“…However, these clinical instances are different from CD8 depletion as they may involve depletion of all T cells, as in the case of aggressive chemotherapy regimens, or markedly reduce CD4 + T cell activation, as in the case of several commonly used immunomodulators. For instance, cyclosporine and Tacrolimus (FK506) are calcineurin inhibitors that inhibit NFAT-mediated CD4 + T cell activation and have a well-characterized direct antiviral effect via inhibition of cyclophilin (Bartz et al, 1995; Braaten et al, 1996; Emmel et al, 1989; Franke and Luban, 1996; Franke et al, 1994; Schaller et al, 2011; Sokolskaja et al, 2010; Streblow et al, 1998). Similarly, mycophenolate induces apoptosis of activated CD4 + T lymphocytes and, in a time-dependent manner and inhibits HIV replication (Chapuis et al, 2000; Margolis et al, 2002) while rapamycin (sirolimus) decreases LTR-driven transcription of HIV (Roy et al, 2002) and reduces expression of the main HIV co-receptor CCR5 (Gilliam et al, 2007).…”