新型疗法和策略以遏制 HIV 感染,重点关注巨噬细胞和病毒储存库。
New Therapies and Strategies to Curb HIV Infections with a Focus on Macrophages and Reservoirs.
机构信息
Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Via Pietro Bucci, 87036 Arcavacata di Rende, Italy.
Department of Pharmacy-Drug Sciences, University of Bari "Aldo Moro", 70126 Bari, Italy.
出版信息
Viruses. 2024 Sep 18;16(9):1484. doi: 10.3390/v16091484.
More than 80 million people worldwide have been infected with the human immunodeficiency virus (HIV). There are now approximately 39 million individuals living with HIV/acquired immunodeficiency syndrome (AIDS). Although treatments against HIV infection are available, AIDS remains a serious disease. Combination antiretroviral therapy (cART), also known as highly active antiretroviral therapy (HAART), consists of treatment with a combination of several antiretroviral drugs that block multiple stages in the virus replication cycle. However, the increasing usage of cART is inevitably associated with the emergence of HIV drug resistance. In addition, the development of persistent cellular reservoirs of latent HIV is a critical obstacle to viral eradication since viral rebound takes place once anti-retroviral therapy (ART) is interrupted. Thus, several efforts are being applied to new generations of drugs, vaccines and new types of cART. In this review, we summarize the antiviral therapies used for the treatment of HIV/AIDS, both as individual agents and as combination therapies, and highlight the role of both macrophages and HIV cellular reservoirs and the most recent clinical studies related to this disease.
全球有超过 8000 万人感染了人类免疫缺陷病毒(HIV)。目前,约有 3900 万人感染 HIV 并患有获得性免疫缺陷综合征(AIDS)。尽管有针对 HIV 感染的治疗方法,但 AIDS 仍然是一种严重的疾病。联合抗逆转录病毒疗法(cART),也称为高效抗逆转录病毒疗法(HAART),包括使用多种抗逆转录病毒药物联合治疗,这些药物可以阻断病毒复制周期的多个阶段。然而,cART 的广泛使用不可避免地伴随着 HIV 耐药性的出现。此外,潜伏 HIV 细胞储库的持续存在是病毒清除的一个关键障碍,因为一旦中断抗逆转录病毒治疗(ART),病毒就会反弹。因此,人们正在努力开发新一代药物、疫苗和新型 cART。在这篇综述中,我们总结了用于治疗 HIV/AIDS 的抗病毒疗法,包括作为单一药物和联合疗法的抗病毒疗法,并强调了巨噬细胞和 HIV 细胞储库的作用,以及与这种疾病相关的最新临床研究。