Abstract
La entrada del virus de la inmunodeficiencia humana (VIH) en la célula es la primera etapa del ciclo de replicación viral y una diana clave en la exploración de nuevos antirretrovirales. El mejor conocimiento de los mecanismos que se suceden con la entrada del VIH en las células que infecta ha permitido el desarrollo de moléculas que bloquean cada una de las etapas de la entrada vírica: unión de gp120 al receptor CD4; unión de gp120 a los correceptores de quimiocinas CCR5 y CXCR4, y fusión de las membranas viral y celular. Los inhibidores de la entrada del VIH son la última generación de antirretrovirales, de los cuales la enfuvirtida, un inhibidor de la fusión, ha sido el primero en comercializarse. Varios más se encuentran actualmente en fases avanzadas de desarrollo clínico y es de esperar que pronto contribuirán a mejorar el arsenal terapéutico frente al VIH.
Palabras clave: VIH, Entrada viral, Inhibidores de la entrada, Enfuvirtida
Abstract
Human immunodeficiency virus (HIV) entry into cells is the first step in the viral replication cycle; which has been explored as a new therapeutic target; A better knowledge of the mechanisms involved in the entry process has led to the development of agents; which may inhibit each of the different steps of the viral entry process: attachment of the gp120 to the CD4 cell receptor; binding of the gp120 to CCR5 or CXCR4 coreceptors; and the fusion of viral and cell membranes; Entry inhibitors are the latest family of antiretroviral compounds; being enfuvirtide; a fusion inhibitor; the first approved; Several other entry inhibitors are currently in clinical development and hopefully soon will be part of the therapeutic armamentarium against HIV
Key words: HIV, Viral entry, Entry inhibitors, Enfuvirtide
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