HIV tropism to chemokine coreceptors. Features of the definition, the current state

HIV infection is a significant cause of death worldwide, the number of people with HIV infection in the Russian Federation as of 2022 amounted to 1163818 people. The determination of HIV tropism is necessary for the appointment of drugs from the group of penetration inhibitors, and also opens up new opportunities in the prediction and analysis of HIV infection in a patient. Aim. To present a description and assess the current state of methods for determining HIV tropism, to summarize known information about the influence of HIV tropism on the course of the disease, to identify topical issues related to HIV tropism and requiring solutions. Materials and methods . A review of domestic and foreign sources devoted to methods for determining the prevalence and clinical significance of HIV tropism was carried out. Results. For the effective administration of CCR5 antagonist drugs, preliminary analysis is necessary to establish the tropism of HIV by genotypic or phenotypic methods. The use of CCR5 antagonists is not possible if HIV can use the CXCR4 coreceptor. CXCR4 – tropism of HIV is associated with the duration of the disease, a decrease in the number of CD4 cells, AIDS, and is a negative prognostic factor. Human mutations affecting coreceptors can affect the course of infection and susceptibility to HIV. Conclusion. The determination of HIV tropism is a useful analysis, the importance of which will increase in connection with the development of new drugs from the group of penetration inhibitors. To increase the availability of HIV tropism analysis in the Russian Federation, the creation of genotypic test systems is required. To create proprietary algorithms used in genotypic analysis, as well as laboratory testing and development of new effective drugs from the group of penetration inhibitors, it is necessary to develop a phenotypic test system. The small study of the influence of other regions of the env gene on HIV tropism, the study of HIV tropism to alternative coreceptors are urgent issues that need to be addressed.