Considerations for capsid-targeting antiretrovirals in pre-exposure prophylaxis.

IF 12.8 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
William M McFadden, Mia Faerch, Karen A Kirby, Robert A Dick, Bruce E Torbett, Stefan G Sarafianos
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引用次数: 0

Abstract

Antiretroviral therapy (ART) impairs viral replication in people living with HIV (PLWH) by suppressing infection or spread. However, not all treatment strategies apply to preventive applications like pre-exposure prophylaxis (PrEP) for uninfected individuals. To prevent the establishment of HIV infection, PrEP must block viral replication either before, or at the stage of integration into the host genome. A promising PrEP approach under investigation utilizes lenacapavir (LEN), which targets the HIV-1 capsid protein (CA) potently before integration. LEN, a first-in-class antiretroviral, has shown high protective efficacy in the ongoing PURPOSE trials thus far. Here, we discuss clinical investigations of LEN, theoretical suitability of preclinical CA-binding antivirals in PrEP, and other key considerations for preventing HIV-1 infection by targeting the capsid.

抗逆转录病毒疗法(ART)通过抑制艾滋病病毒感染或传播,影响艾滋病病毒感染者(PLWH)体内的病毒复制。然而,并非所有治疗策略都适用于预防性应用,如针对未感染者的暴露前预防疗法(PrEP)。为了防止艾滋病病毒感染,PrEP 必须在病毒与宿主基因组整合之前或整合阶段阻止病毒复制。来那卡韦(LEN)是正在研究中的一种前景看好的 PrEP 方法,它能在整合前有效地靶向 HIV-1 帽状蛋白(CA)。来那卡韦(LEN)是第一类抗逆转录病毒药物,在目前正在进行的PURPOSE试验中显示出很高的保护效力。在此,我们将讨论 LEN 的临床研究、临床前 CA 结合型抗病毒药物在 PrEP 中的理论适用性,以及通过靶向囊膜预防 HIV-1 感染的其他关键考虑因素。
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来源期刊
Trends in molecular medicine
Trends in molecular medicine 医学-生化与分子生物学
CiteScore
24.60
自引率
0.00%
发文量
142
审稿时长
6-12 weeks
期刊介绍: Trends in Molecular Medicine (TMM) aims to offer concise and contextualized perspectives on the latest research advancing biomedical science toward better diagnosis, treatment, and prevention of human diseases. It focuses on research at the intersection of basic biology and clinical research, covering new concepts in human biology and pathology with clear implications for diagnostics and therapy. TMM reviews bridge the gap between bench and bedside, discussing research from preclinical studies to patient-enrolled trials. The major themes include disease mechanisms, tools and technologies, diagnostics, and therapeutics, with a preference for articles relevant to multiple themes. TMM serves as a platform for discussion, pushing traditional boundaries and fostering collaboration between scientists and clinicians. The journal seeks to publish provocative and authoritative articles that are also accessible to a broad audience, inspiring new directions in molecular medicine to enhance human health.
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