replication in patients under current cART therapy, which is believed to play a role in co-morbidities (as also stated in 101 ). Reducing the latent reservoir could be an alternative strategy for the 'purge and kill' strategy put forward the last decade 103 .…”
Section: Targeting the P-tefb-tat Interactionmentioning
confidence: 93%
“…Moreover, compounds interfering with the release of viral particles from HIV reservoirs are unavailable, which makes Tat-PTEFb an attractive target in order to reduce transactivation of HIV replication of already infected cells (also recently reviewed in 101 ). Furthermore, Tat seems to be the main determinant to control latency 102 .…”
Section: Targeting the P-tefb-tat Interactionmentioning
confidence: 99%
“…To activate viral transcription, Tat binds to the transactivation response (TAR) element, which is a 59-nucleotide stem-loop in viral RNA (29, 273). Subsequently, Tat recruits pTEFb (a structural complex with CDK9 and cyclin T1), SWI/SNF chromatin-remodeling complexes, and other cellular cofactors to the HIV-1 promoter (268,274). In this process, p300 acts synergistically with INI1 and BRG1 to activate the HIV-1 promoter (269).…”
Section: Tat-p300/swi/snf-integrase Associationmentioning
confidence: 99%