Abstract
Thalidomide, a selective inhibitor of tumor necrosis factor alpha (TNF-alpha) synthesis, suppresses the activation of latent human immunodeficiency virus type 1 (HIV-1) in a monocytoid (U1) line. The inhibition is dose dependent and occurs after exposure of the cells to recombinant TNF-alpha, phorbol myristate acetate, lipopolysaccharide, and other cytokine combinations. Associated with HIV-1 inhibition is a reduction in agonist-induced TNF-alpha protein and mRNA production. Thalidomide inhibition of virus replication in the phorbol myristate acetate- and recombinant TNF-alpha-stimulated T-cell line ACH-2 is not observed. The presence of thalidomide also inhibits the activation of virus in the peripheral blood mononuclear cells of 16 out of 17 patients with advanced HIV-1 infection and AIDS. These results suggest the use of thalidomide in a clinical setting to inhibit both virus replication and the TNF-alpha-induced systemic toxicity of HIV-1 and opportunistic infections.
MeSH Terms
Acquired Immunodeficiency Syndrome/drug therapy,microbiology
Adult
Cell Line
Female
HIV Infections/drug therapy
HIV-1/drug effects,physiology
Humans
Leukocytes, Mononuclear/drug effects,microbiology
Male
Middle Aged
Monocytes/drug effects,microbiology
RNA, Messenger/genetics,metabolism
T-Lymphocytes/drug effects,microbiology
Thalidomide/pharmacology,therapeutic use
Tumor Necrosis Factor-alpha/biosynthesis,genetics
Virus Activation/drug effects
Virus Replication/drug effects
Chemicals
RNA, Messenger
Tumor Necrosis Factor-alpha
Thalidomide
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Makonkawkeyoon S
Rockefeller University, New York, NY 10021.
Limson-Pobre R N
Moreira A L
Schauf V
Kaplan G
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