Projects per year
Abstract
The HIV latent reservoir represents the major challenge to cure development. Residing in resting CD4+ T cells and myeloid cells at multiple locations in the body, including sanctuary sites such as the brain, the latent reservoir is not eliminated by ART and has the ability to reactivate virus replication to pre-therapy levels when ART is ceased. There are four broad areas of HIV cure research. The only successful cure strategy, thus far, is stem cell transplantation using naturally HIV resistant CCR5Δ32 stem cells. A second potential cure approach uses gene editing technology, such as zinc-finger nucleases and CRISPR/Cas9. Another two cure strategies aim to control the HIV reservoir, with polar opposite concepts; The “shock and kill” approach, which aims to “shock” or reactivate the latent virus and then “kill” infected cells via targeted immune responses. Lastly, the “block and lock” approach, which aims to enhance the latent virus state by “blocking” HIV transcription and “locking” the HIV promoter in a deep latent state via epigenetic modifications. “Shock and kill” approaches are a major focus of cure studies, however we predict that the increased specificity of “block and lock” approaches will be required for the successful development of a sustained HIV clinical remission in the absence of ART. This review focuses on the current research of novel “block and lock” approaches being explored to generate an HIV cure via induction of epigenetic silencing. We will also discuss potential future therapeutic delivery and the challenges associated with progressing “block and lock” cure approaches as these move toward clinical trials.
Original language | English |
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Article number | 424 |
Number of pages | 13 |
Journal | Frontiers in Cellular and Infection Microbiology |
Volume | 10 |
DOIs | |
Publication status | Published - 14 Aug 2020 |
Keywords
- block and lock
- cure strategies
- epigenetic silencing
- HIV-1
- latent reservoir
Projects
- 1 Finished
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ARC Centre of Excellence in Convergent Bio-Nano Science and Technology
Davis, T., Boyd, B., Bunnett, N., Porter, C., Caruso, F., Kent, S., Thordarson, P., Kearnes, M., Gooding, J., Kavallaris, M., Thurecht, K., Whittaker, A. K., Parton, R., Corrie, S. R., Johnston, A., McGhee, J., Greguric, I. D., Stevens, M. M., Lewis, J. S., Lee, D. S., Alexander, C., Dawson, K., Hawker, C., Haddleton, D., Thierry, B., Prestidge, C. A., Meyer, A., Jones-Jayasinghe, N., Voelcker, N., Nann, T. & McLean, K.
Australian Research Council (ARC), Monash University, University of Melbourne, University of New South Wales (UNSW), University of Queensland , University of South Australia, Monash University – Internal Faculty Contribution, University of Wisconsin Madison, Memorial Sloan Kettering Cancer Center, University of California System, University College Dublin, Imperial College London, University of Warwick, SungKyunKwan University, Australian Nuclear Science and Technology Organisation (ANSTO) , University of Nottingham
30/06/14 → 29/06/21
Project: Research