Role of integrase inhibitors in the treatment of HIV disease

Author: Palmisano, Lucia

Source: Expert Review of Anti-Infective Therapy, Volume 5, Number 1, February 2007 , pp. 67-75(9)

Publisher: Expert Reviews

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Abstract:

The introduction of highly active antiretroviral therapy (HAART) has produced a dramatic reduction in HIV-related mortality and morbidity among populations with widespread access to drugs. However, the increase in mutated HIV strains with reduced susceptibility to antiretroviral agents and the emergence of HAART-related side effects make it necessary to develop novel compounds characterized by activity against resistant viruses, a high genetic barrier to resistance and favorable pharmacokinetic and toxicity profiles. Integrase is a key enzyme in the life cycle of HIV and has represented an appealing target of antiretroviral therapy for several years. In 2006, after more than a decade of advances, pitfalls and disappointments, large clinical trials with integrase inhibitors in HIV-positive subjects have eventually begun.

Keywords: antiviral resistance; HAART; HIV infection; HIV RNA; integrase; integrase inhibitors

Document Type: Research article

DOI: http://dx.doi.org/10.1586/14787210.5.1.67

Publication date: 2007-02-01

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