Section of Infections of the Nervous System, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
J Virol. 2020 Jan 17;94(3). doi: 10.1128/JVI.00375-19.
A disease of more than 39.6 million people worldwide, HIV-1 infection has no curative therapy. To date, one man has achieved a sterile cure, with millions more hoping to avoid the potential pitfalls of lifelong antiretroviral therapy and other HIV-related disorders, including neurocognitive decline. Recent developments in immunotherapies and gene therapies provide renewed hope in advancing efforts toward a sterilizing or functional cure. On the horizon is research concentrated in multiple separate but potentially complementary domains: vaccine research, viral transcript editing, T-cell effector response targeting including checkpoint inhibitors, and gene editing. Here, we review the concept of targeting the HIV-1 tissue reservoirs, with an emphasis on the central nervous system, and describe relevant new work in functional cure research and strategies for HIV-1 eradication.
全球有超过 3960 万人患有这种疾病,HIV-1 感染目前还没有治愈的方法。迄今为止,只有一名男性实现了无病毒治愈,还有数百万人希望避免终身接受抗逆转录病毒治疗和其他与 HIV 相关的疾病,包括神经认知能力下降。免疫疗法和基因疗法的最新进展为推进实现根治或功能性治愈的努力带来了新的希望。目前的研究集中在多个独立但可能互补的领域:疫苗研究、病毒转录编辑、包括检查点抑制剂在内的 T 细胞效应器反应靶向以及基因编辑。在这里,我们回顾了针对 HIV-1 组织储库的治疗方法,重点介绍了中枢神经系统,并描述了功能性治愈研究和 HIV-1 根除策略的相关新工作。