Document 0284 DOCN M9590284 TI Antiretroviral drugs acting late in the HIV replication cycle. DT 9509 AU Birch C; Victorian Infectious Diseases Reference Laboratory, Fairfield; Hospital. SO Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:230 (unnumbered abstract). Unique Identifier : AIDSLINE ASHM6/95291815 AB Most antiretroviral drugs available for treatment of HIV infection are targeted at the reverse transcriptase, an enzyme acting relatively early (pre-integration) in the HIV replication cycle. There is a need for drugs directed at other sites, and the HIV protease and Tat gene product are potential targets. Both provide essential functions at a post-integration level. The HIV Tat gene product has not been widely exploited, and clinical trials with Tat inhibitors have been disappointing. The potential for, and problems associated with, the use of Tat inhibitors in the treatment of HIV infection will be discussed. Several protease inhibitors are in pre-clinical development or in clinical trials. Their mechanism of action at both the intracellular level and within the virion will be discussed in the light of their role in preventing maturation of HIV. Problems faced in the development and delivery of these inhibitors, and the potential for development of resistance to them, will also be addressed. DE Antiviral Agents/*THERAPEUTIC USE Gene Expression Regulation, Viral/DRUG EFFECTS Genes, tat/DRUG EFFECTS Human HIV/*DRUG EFFECTS/GENETICS HIV Infections/*DRUG THERAPY/VIROLOGY Virus Replication/*DRUG EFFECTS/GENETICS MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).