We asked whether human immunodeficiency virus type 1 (HIV-1) protease
plays a major role in the early stages of infection (i.e. from viral e
ntry to reverse transcription) by using various protease inhibitors (s
aquinavir, ritonavir, and KNI-272). When assessed in the two-day multi
nuclear activation of a galactosidase indicator (MAGI) assay, involvin
g a single cycle of HIV-1 replication, all protease inhibitors failed
to block infection of HeLa-CD4-LTR-beta-gal cells by HIV-1, while reve
rse transcriptase (RT) inhibitors (AZT and ddI) completely blocked the
infection. Moreover, when HIV-1 proviral DNA synthesis was examined b
y polymerase chain reaction in HeLa-CD4-LTR-beta-gal cells exposed to
HIV-1 and cultured in the presence of protease inhibitors, a significa
nt amount of proviral DNA was detected, while no proviral DNA synthesi
s was detected when the cells were cultured in the presence of RT inhi
bitors. Protease inhibitors also failed to block chloramphenicol acety
ltransferase (CAT) expression in HLCD4-CAT cells exposed to HIV-1, whi
le RT inhibitors completely suppressed CAT expression. These results s
trongly suggest, contrary to a previous report by Nagy et al. (1994),
that HIV-1 protease does not play a major role in the early stages of
infection. (C) 1997 Elsevier Science B.V.