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Entry Inhibitors

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Encyclopedia of AIDS
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Definition

Entry inhibitors are one of the six mechanistic classes of antiretroviral drugs used for the treatment of HIV infection. HIV entry inhibitors interfere with the entry of HIV into its target cell, the human CD4+ T-lymphocyte. By inhibiting this step in the HIV life cycle, entry inhibitors and ultimately slow the progression of HIV infection. In targeting the first step in the HIV life cycle before the virus enters the cell, entry inhibitors are distinct from other classes of antiretroviral agents for HIV infection that target HIV after it has entered and infected a CD4+ cell. Some HIV entry inhibitors are also distinct in targeting a host-cell receptor, rather than a viral protein.

Introduction

There are three major steps involved in HIV entry into a human CD4+ cell: (1) attachment to the CD4 receptor, (2) attachment to the chemokine receptor, and (3) fusion of the viral membrane with the host-cell membrane. These steps are shown in Fig. 1. Several viral proteins are...

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References

  • Bruno CJ, Jacobson JM. Ibalizumab: an anti-CD4 monoclonal antibody for the treatment of HIV-1 infection. J Antimicrob Chemother. 2010;65:1839–41.

    Article  CAS  PubMed  Google Scholar 

  • Casiero MM, Nelson M, Diaz RS, et al. Vicriviroc plus optimized background therapy for treatment-experienced subjects with CCR5 HIV-1 infection: final results of two randomized phase III trials. J Infect. 2012;65:326–35.

    Article  Google Scholar 

  • Caskey M, Klein F, Lorenzi JCC, et al. Viraemia suppressed in HIV-1-infected humans by broadly neutralizing antibody 3BNC117. Nature. 2015;522:487–91.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Currier J, Lazzarin A, Sloan L, et al. Antiviral activity and safety of aplaviroc with lamivudine/zidovudine in HIV-infected, therapy-naïve patients: the ASCENT (CCR102881) study. Antivir Ther. 2008;13:297–306.

    CAS  PubMed  Google Scholar 

  • DeJesus E, Martins M, Stoehr A, et al. Attachment inhibitor prodrug BMS-663068 in ARV-experienced subjects: week 96 analysis. In: Abstracts of the Conference on Retroviruses and Opportunistic Infections (CROI), Feb 22–25, Boston; 2016, abstract #472.

    Google Scholar 

  • Gulick RM, Lalezari J, Goodrich J, et al. Maraviroc for previously treated patients with R5 HIV-1 infection. N Engl J Med. 2008;359:1429–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hendrix CW, Collier AC, Lederman MM, et al. Safety, pharmokinetics, and antiviral activity of AMD3100, a selective CXCR4 receptor inhibitor, in HIV-1 infection. JAIDS. 2004;37:1253–62.

    CAS  PubMed  Google Scholar 

  • Horwitz JA, Halper-Stromberg A, Mouquet H, et al. HIV-1 suppression and durable control by combining single broadly neutralizing antibodies and antiretroviral drugs in humanized mice. Proc Natl Acad Sci U S A. 2013;110(41):16538–43.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jacobson JM, Thompson MA, Lalezari JP, et al. Anti-HIV-1 activity of weekly or biweekly treatment with subcutaneous PRO 140, a CCR5 monoclonal antibody. J Infect Dis. 2010;201:1481–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lalezari JP, Henry K, O’Hearn M, et al. Enfuvirtide, an HIV-1 fusion inhibitor, for drug-resistant HIV infection in North and South America. N Engl J Med. 2003;348:2175–85.

    Article  CAS  PubMed  Google Scholar 

  • Lazzarin A, Clotet B, Cooper D, et al. Efficacy of enfuvirtide in patients infected with drug-resistant HIV-1 in Europe and Australia. N Engl J Med. 2003;348:2186–95.

    Article  CAS  PubMed  Google Scholar 

  • Lynch RM, Boritzz E, Coates EE, et al. Virologic effects of broadly neutralizing antibody VRC01 administration during chronic HIV-1 infection. Sci Transl Med. 2015;7(319):1–14.

    Article  CAS  Google Scholar 

  • Nettles RE, Schurmann D, Zhu L, et al. Pharmacodynamics, safety, and pharmacokinetics of BMS-663068, an oral HIV-1 attachment inhibitor in HIV-1-infected subjects. J Infect Dis. 2012;206(7):1002–11.

    Article  CAS  PubMed  Google Scholar 

  • Scheid JF, Horwitz JA, Bar-On Y. HIV-1 Antibody 3BNC117 suppresses viral rebound in humans during treatment interruption. Nature. 2016;535(7613):556–560.

    Google Scholar 

  • Thompson M, Saag M, DeJesus E, et al. A 48-week randomized phase 2b study evaluating cenicriviroc versus efavirenz in treatment-naive HIV-infected adults with C-C chemokine receptor type 5-tropic virus. AIDS. 2016;30(6):869–78.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhang H, Jin R, Yao C, et al. Combination of long-acting HIV fusion inhibitor albuvirtide and LPV/r showed potent efficacy in HIV-1 patients. AIDS Res Ther. 2016;13:8.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

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Correspondence to Leah A. Burke or Roy M. Gulick .

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Burke, L.A., Gulick, R.M. (2018). Entry Inhibitors. In: Hope, T.J., Richman, D.D., Stevenson, M. (eds) Encyclopedia of AIDS. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7101-5_447

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  • DOI: https://doi.org/10.1007/978-1-4939-7101-5_447

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