PMID- 12195360 OWN - NLM STAT- MEDLINE DCOM- 20020924 LR - 20131121 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 186 IP - 5 DP - 2002 Sep 1 TI - Eradication of human immunodeficiency virus type 1-infected cells by a combination of antimetabolic cytotoxic chemotherapy and antiviral chemotherapy in vitro: a pilot study. PG - 706-9 AB - Although highly active antiretroviral therapy against human immunodeficiency virus (HIV) type 1 reduces the mortality of persons with acquired immunodeficiency syndrome, it does not eliminate HIV reservoirs. In this study, which used a 6-thioguanine (6-TG) resistant clone (4C6) of the MT-2 cell line as a model, the combination of 6-TG with both reverse-transcriptase (RT) inhibitor and protease inhibitor or 6-TG with a protease inhibitor alone completely eradicated HIV-1-carrying cells from the culture and protected uninfected 4C6 cells from HIV-1 infection. The combination of 6-TG and a RT inhibitor, azidothymidine, provided partial protection. Protection was extended to human peripheral blood mononuclear cells. These results suggest that adding a cytotoxic drug in combination antiviral chemotherapy may reduce the establishment of virus reservoirs and prevent virus spread. The clinical value of this and similar strategies should be further evaluated in HIV-infected patients. FAU - Yang, Quan-en AU - Yang QE AD - Laboratory of Antiviral Drug Mechanisms, Science Applications International Corporation-Frederick, National Cancer Institute, Frederick, Maryland 21702, USA. yangq@dtpax2.ncifcrf.gov FAU - Li, Kun-gui AU - Li KG FAU - Mikovits, Judy A AU - Mikovits JA LA - eng GR - N01-CO-56000/CO/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20020801 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (HIV Core Protein p24) RN - 0 (HIV Protease Inhibitors) RN - 0 (Reverse Transcriptase Inhibitors) RN - FTK8U1GZNX (Thioguanine) SB - IM MH - Cells, Cultured MH - Drug Therapy, Combination MH - HIV Core Protein p24/biosynthesis MH - HIV Infections/*drug therapy MH - HIV Protease Inhibitors/*pharmacology MH - HIV-1/*drug effects MH - Humans MH - Pilot Projects MH - Reverse Transcriptase Inhibitors/*pharmacology MH - Thioguanine/*pharmacology EDAT- 2002/08/27 10:00 MHDA- 2002/09/25 06:00 CRDT- 2002/08/27 10:00 PHST- 2001/12/19 00:00 [received] PHST- 2002/04/18 00:00 [revised] PHST- 2002/08/27 10:00 [pubmed] PHST- 2002/09/25 06:00 [medline] PHST- 2002/08/27 10:00 [entrez] AID - JID011497 [pii] AID - 10.1086/342049 [doi] PST - ppublish SO - J Infect Dis. 2002 Sep 1;186(5):706-9. doi: 10.1086/342049. Epub 2002 Aug 1.