The Nef protein of primate lentiviruses acts as an important virulence fact
or in vivo both in monkeys and in humans. Among a human cohort of long-term
non-progressors, several Nef defective HIV1 viruses have been isolated, in
dicating that Nef may accelerate HIV progression and disease in humans. Add
itionally, a Nef-deleted SIV virus has low titres in rhesus monkeys and the
animals develop AIDS at a much slower rate. In vitro, Nef can exert at lea
st three kinds of effects: it downregulates CD4 and MHC class I, it stimula
tes virion infectivity and it alters signal transduction pathways. To accom
plish this, Nef interacts with a series of cellular partners including CD4,
components of the adaptor complexes AP-1 and AP-2, and several protein kin
ases, Nef often functioning as a connector between targets and effecters. T
he high degree of understanding of at least some aspects of Nef action, as
well as the importance of this viral gene product for disease induction, id
entify Nef as a valuable target for the development of novel antiviral ther
apies. Moreover, the possibility of developing vaccines using attenuated vi
ruses with deletions in nef and other crucial genes raises the possibility
that the AIDS epidemic might one day be restrained. Copyright (C) 1999 John
Wiley & Sons, Ltd.