New latency-promoting agents for a block-and-lock functional cure strategy.

Autor: Pellaers E; Molecular Virology and Gene Therapy, KU Leuven, Leuven, Flanders, Belgium., Denis A, Debyser Z
Jazyk: angličtina
Zdroj: Current opinion in HIV and AIDS [Curr Opin HIV AIDS] 2024 May 01; Vol. 19 (3), pp. 95-101. Date of Electronic Publication: 2024 Feb 27.
DOI: 10.1097/COH.0000000000000844
Abstrakt: Purpose of Review: Currently, HIV-infected patients are treated with antiretroviral therapy. However, when the treatment is interrupted, viral rebound occurs from latently infected cells. Therefore, scientists aim to develop an HIV-1 cure which eradicates or permanently silences the latent reservoir.
Recent Findings: Previously, scientists focused on the shock-and-kill cure strategy, which aims to eradicate the latent reservoir using latency-reactivating agents. Limited success shifts the interest towards the block-and-lock cure approach, which aims to achieve a functional cure by "blocking" HIV-1 transcription and "locking" the provirus in a deep latent state, resistant to treatment-interruption. In this strategy, latency promoting agents are used to induce transcriptional silencing and alter the epigenetics environment at the HIV promotor.
Summary: For the block-and-lock cure strategy to succeed more investigation into the transcriptional and epigenetic regulation of HIV-1 gene expression is necessary to design optimal latency-promoting agents. In this review, we will discuss the latency promoting agents that have been described in literature during the past 2 years (2022-2023).
(Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE