Target intelligence / Profile preview

HIV-1 envelope glycoprotein-mediated entry into host cells

Molecular classification
Other (not a receptor by itself, but involves proteins of these classifications), Viral fusion protein (Env), Host cell surface receptor (CD4), Host cell membrane coreceptors (CCR5, CXCR4—G protein-coupled receptors)
01

Overview

HIV-1 entry is the multi-step process by which the virus attaches to, fuses with, and penetrates host cells. The key steps are: binding of the viral envelope glycoprotein (Env, comprised of gp120/gp41 heterotrimers) to the CD4 receptor on the host cell surface; subsequent interaction with a chemokine coreceptor, usually CCR5 or CXCR4; and triggering of conformational changes in gp41 that result in fusion of viral and host cell membranes, releasing the viral core into the cytoplasm[1][3][4]. These molecular events are the targets of several classes of antiretroviral drugs. Entry inhibition is a highly validated therapeutic approach for HIV/AIDS[1][3].

Other names
HIV-1 entryHIV entry/fusionHIV-1 Env-mediated entryHIV-1 membrane fusion
02

Mechanism of action

Blocking Env interaction with CD4 or coreceptors\nInhibiting gp41-mediated membrane fusion\nPreventing conformational changes necessary for viral fusion and entry

03

Biological functions

Membrane fusionCellular entry/infection initiationSignal transduction (via coreceptor engagement)
04

Disease associations

Infection (HIV/AIDS pathogenesis)Other (by extension, immune system depletion and related consequences)
05

Safety considerations

Development of viral resistanceImmunogenicity of biologics (e.g., ibalizumab)Injection site reactions (e.g., enfuvirtide)Off-target immunosuppression or immune modulation (theoretical, for drugs targeting host receptors)
06

Interacting drugs

Maraviroc

4 more in the full profile.

07

Biomarkers

CD4+ cell count (for disease monitoring, not for entry specifically)CCR5 or CXCR4 tropism status (used clinically for drug selection, e.g., Maraviroc eligibility)Viral load (indirect marker)

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