The HIV-1 integrase enzyme is responsible for one of the key stages of retroviral
replication; it acts as a catalyst for the integration of viral cDNA into the
cell’s genome. Inhibitors of HIV-1 integration have been under
development for over 10 years; yet, only one integration inhibitor, raltegravir,
has been approved for clinical use so far. Raltegravir binds two metal ions in
the enzyme’s active centre and blocks one of the integration stages:
the strand transfer. Unfortunately, the clinical use of raltegravir results in
the development of viral resistance among some patients. Several more HIV-1
integration inhibitors are undergoing clinical trials at the moment. However,
the structure and mechanism of action of those are similar to raltegravir, which
results in the emergence of cross resistance with raltegravir. The present
review is focused on the history of the development and clinical trials of
raltegravir and its analogues, the problems connected with the emergence of
viral resistance to integration inhibitors, and the prospect of their future
clinical use.