idea_hamster said:
I think this is, in fact, different. As
this NIH page details, reverse transcriptase and protease inhibitors both operate to stem HIV replication after it is in the cell, whereas fusion inhibitors stop the original entry and work on the HIV virus, not the human cells (a likely reason for low side effects).
Either way, all of the currently available drugs reduce the efficacy of HIV by disrupting its life cycle. Whether it is to inhibit its entry into cells, inhibit its conversion of its RNA to DNA, or inhibit its ability to produce its protein coat, the end result is the same--the viral product is not able to penetrate into healthy cells.
idea_hamster said:
I think that it might be necessary to block all the HIV viral bodies until they are expelled from the body and to continue taking it until all previously infected cells had released their HIV stores, but probably not for life.
As I've said before, this could take decades, if not the life span of the individual. The most common diagnosis of HIV happens about a decade after actual infection because it goes unnoticed. The only symptom you'll have during that period is a slightly weaker immune system, easier bruising, and some other problems. It's because of this long, hard-to-notice incubation time that makes it so easy to pass the disease on to others.
idea_hamster said:
That's interesting. I had never heard of HIV's ability to lay dormant in the DNA of a cell. I always thought that once a virus entered a cell, it replicated until cell death. Although chicken pox/shingles is an example of a virus (herpes) laying dormant outside cells, on nerve endings.
If this is the case, then it may be a life-long treatment. But with small side effects, it could be a much easier life than today's complicated and uncomfortable anti-retrovirals.
Trust me. HIV is a lysogenic virus. The
majority of all viruses are lysogenic viruses because this is the safest method of replication. If you copy your genetic info into a host cell's genome, you won't need to do any replication yourself because you can let the host cell do all the work for you. Then, due to some stimulation (such as a compromised immune system), the virus can again start replicating.
The main reason HIV has reverse transcriptase (for those reverse transcriptase inhibitors you pointed out) is to make sure the virus's RNA can be converted to DNA so that it can be inserted into the host cell. This is similar to what the herpes virus (the STD and the cold sore version) does too.
Here's something I found that might help you understand the difference between what you thought all viruses did (lytic cycles) and what most of them actually do (the lysogenic cycle)
Lytic and Lysogenic viruses on Encarta