Vasukutty Arathy, Jang Yeonwoo, Han Dongwan, Park Hansoo, Park In-Kyu
Department of Biomedical Sciences and BioMedical Sciences Graduate Program (BMSGP), Chonnam National University Medical School, Jeollanam-do 58128, Republic of Korea.
School of Integrative Engineering, Chung-Ang University, Seoul 06974, Republic of Korea.
Biomater Res. 2024 Oct 16;28:0078. doi: 10.34133/bmr.0078. eCollection 2024.
The investigation into viral latency illuminates its pivotal role in the survival strategies of diverse viruses, including herpesviruses, HIV, and HPV. This underscores the delicate balance between dormancy and the potential for reactivation. The study explores the intricate mechanisms governing viral latency, encompassing episomal and proviral forms, and their integration with the host's genetic material. This integration provides resilience against cellular defenses, substantially impacting the host-pathogen dynamic, especially in the context of HIV, with implications for clinical outcomes. Addressing the challenge of eradicating latent reservoirs, this review underscores the potential of epigenetic and genetic interventions. It highlights the use of innovative nanocarriers like nanoparticles and liposomes for delivering latency-reversing agents. The precision in delivery, capacity to navigate biological barriers, and sustained drug release by these nanocarriers present a promising strategy to enhance therapeutic efficacy. The review further explores nanotechnology's integration in combating latent viral infections, leveraging nanoparticle-based platforms for drug delivery, gene editing, and vaccination. Advances in lipid-based nanocarriers, polymeric nanoparticles, and inorganic nanoparticles are discussed, illustrating their potential for targeted, efficient, and multifunctional antiviral therapy. By merging a deep understanding of viral latency's molecular underpinnings with nanotechnology's transformative capabilities, this review underscores the promise of novel therapeutic interventions. These interventions have great potential for managing persistent viral infections, heralding a new era in the fight against diseases such as neuroHIV/AIDS, herpes, and HPV.
对病毒潜伏的研究揭示了其在多种病毒(包括疱疹病毒、人类免疫缺陷病毒和人乳头瘤病毒)生存策略中的关键作用。这突出了潜伏与重新激活可能性之间的微妙平衡。该研究探索了控制病毒潜伏的复杂机制,包括游离型和前病毒形式,以及它们与宿主遗传物质的整合。这种整合提供了抵御细胞防御的能力,对宿主 - 病原体动态产生重大影响,特别是在人类免疫缺陷病毒的背景下,对临床结果具有重要意义。在应对根除潜伏病毒库的挑战方面,本综述强调了表观遗传和基因干预的潜力。它强调了使用纳米颗粒和脂质体等创新纳米载体来递送潜伏逆转剂。这些纳米载体在递送方面的精确性、跨越生物屏障的能力以及持续药物释放呈现出一种有前景的策略,可提高治疗效果。该综述进一步探讨了纳米技术在对抗潜伏病毒感染中的整合,利用基于纳米颗粒的平台进行药物递送、基因编辑和疫苗接种。讨论了基于脂质的纳米载体、聚合物纳米颗粒和无机纳米颗粒的进展,说明了它们在靶向、高效和多功能抗病毒治疗中的潜力。通过将对病毒潜伏分子基础的深入理解与纳米技术的变革能力相结合,本综述强调了新型治疗干预措施的前景。这些干预措施在管理持续性病毒感染方面具有巨大潜力,预示着在对抗神经人类免疫缺陷病毒/艾滋病、疱疹和人乳头瘤病毒等疾病的斗争中开启了一个新时代。