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Table 1

From: Molecular strategies to inhibit HIV-1 replication

Interfering strategy

Target RNA/protein

Interference site(s)

Mechanism

References

Anti-sense RNA

Cellular CCR5 and CXCR4 co-receptors

Viral entry

Inhibition of CCR5 and CXCR4 gene expression

6, 18, 19

 

Psi-gag and U3-5'UTR-gag-env regions

Pre-integration

Co-packaged with genomic RNA, inhibits RT in incoming virions

6

 

Cellular CyPA gene

Pre-integration

The skipping of internal CyPA encoding exons reduces CyPA biosynthesis and thereby inhibits the reverse transcription

37

 

Tat/TAR interaction

HIV-1 transcription

Inhibits transcriptional regulation of HIV-1 gene expression

6, 7, 45, 76

 

Rev/RRE interaction

Nuclear export

Inhibits transport of unspliced and single spiced viral RNAs

6

 

5'UTR

HIV-1 translation

Inhibits the translation process

6

 

Psi-gag region

Viral assembly

Inhibits packaging of genomic RNA

6, 7, 45

 

5'-leader-gag region

Viral assembly

Inhibits the formation of Gag and Env multimeric complexes during viral assembly.

7, 18

 

Env and Vif encoding regions

Viral assembly

Inhibits env and vif gene expression

70

 

Nef encoding region

Viral release

Inhibits nef gene expression and thereby CD4 and MHC I downregulation

7

 

Pol encoding region

Viral maturation

Inhibits pol gene expression

70

RNA decoys

RT enzyme

Pre-integration

Competes with HIV-1 RNA for the binding of RT

6

 

HIV-1 TAR region

Pre-integration

Competes with cellular tRNA3Lys for the binding to RT and primes the reverse transcription from the TAR region instead of the PBS region

6

 

Tat and Tat-containing RNA polymerase II transcription complexes

HIV-1 transcription

Inhibits Tat regulated transcription

6, 7, 18, 51

 

Rev protein

Nuclear export

Recruits Rev molecules and thereby prevents their interaction with the viral transcript

6

 

NC domain of the Gag protein

Viral assembly

Inhibits packaging by interfering with the NC domains ability to recognize the genomic RNA

6, 45

Ribozymes

Cellular CCR5 and CXCR4 co-receptors

Viral entry

Cleaves CCR5 and CXCR4 mRNAs

6, 18

 

HIV-1 Gag and Pol encoding region and the U5 region

Pre-integration

Cleaves the viral RNA before reverse transcription is completed

6, 36

 

RRE and the Rev encoding region

Nuclear export

Cleaves the viral RNA

6, 7

 

U5

HIV-1 translation

Cleaves off the 5'-cap structure localized on HIV-1 mRNAs

6, 7

 

Psi

Viral assembly

Cleaves HIV-1 RNAs before packaging

6, 7

 

Gag encoding transcripts

Viral assembly

Inhibits the formation of multimeric Gag and Env complexes

7, 18

 

SU encoding region

Viral assembly

Cleaves different conserved regions in the SU sequence

7

 

Nef encoding region

Viral release

Inhibits downregulation of CD4 and MHC I

7

RNA aptamers

RT enzyme

Pre-integration

Displays high affinity and specificity for the RT enzyme and acts as templates analogues

31

 

Rev protein

Nuclear export

Possesses higher affinity for Rev than the RRE sequence and can therefore interfere with Rev function

57

siRNA

Cellular CCR5 and CXCR4 co-receptors

Viral entry

Impairs the SU-chemokine co-receptor interaction

21, 22

 

CD4 protein

Viral entry

CD4 protein expression inhibited

23, 24

 

CD4-binding domain of the SU protein

Viral entry

Inhibits the CD4-SU interaction

26

 

The viral LTR region or the vif and nef encoding regions

Pre-integration

Guides the viral genomic RNA towards a siRNA-mediated destruction

34, 52

 

RT encoding region

Pre-integration

Inhibits RT gene expression

35

 

Cellular CyPA gene

Pre-integration

Reduces CyPA biosynthesis and thereby the reverse transcription

37

 

CA encoding region

Pre-integration

Mediates cleavage of pre-spliced viral RNA in the cytoplasm and prevents integration

23, 24, 42

 

Tat encoding region

HIV-1 transcription

Inhibits Tat transactivation

35, 49, 50

 

NF-κB p65 subunit

HIV-1 transcription

Inhibits NF-κB transcriptional activation

35, 49

 

3'-terminus of the nef gene

HIV-1 transcription

Mediates cleavage of all spliced and unspliced RNA produced from the provirus

42

 

Rev transcript

Nuclear export

Inhibits Rev mediated export of unspliced and single spliced RNAs

49, 61

 

Gag and Nef encoding regions

HIV-1 translation

Mediates cleavage of both spliced and unspliced RNA produced from the provirus

23, 24, 34, 42

shRNA/ miRNA

Nef encoding region

HIV-1 translation

nef shRNAs act by blocking RNA stability or RNA translation

62

Transdominant negative proteins (TNPs)

Interactions between Tat/TAR complex and cellular co-factors

HIV-1 transcription

Tat-mutants inhibit the function of the Tat protein by recruiting important cellular co-factors

7, 18, 45

 

Rev protein

Nuclear export

Rev-mutants e.g. act by preventing the interaction with cellular co-factors or by sequestering the Rev protein in the cytoplasm

7, 18, 25, 57, 58, 59

 

Cellular Sam68

Nuclear export

Sam68 mutants inhibit Sam68 transactivation of RRE and Rev function

60

 

Cellular Tsg101

Viral assembly

Tsg101 mutants inhibit the transport of the Gag polyprotein into multivesicular bodies

71

 

Vif protein

Viral assembly

Vif mutants block an early processing of the Gag protein

66

 

Cellular INI1

Viral assembly

INI1 mutants e.g. interact with the integrase domain of the Gag-Pol polyprotein and interfere with prober multimerization of Gag and Gag-Pol

39

 

The formation of Gag and Env multimeric complexes

Viral assembly

E.g. interferes with complex formation

4, 6, 18

 

Nef protein

Viral release

Nef mutants e.g. inhibit CD4 downregulation

66

 

SU protein

Viral release

Overexpressed CD4 variants bind and sequester virion progeny within the cell

19

 

HIV-1 protease

Viral maturation

Pro-mutants prevent protease activation

7

Chimeric / fusion proteins

SU protein

Viral entry

A tetrameric version of sCD4, PRO542, which is fused to the conserved region of IgG2, prevents the CD4-SU interaction

8, 13

 

Proviral DNA

Pre-integration

An IN targeted sFv-nuclease fusion protein associates with the pre-integration complex and cleaves proviral DNA after integration has occurred

7, 18

 

TAR element

HIV-1 transcription

Designed Tat-nuclease fusion proteins recognize and cleave all HIV-1 RNA transcripts

5

 

RRE sequence

Nuclear export

Designed Rev-nuclease fusion proteins recognize and cleave all HIV-1 RNAs carrying the RRE sequence

5

 

Rev protein

Nuclear export

A NS1RM-Rev mutant, with a dominant retention activity, forms mixed oligomers together with Rev and inhibits nuclear export

7, 57

 

The TAR and RRE elements

HIV-1 transcription / nuclear export

A designed fusion protein, Tev, containing the RNA binding domains of both Tat and Rev fused to a nuclease, inhibits both early and late viral gene products

5

 

Viral genomic RNAs

Viral assembly

Gag-, Vpr- and Nef-nuclease fusion proteins cleaves viral RNA, either during or after the viral assembly

5, 7

 

Psi-element

Viral assembly

A NC-nuclease fusion protein recognizes and cleaves all unspliced RNAs in the cytoplasm

5

 

HIV-1 protease

Viral maturation

An overexpressed Vpr fused to several protease cleavage sites overwhelms the protease activity by a competitive mechanism

7, 74

Nucleases

Tat encoding region

HIV-1 transcription

Inhibits Tat transactivation

6, 7, 45

 

TAR element

HIV-1 transcription

Inhibits Tat transactivation

6, 7, 45

Chemokine ligands

Cellular CCR5 and CXCR4 co-receptors

Viral entry

E.g. interacts directly with the co-receptors, mediates receptor blockade or mediates receptor down-regulation

8, 9, 11, 12, 13, 14, 16

Anti-infectious cellular proteins

SU protein

Viral entry

A truncated form of CD4, sCD4, inhibits the fusion event by binding to the SU protein and thereby extending the distance to the TM protein

8, 13, 19

Intracellular antibodies (sFvs)

SU protein

Viral entry

Inhibits the CD4-SU interaction

18

 

The TM pre-hairpin intermediate

Viral entry

Inhibits the interaction between the fusion peptide and the cell membrane

29

 

RT enzyme

Pre-integration

Inhibits RT function

7, 18

 

IN enzyme

Pre-integration

Inhibits IN function

7, 18

 

Tat protein

HIV-1 transcription

Interacts with the Tat protein and restrains it in the cytoplasm

7, 18

 

Rev protein

Nuclear export

Recruits Rev in the cytoplasm

7, 18, 25, 57

 

The CD4 binding region of the SU protein

Viral assembly

Interacts with the Env protein and restrains it in the ER

7, 18

Monoclonal antibodies (Mabs)

Cellular CCR5 and CXCR4 co-receptors

Viral entry

E.g. inhibit the SU-chemokine co-receptor interaction, HIV-1 fusion or entry

12

 

Extracellular loop on CCR5

SU-chemokine co-receptor interaction

Inhibits HIV-1 fusion and entry

12

Nucleoside analogues (NRTIs)

RT enzyme

Pre-integration

Prevents the continued polymerization of the DNA chain

8

Non-nucleoside analogues (NNRTIs)

RT enzyme

Pre-integration

Interact directly and non-competitively with the RT enzyme and inhibits its function

8

Integrase inhibitors (Oligonucleotides, dinucleotides and chemical agents)

IN enzyme

Pre-integration

These inhibiting agents either block the catalytic function of the IN enzyme by binding to the integrase binding site located in the viral DNA, or by interacting with the catalytic core domain of the IN enzyme itself

40, 41

Protease inhibitors

Protease enzyme

Viral maturation

Act as transition state analogous and bind to the protease more tightly than the natural substrate

11, 8, 73

Examples of other inhibiting agents

Cellular CCR5 and CXCR4 co-receptor

Viral entry

Chemokine ligands potently inhibit the SU-chemokine co-receptor interaction

8, 9, 10, 11, 12, 13

 

Cellular CCR5 and CXCR4 co-receptors

Viral entry

Designed peptides e.g. act by disrupting helix-helix interactions, which may influence co-receptor structure, or by associating with the co-receptor surfaces and thereby inhibit the interaction with the SU protein

8, 12

 

Cellular CXCR4 co-receptor

Viral entry

AMD3100, a small organic molecule, acts by spanning the main ligand-binding cavity of CXCR4, which constrains the co-receptor in an inactive conformation

12

 

Cellular CCR5 co-receptor

Viral entry

Cyclophilin-18, a protein derived from T. Gondii acts as a CCR5 antagonist and thereby inhibits fusion and infectivity of R5 HIV-1 isolates

17

 

SU protein

Viral entry

CV-N, a 11 kDa protein with high affinity for the SU protein, inhibits the SU-CD4 interaction

15

 

The N- and C-peptide regions on the TM pre-hairpin intermediate

Viral entry

Designed N-, C-, and D-peptides interacts with the pre-hairpin intermediate and inhibit the fusion event

13, 27, 28

 

RT enzyme

Pre-integration

Small peptides, about 15–19 amino acid long, act by interfering the dimerization process of the RT enzyme

30

 

The Tat/TAR interaction

HIV-1 transcription

The TR87 compound acts by competing with Tat for binding to TAR-RNA

46

 

Protein /TAR RNA interaction

HIV-1 transcription

Pyrrolo [2,1-c][1,4]benzodiazepine-oligopyrrolo hybrids act by interrupting binding of cellular proteins and Tat to the TAR-RNA

47

 

Protein /TAR RNA interaction

HIV-1 transcription

Aromatic polyamidines carrying a Br atom inhibit cellular and viral protein-TAR RNA interactions

48

 

Cellular NF-κB

HIV-1 transcription

NF-κB activity is inhibited by minocycline, a second-generation tetracycline

38, 54

 

Rev

Nuclear export

Peptides targeted against the NES domain inhibit Rev function

57

 

The cellular protease furin

Viral assembly

Peptides mimicking a conserved target sequence inhibit furin activity and thereby cleavage of the Env protein within the ER

72

 

HIV-1 infected cells

All

A Tat-Casp3 fusion protein induces apoptosis after cleavage and activation by the HIV-1 protease

79