Halper-Stromberg Ariel, Nussenzweig Michel C
J Clin Invest. 2016 Feb;126(2):415-23. doi: 10.1172/JCI80561. Epub 2016 Jan 11.
Current antiretroviral drug therapies do not cure HIV-1 because they do not eliminate a pool of long-lived cells harboring immunologically silent but replication-competent proviruses - termed the latent reservoir. Eliminating this reservoir and stimulating the immune response to control infection in the absence of therapy remain important but unsolved goals of HIV-1 cure research. Recently discovered broadly neutralizing antibodies (bNAbs) exhibit remarkable breadth and potency in their ability to neutralize HIV-1 in vitro, and recent studies have demonstrated new therapeutic applications for passively administered bNAbs in vivo. This Review discusses the roles bNAbs might play in HIV-1 treatment regimens, including prevention, therapy, and cure.
目前的抗逆转录病毒药物疗法无法治愈HIV-1,因为它们无法清除一群携带免疫沉默但具有复制能力的前病毒的长寿细胞——即所谓的潜伏库。在没有治疗的情况下消除这个库并刺激免疫反应以控制感染,仍然是HIV-1治愈研究的重要但尚未解决的目标。最近发现的广谱中和抗体(bNAb)在体外中和HIV-1的能力方面表现出显著的广度和效力,最近的研究已经证明了被动给药的bNAb在体内的新治疗应用。本综述讨论了bNAb在HIV-1治疗方案中可能发挥的作用,包括预防、治疗和治愈。