Latency reversal and viral clearance to cure HIV-1

被引:195
作者
Margolis, David M. [1 ,2 ,3 ]
Garcia, J. Victor [3 ]
Hazuda, Daria J. [4 ]
Haynes, Barton F. [5 ,6 ]
机构
[1] Univ N Carolina, Dept Med, HIV Cure Ctr, Chapel Hill, NC 27514 USA
[2] Univ North Carolina Chapel Hill, Sch Med, Ctr AIDS Res, Chapel Hill, NC 27514 USA
[3] Univ North Carolina Chapel Hill, Sch Med, Dept Microbiol & Immunol, Chapel Hill, NC 27514 USA
[4] Merck Res Labs, White Horse Junction, PA USA
[5] Duke Univ, Sch Med, Dept Med, Duke Human Vaccine Inst, Durham, NC 27706 USA
[6] Duke Univ, Sch Med, Dept Immunol, Durham, NC USA
基金
美国国家卫生研究院;
关键词
IMMUNODEFICIENCY-VIRUS TYPE-1; BROADLY NEUTRALIZING ANTIBODIES; CD4(+) T-CELLS; LONG TERMINAL REPEAT; SUPPRESSIVE ANTIRETROVIRAL THERAPY; HUMAN-FACTORS YY1; RALTEGRAVIR INTENSIFICATION; IMMUNE-ACTIVATION; HIV-1-INFECTED PATIENTS; RESERVOIR;
D O I
10.1126/science.aaf6517
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Research toward a cure for human immunodeficiency virus type 1 (HIV-1) infection has joined prevention and treatment efforts in the global public health agenda. A major approach to HIV eradication envisions antiretroviral suppression, paired with targeted therapies to enforce the expression of viral antigen from quiescent HIV-1 genomes, and immunotherapies to clear latent infection. These strategies are targeted to lead to viral eradication-a cure for AIDS. Paired testing of latency reversal and clearance strategies has begun, but additional obstacles to HIV eradication may emerge. Nevertheless, there is reason for optimism that advances in long-acting antiretroviral therapy and HIV prevention strategies will contribute to efforts in HIV cure research and that the implementation of these efforts will synergize to markedly blunt the effect of the HIV pandemic on society.
引用
收藏
页码:362 / +
页数:8
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