HIV-1 infection of resting CD4 T cells plays a crucial and numerically dominant role during virus transmission at mucosal sites and during subsequent acute replication and T cell depletion. Resveratrol and pterostilbene are plant stilbenoids associated with several health-promoting benefits. Resveratrol has been shown to inhibit the replication of several viruses, including herpes simplex viruses 1 and 2, papillomaviruses, severe acute respiratory syndrome virus, and influenza virus. Alone, resveratrol does not inhibit HIV-1 infection of activated T cells, but it does synergize with nucleoside reverse transcriptase inhibitors in these cells to inhibit reverse transcription. Here, we demonstrate that resveratrol and pterostilbene completely block HIV-1 infection at a low micromolar dose in resting CD4 T cells, primarily at the reverse transcription step. The anti-HIV effect was fully reversed by exogenous deoxynucleosides and Vpx, an HIV-1 and simian immunodeficiency virus protein that increases deoxynucleoside triphosphate (dNTP) levels. These findings are consistent with the reported ability of resveratrol to inhibit ribonucleotide reductase and to lower dNTP levels in cells. This study supports the potential use of resveratrol, pterostilbene, or related compounds as adjuvants in anti-HIV preexposure prophylaxis (PrEP) formulations.KEYWORDS resting CD4 T cells, human immunodeficiency virus, pterostilbene, resveratrol, reverse transcription, stilbenoid, PrEP T he stilbenoids resveratrol (RES) and pterostilbene (PTE) function as plant phytoalexins, i.e., defensive compounds generated in response to parasitic attack. Resveratrol is found in grape skins, small berries, peanuts, and some nuts and has been extensively studied as an active ingredient of red wine, contributing to the health benefits associated with the French paradox and other potential life-extending properties, including anti-inflammatory, anticancer, and antidiabetes activities (1). Pterostilbene is a natural dimethylated analog of resveratrol also found in grape skins, berries, peanuts, and almonds (2). Pterostilbene has anti-inflammatory activity (3, 4), is more lipophilic than resveratrol, and has greater stability in vitro and in vivo (5-8).Resveratrol inhibits the replication of several viruses, including herpes simplex viruses (HSVs) 1 and 2, varicella-zoster virus, papillomaviruses, and influenza virus (9-12). Topical application of resveratrol has been found to inhibit HSV vaginal transmission in mice, suggesting that it might be useful as a topical microbicide (13). Alone, resveratrol does not inhibit wild-type (WT) human immunodeficiency virus type 1 (HIV-1) replication in activated T cells or in transformed T cell lines (14, 15), but it does potentiate inhibition of reverse transcription by nucleoside analog reverse transcriptase (RT) inhibitors (NRTIs), including tenofovir (TFV), didanosine, zidovudine (AZT), and emtricitabine (FTC) (14,16). Resveratrol alone does, however, inhibit reverse transcription in NRTI-resistant RT muta...