Ka'e Aude Christelle, Chenwi Collins Ambe, Esemu Livo, Tene Hillary, Djounda Romeo, Yagai Bouba, Nanfack Aubin, Nka Alex Durand, Etame Naomi-Karell, Ngoufack Jagni Semengue Ezechiel, Godwe Celestin, Awanakan Honore, Acho Fon Abongwa, Mofor Caroline, Beryle Mambo Musi, Bissohong Benoit, Joanes T Jang, Forgwei Lum, Awoh Rogers Ajeh, Halle Ekane Gregory Edie, Jones R Brad, Tongo Marcel, Maiga Almoustapha-Issiaka, Toni Thomas, Chatte Adawaye, Mangala Christian, Bangola Denis Maulot, Malik Diouara Abou Abdallah, Wade Djibril, Temfack Elvis, Tessema Sofonias Kifle, Kamangu Erick Ntambwe, Mossoro-Kpinde Christian Diamant, Ayokamnmi Mobereade, Ghoma Linguissi Laure Stella, Kouanfack Charles, Ndjolo Alexis, Tassembedo Souleymane, Colizzi Vittorio, Boraschi Diana, Dong Krista L, Dubé Karine, Ndembi Nicaise, Deeks Steven G, Tiemessen Caroline T, Ndung'u Thumbi, Perno Carlo-Federico, Persaud Deborah, Fokam Joseph
Chantal Biya International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaoundé, Cameroon.
Research-for-cure Academy, International AIDS Society, Johannesburg, South Africa.
J Virus Erad. 2025 Jun 27;11(3):100603. doi: 10.1016/j.jve.2025.100603. eCollection 2025 Sep.
Despite global efforts to eliminate HIV as a public health threat, sub-Saharan Africa (SSA) still harbours about the highest burden of the pandemic, home to around 70 % of people living with HIV with limited contribution in the field of HIV cure research, especially in West and Central Africa (WCA). This gap is mainly due to challenges that researchers of this region are facing in initiating and advancing HIV cure research locally, with lesser commitment from the French-speaking countries. Furthermore, capacity-building of early career scientists on HIV cure research remains constrained due to limited awareness and language barriers to existing opportunities. Even though HIV non-B subtypes represent 89 % of circulating subtypes worldwide, cure research has been extensively focused on subtype B (prevalent in America and Europe). Interestingly, WCA (known as HIV pandemic epicentre with a broad genetic diversity) offers a unique landscape for cure research with a likelihood of generalisability across various HIV subtypes. This viewpoint discusses the importance of establishing an HIV Cure Academy for WCA to support scientists, policymakers and community stakeholders from French-speaking countries in contributing to the global efforts towards HIV cure. Building on discussions, the establishment of an "HIV Cure Academy" emerges as a hallmark to: (i) raise awareness, (ii) build capacity, (iii) address scientific gaps, (iv) develop networks, and (v) foster advocacy and policy-briefing on integrating HIV cure research into national HIV agenda. The Academy is envisioned as a hub, facilitating relationships between community-based organizations, people living with HIV (PLHIV), research institutions and decision makers. This hub will also champion the "Advocacy for Cure" agenda in the sub-region, enhance multidisciplinary approach to identify local HIV cure research priorities that address the global problem. Of prime importance, research priorities in WCA include: (i) the measurement and characterization of viral reservoirs; (ii) investigation in immune responses including bNAbs, T-cell function, cytokines profiles and hosts genetic factors; (iii) identification of elite and post-treatment controllers; (iv) development of accessible technologies for point-of-care HIV DNA testing, biomarker detection, and latency-modifying agents to support functional cure strategies; (v) innovation in cost-effective and scalable therapeutic interventions suitable for low-resource settings; (vi) the strengthen of community involvement through citizen science, address ethical considerations, and engage PLHIV in the co-design of cure research initiatives; (vii) the establishment of regional training platforms, such as a Research-for-Cure Academy, to enhance scientific capacity and collaboration in West and Central Africa. Following the model of the International AIDS Society (IAS) Research-for-cure academy, the WCA HIV Cure Academy represents a key hub in achieving the goals of HIV cure, through local actions that contribute to addressing a global problem.
尽管全球都在努力消除艾滋病毒这一公共卫生威胁,但撒哈拉以南非洲(SSA)仍然是该流行病负担最严重的地区,约70%的艾滋病毒感染者居住于此,而在艾滋病毒治愈研究领域的贡献有限,尤其是在西非和中非(WCA)。这一差距主要是由于该地区的研究人员在当地启动和推进艾滋病毒治愈研究时面临挑战,且法语国家的投入较少。此外,由于对现有机会的认识有限和语言障碍,早期职业科学家在艾滋病毒治愈研究方面的能力建设仍然受到限制。尽管艾滋病毒非B亚型占全球流行亚型的89%,但治愈研究主要集中在B亚型(在美国和欧洲流行)。有趣的是,西非和中非(作为艾滋病毒大流行的中心,具有广泛的基因多样性)为治愈研究提供了独特的前景,有可能推广到各种艾滋病毒亚型。本观点讨论了为西非和中非建立艾滋病毒治愈学院的重要性,以支持来自法语国家的科学家、政策制定者和社区利益相关者为全球艾滋病毒治愈努力做出贡献。基于讨论,建立“艾滋病毒治愈学院”成为一个标志,以:(i)提高认识;(ii)建设能力;(iii)填补科学空白;(iv)发展网络;(v)促进将艾滋病毒治愈研究纳入国家艾滋病毒议程的宣传和政策简报。该学院被设想为一个枢纽,促进社区组织、艾滋病毒感染者(PLHIV)、研究机构和决策者之间的关系。这个枢纽还将在该次区域倡导“治愈倡导”议程,加强多学科方法,以确定解决全球问题的当地艾滋病毒治愈研究重点。至关重要的是,西非和中非的研究重点包括:(i)病毒储存库的测量和特征描述;(ii)免疫反应的研究,包括广谱中和抗体、T细胞功能、细胞因子谱和宿主遗传因素;(iii)识别精英和治疗后病毒控制者;(iv)开发适用于即时护理艾滋病毒DNA检测、生物标志物检测和潜伏期修饰剂的可及技术,以支持功能性治愈策略;(v)创新具有成本效益且可扩展的治疗干预措施,适用于资源匮乏地区;(vi)通过公民科学加强社区参与,解决伦理问题,并让艾滋病毒感染者参与治愈研究倡议的共同设计;(vii)建立区域培训平台,如治愈研究学院,以加强西非和中非的科学能力和合作。遵循国际艾滋病协会(IAS)治愈研究学院的模式,西非和中非艾滋病毒治愈学院通过有助于解决全球问题的当地行动,成为实现艾滋病毒治愈目标的关键枢纽。