Virology Lab, Centre for Advance Study, Department of Botany, University of Calcutta, 35 Ballygunge Circular Road, Kolkata, 700019, India.
AIDS Res Ther. 2022 Dec 1;19(1):58. doi: 10.1186/s12981-022-00483-y.
The development of antiretroviral therapy (ART) has been effective in suppressing HIV replication. However, severe drug toxicities due to the therapy and its failure in targeting the integrated proviral genome have led to the introduction of a new paradigm of gene-based therapies. With its effective inhibition and high precision, clustered regularly interspaced short palindromic repeats (CRISPR)-associated protein-9 nuclease (Cas9) or CRISPR/Cas9 has emerged as an effective genome editing tool in the last decade. Mediated by guide RNAs (gRNAs), Cas9 endonuclease acts like genetic scissors that can modify specific target sites. With this concept, CRISPR/Cas9 has been used to target the integrated proviral HIV-1 genome both in in vitro as well as in vivo studies including non-human primates. The CRISPR has also been tested for targeting latent HIV-1 by modulating the proviral transcription with the help of a specialized Cas9 mutant. Overcoming the limitations of the current therapy, CRISPR has the potential to become the primary genome editing tool for eradicating HIV-1 infection. In this review, we summarize the recent advancements of CRISPR to target the proviral HIV-1 genome, the challenges and future prospects.
抗逆转录病毒疗法 (ART) 的发展在抑制 HIV 复制方面非常有效。然而,由于该疗法的严重药物毒性及其未能靶向整合的前病毒基因组,导致引入了一种新的基于基因的治疗范例。在过去的十年中,成簇规律间隔短回文重复 (CRISPR)-相关蛋白 9 核酸酶 (Cas9) 或 CRISPR/Cas9 因其有效抑制和高精度而成为一种有效的基因组编辑工具。在向导 RNA (gRNA) 的介导下,Cas9 内切酶像基因剪刀一样,可以修饰特定的靶位点。有了这个概念,CRISPR/Cas9 已经被用于靶向整合的 HIV-1 前病毒基因组,无论是在体外还是体内研究,包括非人类灵长类动物。CRISPR 还通过利用专门的 Cas9 突变体来调节前病毒转录,从而被测试用于靶向潜伏的 HIV-1。克服当前疗法的局限性,CRISPR 有可能成为根除 HIV-1 感染的主要基因组编辑工具。在这篇综述中,我们总结了最近针对 HIV-1 前病毒基因组的 CRISPR 靶向进展、挑战和未来前景。