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The role of latency reversal in HIV cure strategies

Journal

JOURNAL OF MEDICAL PRIMATOLOGY
Volume 51, Issue 5, Pages 278-283

Publisher

WILEY
DOI: 10.1111/jmp.12613

Keywords

HIV cure strategies; HIV; HIV reservoir; immunotherapy; immune checkpoint blocker; latency reversal

Funding

  1. National Health and Medical Research Council
  2. National Institutes of Health
  3. Delaney AIDS Research Enterprise [UM1 AI164560-01]

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Although multiple latency reversal agents have shown activity in vitro, clinical trials have not demonstrated significant reduction in latently infected cells. New insights into the biology of HIV latency are being reviewed and novel approaches to enhance the efficacy of latency reversal agents are being discussed.
One strategy to eliminate latently infected cells that persist in people with HIV on antiretroviral therapy is to activate virus transcription and virus production to induce virus or immune-mediated cell death. This is called latency reversal. Despite clear activity of multiple latency reversal agents in vitro, clinical trials of latency-reversing agents have not shown significant reduction in latently infected cells. We review new insights into the biology of HIV latency and discuss novel approaches to enhance the efficacy of latency reversal agents.

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