HIV-1 Eracication: Early Trials (and Tribulations)

被引:98
作者
Spivak, Adam M. [1 ]
Planelles, Vicente [2 ]
机构
[1] Univ Utah, Sch Med, Dept Med, Salt Lake City, UT USA
[2] Univ Utah, Sch Med, Dept Pathol, Salt Lake City, UT 84132 USA
基金
美国国家卫生研究院;
关键词
ACTIVE ANTIRETROVIRAL THERAPY; CD4(+) T-CELLS; IMMUNODEFICIENCY-VIRUS-INFECTION; REACTIVATES LATENT HIV-1; VALPROIC ACID; HIV-1-INFECTED PATIENTS; TREATMENT INTERRUPTION; RALTEGRAVIR INTENSIFICATION; RESERVOIR IMPLICATIONS; DEACETYLASE INHIBITOR;
D O I
10.1016/j.molmed.2015.11.004
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Antiretroviral therapy (ART) has rendered HIV-1 infection a manageable illness for those with access to treatment. However, ART does not lead to viral eradication owing to the persistence of replication-competent, unexpressed proviruses in long-lived cellular reservoirs. The potential for long-term drug toxicities and the lack of access to ART for most people living with HIV-1 infection have fueled scientific interest in understanding the nature of this latent reservoir. Exploration of HIV-1 persistence at the cellular and molecular level in resting memory CD4(+)T cells, the predominant viral reservoir in patients on ART, has uncovered potential strategies to reverse latency. We review recent advances in pharmacologically based 'shock and kill' HIV-1 eradication strategies, including comparative analysis of early clinical trials.
引用
收藏
页码:10 / 27
页数:18
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