Vaccine Branch, Section on Immune Biology of Retroviral Infection, National Cancer Institute, National Institutes of Health Bethesda, MD, USA.
Front Immunol. 2012 Aug 14;3:250. doi: 10.3389/fimmu.2012.00250. eCollection 2012.
This review provides an overview of the current status of the global HIV pandemic and strategies to bring it under control. It updates numerous preventive approaches including behavioral interventions, male circumcision (MC), pre- and post-exposure prophylaxis (PREP and PEP), vaccines, and microbicides. The manuscript summarizes current anti-retroviral treatment options, their impact in the western world, and difficulties faced by emerging and resource-limited nations in providing and maintaining appropriate treatment regimens. Current clinical and pre-clinical approaches toward a cure for HIV are described, including new drug compounds that target viral reservoirs and gene therapy approaches aimed at altering susceptibility to HIV infection. Recent progress in vaccine development is summarized, including novel approaches and new discoveries.
本综述概述了全球 HIV 大流行的现状和控制它的策略。它更新了许多预防方法,包括行为干预、男性包皮环切术(MC)、暴露前和暴露后预防(PREP 和 PEP)、疫苗和杀微生物剂。本文总结了目前的抗逆转录病毒治疗选择,它们在西方世界的影响,以及新兴和资源有限的国家在提供和维持适当治疗方案方面面临的困难。本文还描述了目前针对 HIV 治愈的临床和临床前方法,包括针对病毒库的新药化合物和旨在改变 HIV 感染易感性的基因治疗方法。本文还总结了疫苗开发的最新进展,包括新方法和新发现。