[HTML][HTML] Can HIV-1-specific ADCC assist the clearance of reactivated latently infected cells?

WS Lee, MS Parsons, SJ Kent, M Lichtfuss - Frontiers in immunology, 2015 - frontiersin.org
WS Lee, MS Parsons, SJ Kent, M Lichtfuss
Frontiers in immunology, 2015frontiersin.org
Combination antiretroviral therapy (cART) has transformed the outcome of human
immunodeficiency virus-1 (HIV-1) infection from a severe immunodeficiency syndrome to a
chronic clinically manageable disease. However, patients require lifelong therapy and are at
risk of developing non-AIDS complications (1, 2). Despite viral suppression in patients on
cART, HIV-1 persists via the establishment of a latent reservoir. The adverse aspects and
burden of lifelong cART together with the establishment of HIV-1 latency substantiate the …
Combination antiretroviral therapy (cART) has transformed the outcome of human immunodeficiency virus-1 (HIV-1) infection from a severe immunodeficiency syndrome to a chronic clinically manageable disease. However, patients require lifelong therapy and are at risk of developing non-AIDS complications (1, 2). Despite viral suppression in patients on cART, HIV-1 persists via the establishment of a latent reservoir. The adverse aspects and burden of lifelong cART together with the establishment of HIV-1 latency substantiate the need for an HIV-1 cure. A cure will either require complete eradication of the latent HIV-1 reservoir (termed “sterilizing cure”), or a sufficient reduction of HIV-1 levels wherein long-term viral suppression can be achieved without cART (termed “functional cure”). A key barrier to an HIV-1 cure is the persistence of latent replication-competent HIV-1 within long-lived resting CD4+ T cells (3). Without active HIV-1 replication or antigen expression, these latently infected cells are hidden from cART and are not eliminated by immune responses.
Frontiers