Antiviral Strategies pp 85-110

Part of the Handbook of Experimental Pharmacology book series (HEP, volume 189)

Viral Protease Inhibitors

  • Jeffrey Anderson
  • Celia Schiffer
  • Sook-Kyung Lee
  • Ronald Swanstrom

This review provides an overview of the development of viral protease inhibitors as antiviral drugs. We concentrate on HIV-1 protease inhibitors, as these have made the most significant advances in the recent past. Thus, we discuss the biochemistry of HIV-1 protease, inhibitor development, clinical use of inhibitors, and evolution of resistance. Since many different viruses encode essential proteases, it is possible to envision the development of a potent protease inhibitor for other viruses if the processing site sequence and the catalytic mechanism are known. At this time, interest in developing inhibitors is limited to viruses that cause chronic disease, viruses that have the potential to cause large-scale epidemics, or viruses that are sufficiently ubiquitous that treating an acute infection would be beneficial even if the infection was ultimately self-limiting. Protease inhibitor development is most advanced for hepatitis C virus (HCV), and we also provide a review of HCV NS3/4A serine protease inhibitor development, including combination therapy and resistance. Finally, we discuss other viral proteases as potential drug targets, including those from Dengue virus, cytomegalovirus, rhinovirus, and coronavirus.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Jeffrey Anderson
    • 1
  • Celia Schiffer
    • 1
  • Sook-Kyung Lee
    • 2
  • Ronald Swanstrom
    • 2
  1. 1.Department of Biochemistry and Molecular PharmacologyUniversity of MassachusettsWorcesterMA
  2. 2.UNC Center For AIDS ResearchUniversity of North Carolina at Chapel HillUSA

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