Patel Shabnum, Jones R Brad, Nixon Douglas F, Bollard Catherine M
Institute for Biomedical Sciences, The George Washington University, Washington, DC, USA; Department of Microbiology, Immunology, and Tropical Medicine, The George Washington University, Washington, DC, USA; Program for Cell Enhancement and Technologies for Immunotherapy, Children's National Health System, Washington, DC, USA.
Department of Microbiology, Immunology, and Tropical Medicine, The George Washington University, Washington, DC, USA.
Cytotherapy. 2016 Aug;18(8):931-942. doi: 10.1016/j.jcyt.2016.04.007. Epub 2016 Jun 2.
Although antiretroviral therapy (ART) has been successful in controlling HIV infection, it does not provide a permanent cure, requires lifelong treatment, and HIV-positive individuals are left with social concerns such as stigma. The recent application of T cells to treat cancer and viral reactivations post-transplant offers a potential strategy to control HIV infection. It is known that naturally occurring HIV-specific T cells can inhibit HIV initially, but this response is not sustained in the majority of people living with HIV. Genetically modifying T cells to target HIV, resist infection, and persist in the immunosuppressive environment found in chronically infected HIV-positive individuals might provide a therapeutic solution for HIV. This review focuses on successful preclinical studies and current clinical strategies using T-cell therapy to control HIV infection and mediate a functional cure solution.
尽管抗逆转录病毒疗法(ART)在控制HIV感染方面取得了成功,但它并不能提供永久性治愈,需要终身治疗,而且HIV阳性个体还面临着诸如耻辱感等社会问题。最近将T细胞应用于治疗癌症和移植后病毒再激活为控制HIV感染提供了一种潜在策略。已知天然存在的HIV特异性T细胞最初可以抑制HIV,但这种反应在大多数HIV感染者中无法持续。对T细胞进行基因改造,使其靶向HIV、抵抗感染并在慢性感染的HIV阳性个体的免疫抑制环境中持续存在,可能为HIV提供一种治疗解决方案。本综述重点关注使用T细胞疗法控制HIV感染并介导功能性治愈方案的成功临床前研究和当前临床策略。