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Human immunodeficiency virus trans-activator of transcription–trans-activation response element interaction (HIV Tat–TAR interaction) (HIV Tat–TAR interaction)

Target
HIV Tat–TAR interaction
Molecular classification
Protein-RNA interaction, Transcription factor, RNA regulatory element
01

Overview

The HIV Tat–TAR interaction is a critical regulatory mechanism in the life cycle of the Human Immunodeficiency Virus (HIV) (UniProt P04608). The Trans-Activator of Transcription (Tat) is a viral protein that binds to the Trans-Activation Response (TAR) element, a stable RNA stem-loop structure located at the 5' end of all nascent HIV-1 transcripts (PubMed: 11527494). This binding event is essential for the recruitment of the host's positive transcription elongation factor b (P-TEFb) complex, which consists of Cyclin T1 and Cyclin-dependent kinase 9 (CDK9) (PubMed: 21884667). Once recruited, CDK9 phosphorylates the C-terminal domain of RNA polymerase II, dramatically increasing the efficiency of viral transcription elongation (PubMed: 10490611). Without this interaction, HIV-1 transcription is highly inefficient, resulting in short, non-functional transcripts. Because this interaction is vital for viral replication and is highly conserved, it represents an attractive therapeutic target for antiretroviral therapy (PubMed: 24333650). Drugs targeting this interaction typically aim to either sterically block the Tat-TAR binding site or inhibit the associated P-TEFb complex, such as Alvocidib (Flavopiridol) (ClinicalTrials.gov). However, challenges include the potential for off-target effects on host transcription and the rapid emergence of viral resistance (PubMed: 16111629).

Other names
Tat-TAR complexHIV-1 Tat-TAR interactionTrans-activator of transcription-Trans-activation response element
02

Mechanism of action

Inhibition of the binding between the HIV Tat protein and the TAR RNA stem-loop, preventing the recruitment of the P-TEFb complex and subsequent phosphorylation of RNA polymerase II, thereby blocking viral transcription elongation.

03

Biological functions

Viral transcription elongationViral replicationRecruitment of P-TEFb
04

Disease associations

InfectionAcquired Immunodeficiency Syndrome (AIDS)
05

Safety considerations

Potential inhibition of host cell transcriptionCytotoxicity due to CDK9 inhibitionHigh mutation rate of HIV leading to resistanceSpecificity for viral vs. host RNA-protein interactions
06

Interacting drugs

Alvocidib

4 more in the full profile.

07

Biomarkers

HIV-1 viral loadCD4+ T-cell countIntracellular HIV-1 RNA levels

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