“…Several studies have clearly demonstrated that no direct relations exist between SIR and CD4 downregulation (Potash & Volsky, 1998;Saha et al, 1999;Volsky et al, 1996). Even assuming that downregulation of CD4 contributes to the development of SIR, the possibility of additional, CD4-independent mechanisms cannot be excluded and have, in fact, been suggested (Potash & Volsky, 1998;Wildum et al, 2006 Similar to Nef, the Rev protein is present in the early phase of infection, expressed from unintegrated viral cDNA (Iyer et al, 2009;Kelly et al, 2008;Wu, 2004Wu, , 2008Wu & Marsh, 2003). The late viral Rev encoded by the integrated HIV genome has so far been implicated mainly in promoting nuclear export of unspliced and single-spliced transcripts (Pollard & Malim, 1998).…”