1. Shocking HIV-1 with immunomodulatory latency reversing agents
- Author
-
Carine Van Lint, Gilles Darcis, Anna Kula-Pacurar, and Anthony Rodari
- Subjects
0301 basic medicine ,CD4-Positive T-Lymphocytes ,T cell ,Immunology ,Human immunodeficiency virus (HIV) ,HIV Infections ,CD8-Positive T-Lymphocytes ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Latent Virus ,Immunology and Allergy ,Medicine ,Humans ,Latency (engineering) ,biology ,business.industry ,Virus Latency ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,biology.protein ,HIV-1 ,Reversing ,Virus Activation ,Antibody ,business ,Neuroscience ,CD8 - Abstract
The "shock-and-kill" strategy is one of the most explored HIV-1 cure approaches to eliminate latent virus. This strategy is based on HIV-1 reactivation using latency reversing agents (LRAs) to reactivate latent proviruses (the "shock" phase) and to induce subsequent elimination of the reactivated cells by immune responses or virus-induced cytopathic effects (the "kill" phase). Studies using immunomodulatory LRAs such as blockers of immune checkpoint molecules, toll-like receptor agonists, cytokines and CD8+ T cell depleting antibodies showed promising potential as LRAs inducing directly or indirectly cellular pathways known to control HIV transcription. However, the precise molecular mechanisms by which these immunomodulatory LRAs reverse latency remain incompletely understood. Together with the heterogenous nature of HIV-1 latency, this lack of understanding complicates efforts to develop more efficient and safer cure strategies. Hence, deciphering those mechanisms is pivotal in designing approaches to eliminate latent HIV infection.
- Published
- 2021