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CRISPR-Cas9技术为治疗艾滋病带来新希望与前景。

New hope and promise with CRISPR-Cas9 technology for the treatment of HIV.

作者信息

Hassan Hesham M, Zubair Akmal, Helal Mohamed H, Almagharbeh Wesam Taher, Elmagzoub Ranya Mohammed

机构信息

Department of Pathology, College of Medicine, King Khalid University, Abha, Saudi Arabia.

Department of Biotechnology, Quaid-I-Azam University, Islamabad, Pakistan.

出版信息

Funct Integr Genomics. 2025 May 24;25(1):108. doi: 10.1007/s10142-025-01613-1.

Abstract

The commencement of Highly Active Antiretroviral Therapy almost completely stopped viral replication, enabling the immune system to restore its full functionality. The rise in life expectancy has resulted in a decrease in the incidence of classical infections and HIV-associated cancers. HAART has raised concerns, including its exorbitant cost (which hinders its implementation in developing nations), the need for strict adherence, and the potential for both immediate and prolonged ill effects. Lipodystrophy is a significant long-term consequence of HIV that may result in central fat accumulation and severe peripheral fat depletion. Current initiatives to tackle these difficulties include the global expansion of access to HAART, the development of novel drugs that mitigate early side effects, and the introduction of once-daily drug combinations that enhance adherence. The CRISPR-Cas9 system has facilitated the creation of a powerful instrument for precise gene editing. This method has lately established itself as the gold standard for efficient HIV-1 genome editing in HIV therapy, owing to progress in related disciplines. CRISPR may be customized to cleave specific sequences by altering Cas9. This article offers a concise overview of promising CRISPR-Cas9 technology. This technique has the potential to halt the transmission of HIV-1 and alleviate its symptoms. CRISPR-Cas9 technology will be significant in the fight against HIV-1 in the future.

摘要

高效抗逆转录病毒疗法的启动几乎完全阻止了病毒复制,使免疫系统能够恢复其全部功能。预期寿命的提高导致经典感染和与艾滋病相关癌症的发病率下降。高效抗逆转录病毒疗法引发了一些担忧,包括其高昂的成本(这阻碍了其在发展中国家的应用)、严格依从性的必要性以及即刻和长期不良影响的可能性。脂肪代谢障碍是艾滋病的一个重要长期后果,可能导致中心性脂肪堆积和严重的外周脂肪消耗。当前应对这些困难的举措包括在全球范围内扩大获得高效抗逆转录病毒疗法的机会、开发减轻早期副作用的新型药物以及引入提高依从性的每日一次药物组合。CRISPR-Cas9系统促进了一种强大的精确基因编辑工具的创建。由于相关学科的进展,这种方法最近已成为艾滋病治疗中高效HIV-1基因组编辑的金标准。通过改变Cas9,CRISPR可以被定制以切割特定序列。本文简要概述了有前景的CRISPR-Cas9技术。这项技术有可能阻止HIV-1的传播并减轻其症状。CRISPR-Cas9技术在未来对抗HIV-1的斗争中将具有重要意义。

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