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CCR5 调控治疗 HIV 感染的最新进展

Recent developments in CCR5 regulation for HIV cure.

机构信息

Department of Biotechnology, School of Engineering and Technology, Sharda University, Greater Noida, Uttar Pradesh, India.

Department of Biotechnology, School of Engineering and Technology, Sharda University, Greater Noida, Uttar Pradesh, India.

出版信息

Adv Protein Chem Struct Biol. 2021;126:123-149. doi: 10.1016/bs.apcsb.2021.01.004. Epub 2021 Feb 22.

Abstract

Acquired immunodeficiency syndrome (AIDS) has affected millions of people worldwide. The human immunodeficiency virus (HIV) which infects T cells by using CD4 as its main receptor. Currently different treatments are available against HIV infection which can improve life expectancy of the patient but still it remains incurable. CCR5, which is also required as a co-receptor by majority of HIV strains for entry into the target cells, is now being targeted for gene therapy to develop HIV resistance in patients. In this review, we discuss different strategies that are being adapted for CCR5-gene disruption in CD4 T cells and in hematopoietic stem cells (HSCs) to generate a HIV-resistant immune system in infected individuals. If CCR5 gene that can shape HIV-resistant T cells, it will aim in new approaches in clinical trials. But these techniques have certain weaknesses and disadvantages, and will need to be paired with other strategies to form a full HIV remedy. There is also a need to establish methods to help deter HIV re-emergence following targeted CCR5 therapy. But ultimately, this brought us a better knowledge of the road to HIV treatment.

摘要

获得性免疫缺陷综合征(AIDS)已影响全球数百万人。感染 T 细胞的人类免疫缺陷病毒(HIV)主要利用 CD4 作为其主要受体。目前,针对 HIV 感染有多种治疗方法,可以提高患者的预期寿命,但仍无法治愈。CCR5 也是大多数 HIV 毒株进入靶细胞所需的辅助受体,目前正在针对基因治疗进行靶向研究,以开发患者的 HIV 耐药性。在这篇综述中,我们讨论了针对 CD4 T 细胞和造血干细胞(HSCs)中的 CCR5 基因进行破坏以在感染个体中产生 HIV 抗性免疫系统的不同策略。如果 CCR5 基因能够塑造 HIV 抗性 T 细胞,它将成为临床试验中新方法的目标。但这些技术存在某些弱点和缺点,需要与其他策略相结合,以形成完整的 HIV 治疗方法。还需要建立方法来帮助阻止靶向 CCR5 治疗后 HIV 的再次出现。但最终,这使我们更好地了解了 HIV 治疗的道路。

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