Current status of latency reversing agents facing the heterogeneity of HIV-1 cellular and tissue reservoirs
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One of the most explored therapeutic approach aiming at eradicating the HIV-1 reservoirs is the “shock and kill” strategy which is based on HIV-1 reactivation in latently-infected cells (“shock” phase), while maintaining ART in order to prevent spreading of the infection by the neosynthesized virus. This kind of strategy would allow the “kill” phase during which latently-infected cells would then die from viral cytopathic effects or from host cytolytic effector mechanisms following viral reactivation. Several latency reversing agents (LRAs) with distinct mechanistic classes have been characterized to reactivate HIV-1 viral gene expression. Some LRAs have been tested in terms of their potential to purge latent HIV-1 in vivo in clinical trials, showing that reversing HIV-1 latency is possible. However, LRAs alone have failed to reduce the size of the viral reservoirs. Together with the inability of the immune system to clear the LRA-activated reservoirs and the lack of specificity of these LRAs, the heterogeneity of the reservoirs largely contributes to the limited success of clinical trials using LRAs. Indeed, HIV-1 latency is established in numerous cell types that are characterized by distinct phenotypes and metabolic properties, and these are influenced by patient history. Hence, the silencing mechanisms of HIV-1 gene expression in these cellular and tissue reservoirs need to be better understood to rationally improve this cure strategy and hopefully reach clinical success.
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Multiple approaches to quantitatively reactivate latent proviruses during suppressive ART have failed or were only marginally successful.
“Multiple approaches to quantitatively reactivate latent proviruses during suppressive ART have failed or were only marginally successful. 15”
From Revealing viral and cellular dynamics of HIV-1 at the single-cell level during early treatment periods (2023) · cites this paper as [15]
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Current State of Therapeutics for HTLV-1
Wang, T. T., Hirons, A., Doerflinger, M., Morris, K. V., Ledger, S., Purcell, D. F. J., Kelleher, A. D., & Ahlenstiel, C. L. (2024) · Viruses · doi:10.3390/v16101616 · Cited by 22 · see citing works
“Recently, an attenuated BLV vaccine was developed that harbours a mutation in the env gene and deletions of sense and anti-sense accessory genes (AS1-S, AS1-L, R3 and G4) [350].”
BackgroundOtte, F., Zhang, Y., Spagnuolo, J., Thielen, A., Däumer, M., Wiethe, C., Stoeckle, M., Kusejko, K., Klein, F., Metzner, K. J., et al. (2023) · Cell Reports Methods · doi:10.1016/j.crmeth.2023.100485 · Cited by 4 · see citing works
“Multiple approaches to quantitatively reactivate latent proviruses during suppressive ART have failed or were onlymarginally successful.(15) In contrast, even after extended periods of complete viral suppression, a therapy interruption typically induces the rapid rebound of HIV-1 in peripheral blood.”
Background
- Authors
- Ait-Ammar, A., Kula, A., Darcis, G., Verdikt, R., De Wit, S., Gautier, V., Mallon, P. W. G., Marcello, A., Rohr, O., & Van Lint, C.
- Affiliations
- Jagiellonian University (PL)
- Centre Hospitalier Universitaire de Liège (BE)
- Université Libre de Bruxelles (BE)
- University College Dublin (IE)
- International Centre for Genetic Engineering and Biotechnology (IT)
- Université de Strasbourg (FR)
- ORCID
- Venue
- Frontiers in Microbiology
- Publisher
- Frontiers Media SA
- Published
- 2020-01-24
- Volume
- 10
- Pages
- 3060-3060
- ISSN
- 1664-302X (ISSN-L)
- PMC
- PMC6993040
- OpenAlex
- W3000848632
- Cited by
- 163
- References
- 4
- Citations by year
- 2026: 9 · 2025: 18 · 2024: 25 · 2023: 24 · 2022: 41 · 2021: 33 · 2020: 12 · 2019: 1
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Microbiology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Lirias (submittedVersion, cc-by)
- Jagiellonian University Repository (Jagiellonian University) (submittedVersion, other-oa)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- ORBi (University of Liège) (submittedVersion, other-oa)
- univOAK (4 institutions : Université de Strasbourg, Université de Haute Alsace, INSA Strasbourg, Bibliothèque Nationale et Universitaire de Strasbourg) (submittedVersion, cc-by)
- Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
- Funders
- Health Research Board (ILP-POR-2017-084, ILP-POR-2019-081)
- Les Amis des Instituts Pasteur à Bruxelles
- European Commission (MSCA-RISE-2015, H2020‐MSCA‐RISE‐2015, 691119, HORIZON2020, H2020, H2020-MSCA, H2020 MSCA Rise)
- Fonds De La Recherche Scientifique - FNRS
- Koning Boudewijnstichting
- Wallonie-Bruxelles International
- Horizon 2020 Framework Programme (H2020-MSCA, H2020-MSCA-RISE, H2020-MSCA-RISE-2015, 691119, MSCA-RISE-2015)
- Topics
- Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
- Keywords
- latency-reversing agents, HIV-1 latency, HIV-1 reservoir, shock and kill strategy, viral reactivation, latent HIV-1, reservoir heterogeneity, HIV cure, antiretroviral therapy, clinical trials
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