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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7349 p577
14 May 2005

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Strategy may overcome antiretroviral drug resistance

A theoretical strategy for blocking HIV growth and tackling drug resistance is published in Nature Cell Biology this month.

Alan Lau, of KuDOS Pharmaceuticals, and colleagues show that HIV-1 integrase activates a protein called ATM produced by the ataxia-telangiectasia-mutated gene. This protein is a key mediator in the cellular response to DNA damage.

The researchers found that ATM is essential to the survival of infected HIV-1 cells since it helps to repair DNA damage caused by viral integration into the host cell genome.

They demonstrate that a recently identified specific small molecule inhibitor of ATM kinase — KU-55933 — leads to increased cell death and has the potential to suppress replication of both wild-type and drug-resistant HIV-1. ATM is not essential for the survival of non-infected cells.

Most treatments for HIV target virally encoded proteins that are rapidly mutating, which often leads to the development of drug resistance during therapy. This strategy addresses the problem by targeting non-essential host cell proteins that are required for viral replication (2005;7:493).

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