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开发 CAR-T 细胞以长期清除和监测 HIV-1 储存库。

Development of CAR-T cells for long-term eradication and surveillance of HIV-1 reservoir.

机构信息

Institute of Human Virology, Key Laboratory of Tropical Disease Control of Ministry of Education, Guangdong Engineering Research Center for Antimicrobial Agent and Immunotechnology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong, China.

Institute of Human Virology, Key Laboratory of Tropical Disease Control of Ministry of Education, Guangdong Engineering Research Center for Antimicrobial Agent and Immunotechnology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong, China.

出版信息

Curr Opin Virol. 2019 Oct;38:21-30. doi: 10.1016/j.coviro.2019.04.004. Epub 2019 May 25.

Abstract

Human immunodeficiency virus type 1 (HIV-1) reservoir is a pool of latently infected cells harboring replication-competent proviral DNA that limits antiretroviral therapy. Suppression of HIV-1 by combination antiretroviral therapy (cART) delays progression of the disease but does not eliminate the viral reservoir, necessitating lifetime daily administration of antiretroviral drugs. To achieve durable suppression of viremia without daily therapy, various strategies have been developed, including long-acting antiretroviral drugs (LA-ARVs), broadly neutralizing antibodies (bNAbs), and chimeric antigen receptor T (CAR-T) cells. Here, we summarize and discuss recent breakthroughs in CAR-T cell therapies toward the eradication of HIV-1 reservoir. Although substantial challenges exist, CAR-T cell technology may serve as a promising strategy toward HIV-1 functional cure.

摘要

人类免疫缺陷病毒 1 型(HIV-1)储存库是潜伏感染细胞的池,其中含有具有复制能力的前病毒 DNA,限制了抗逆转录病毒治疗。联合抗逆转录病毒疗法(cART)抑制 HIV-1 可延缓疾病进展,但不能消除病毒储存库,因此需要终身每日服用抗逆转录病毒药物。为了在不进行日常治疗的情况下实现持久的病毒血症抑制,已经开发了各种策略,包括长效抗逆转录病毒药物(LA-ARVs)、广泛中和抗体(bNAbs)和嵌合抗原受体 T(CAR-T)细胞。在这里,我们总结和讨论了 CAR-T 细胞疗法在消除 HIV-1 储存库方面的最新突破。尽管存在重大挑战,但 CAR-T 细胞技术可能成为 HIV-1 功能性治愈的一种有前途的策略。

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