The therapeutic potential of CXCR4 antagonists in the treatment of HIV

Expert Opin Investig Drugs. 2003 Feb;12(2):185-95. doi: 10.1517/13543784.12.2.185.

Abstract

Since the identification of the chemokine receptors CXCR4 and CCR5 as co-receptors for HIV-1 entry, several antagonists against these receptors have been synthesised. A highly selective CXCR4 antagonist, T22, and its downsized analogues T140 and TC14012, which inhibit X4-HIV-1 infection through their specific binding to CXCR4, have been identified. Besides T22 analogues, several other CXCR4 antagonists have been reported, such as AMD3100, ALX40-4C, KRH-1120 and AMD8664. Discovery of entry inhibitors, such as chemokine antagonists, may lead to the development of a new generation of antiHIV agents, since these inhibitors are thought to be useful for the clinical treatment of HIV-1-infected patients, especially at the late stage of treatment for AIDS patients developing multi-drug-resistant strains. In this review, recent research into CXCR4 antagonists in comparison with development of other antagonists is summarised.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Anti-HIV Agents / pharmacology
  • Anti-HIV Agents / therapeutic use*
  • HIV Infections / drug therapy*
  • HIV Infections / immunology
  • HIV Infections / metabolism*
  • HIV-1 / immunology
  • HIV-1 / metabolism
  • Humans
  • Molecular Sequence Data
  • Receptors, CXCR4 / antagonists & inhibitors*
  • Receptors, CXCR4 / physiology

Substances

  • Anti-HIV Agents
  • Receptors, CXCR4