Learning Objectives
Upon completion of this activity, participants should be able to:
- Describe the role of the integrase enzyme in the HIV replication cycle
- Discuss the mechanism of action of the current integrase strand transfer inhibitors raltegravir and elvitegravir
- Summarize the findings regarding the development of resistance in clinical trials of elvitegravir and raltegravir
- Discuss issues relating to cross-resistance between the integrase inhibitors elvitegravir and raltegravir
Topics covered include:
- Introduction
- Role of HIV Integrase in Viral Replication
- Integrase Inhibitor Mechanisms of Action
- Mechanisms of Resistance to Integrase Inhibitors
- Treatment-Emergent Resistance to Raltegravir
- Resistance to Elvitegravir
- Cross-Resistance to Integrase Inhibitors
- Conclusions
- Summary: Implications for Clinical Practice