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Canadian Science Publishing, Canadian Journal of Microbiology, 5(62), p. 375-382, 2016

DOI: 10.1139/cjm-2015-0725

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Might dolutegravir be part of a functional cure for HIV?

Journal article published in 2016 by Mark A. Wainberg, Ying-Shan Han, Thibault Mesplède ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Antiretroviral therapy (ART) has greatly decreased HIV-related morbidity and mortality. However, HIV can establish viral reservoirs that evade both the immune system and ART. Dolutegravir (DTG) is a second-generation integrase strand transfer inhibitor (INSTI) related to the first-generation INSTIs raltegravir (RAL) and elvitegravir (EVG). DTG shows a higher genetic barrier to the development of HIV-1 resistance than RAL and EVG. More interestingly, clinical resistance mutations to DTG in treatment-naïve patients have not been observed to date. This review summarizes recent studies on strategies toward a cure for HIV, explores resistance profiles of DTG, and discusses how DTG might help in finding a functional cure for HIV.