Antiretroviral (ARV) drugs cause oxidative stress and affect protein homeostasis.
Lon, SIRT3 and HSP60 are required for mitochondrial protein maintenance.
ER stress protein eIF2α is linked to Lon and HSP60 recruitment.
Acute ARV exposure induce ATP-dependent stress proteins (Lon, HSP60, eIF2α).
SIRT3 is NAD+ dependent and is sustained in chronic ARV exposure in HepG2 cells.