Targeting CCR5 as a Component of an HIV-1 Therapeutic Strategy

Globally, human immunodeficiency virus type 1 (HIV-1) infection is a major health burden for which successful therapeutic options are still being investigated. Challenges facing current drugs that are part of the established life-long antiretroviral therapy (ART) include toxicity, development of dru...

Full description

Bibliographic Details
Main Authors: Hager Mohamed, Theodore Gurrola, Rachel Berman, Mackenzie Collins, Ilker K. Sariyer, Michael R. Nonnemacher, Brian Wigdahl
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.816515/full
_version_ 1798015485301751808
author Hager Mohamed
Theodore Gurrola
Rachel Berman
Mackenzie Collins
Ilker K. Sariyer
Michael R. Nonnemacher
Brian Wigdahl
author_facet Hager Mohamed
Theodore Gurrola
Rachel Berman
Mackenzie Collins
Ilker K. Sariyer
Michael R. Nonnemacher
Brian Wigdahl
author_sort Hager Mohamed
collection DOAJ
description Globally, human immunodeficiency virus type 1 (HIV-1) infection is a major health burden for which successful therapeutic options are still being investigated. Challenges facing current drugs that are part of the established life-long antiretroviral therapy (ART) include toxicity, development of drug resistant HIV-1 strains, the cost of treatment, and the inability to eradicate the provirus from infected cells. For these reasons, novel anti-HIV-1 therapeutics that can prevent or eliminate disease progression including the onset of the acquired immunodeficiency syndrome (AIDS) are needed. While development of HIV-1 vaccination has also been challenging, recent advancements demonstrate that infection of HIV-1-susceptible cells can be prevented in individuals living with HIV-1, by targeting C-C chemokine receptor type 5 (CCR5). CCR5 serves many functions in the human immune response and is a co-receptor utilized by HIV-1 for entry into immune cells. Therapeutics targeting CCR5 generally involve gene editing techniques including CRISPR, CCR5 blockade using antibodies or antagonists, or combinations of both. Here we review the efficacy of these approaches and discuss the potential of their use in the clinic as novel ART-independent therapies for HIV-1 infection.
first_indexed 2024-04-11T15:35:16Z
format Article
id doaj.art-07cd16400d2a4186931c3780183dcef6
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-04-11T15:35:16Z
publishDate 2022-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-07cd16400d2a4186931c3780183dcef62022-12-22T04:16:02ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-01-011210.3389/fimmu.2021.816515816515Targeting CCR5 as a Component of an HIV-1 Therapeutic StrategyHager Mohamed0Theodore Gurrola1Rachel Berman2Mackenzie Collins3Ilker K. Sariyer4Michael R. Nonnemacher5Brian Wigdahl6Department of Microbiology and Immunology, Center for Molecular Virology and Translational Neuroscience, Institute for Molecular Medicine and Infectious Disease, Drexel University College of Medicine, Philadelphia, PA, United StatesDepartment of Microbiology and Immunology, Center for Molecular Virology and Translational Neuroscience, Institute for Molecular Medicine and Infectious Disease, Drexel University College of Medicine, Philadelphia, PA, United StatesDepartment of Microbiology and Immunology, Center for Molecular Virology and Translational Neuroscience, Institute for Molecular Medicine and Infectious Disease, Drexel University College of Medicine, Philadelphia, PA, United StatesDepartment of Microbiology and Immunology, Center for Molecular Virology and Translational Neuroscience, Institute for Molecular Medicine and Infectious Disease, Drexel University College of Medicine, Philadelphia, PA, United StatesDepartment of Microbiology, Immunology, and Inflammation, Center for Neurovirology and Gene Editing, School of Medicine, Temple University, Philadelphia, PA, United StatesDepartment of Microbiology and Immunology, Center for Molecular Virology and Translational Neuroscience, Institute for Molecular Medicine and Infectious Disease, Drexel University College of Medicine, Philadelphia, PA, United StatesDepartment of Microbiology and Immunology, Center for Molecular Virology and Translational Neuroscience, Institute for Molecular Medicine and Infectious Disease, Drexel University College of Medicine, Philadelphia, PA, United StatesGlobally, human immunodeficiency virus type 1 (HIV-1) infection is a major health burden for which successful therapeutic options are still being investigated. Challenges facing current drugs that are part of the established life-long antiretroviral therapy (ART) include toxicity, development of drug resistant HIV-1 strains, the cost of treatment, and the inability to eradicate the provirus from infected cells. For these reasons, novel anti-HIV-1 therapeutics that can prevent or eliminate disease progression including the onset of the acquired immunodeficiency syndrome (AIDS) are needed. While development of HIV-1 vaccination has also been challenging, recent advancements demonstrate that infection of HIV-1-susceptible cells can be prevented in individuals living with HIV-1, by targeting C-C chemokine receptor type 5 (CCR5). CCR5 serves many functions in the human immune response and is a co-receptor utilized by HIV-1 for entry into immune cells. Therapeutics targeting CCR5 generally involve gene editing techniques including CRISPR, CCR5 blockade using antibodies or antagonists, or combinations of both. Here we review the efficacy of these approaches and discuss the potential of their use in the clinic as novel ART-independent therapies for HIV-1 infection.https://www.frontiersin.org/articles/10.3389/fimmu.2021.816515/fullantiretroviral drugsCCR5Δ32CCR5 monoclonal antibodiesCCR5 small molecule inhibitorsHIV-1 drug resistancezinc finger nucleases
spellingShingle Hager Mohamed
Theodore Gurrola
Rachel Berman
Mackenzie Collins
Ilker K. Sariyer
Michael R. Nonnemacher
Brian Wigdahl
Targeting CCR5 as a Component of an HIV-1 Therapeutic Strategy
Frontiers in Immunology
antiretroviral drugs
CCR5Δ32
CCR5 monoclonal antibodies
CCR5 small molecule inhibitors
HIV-1 drug resistance
zinc finger nucleases
title Targeting CCR5 as a Component of an HIV-1 Therapeutic Strategy
title_full Targeting CCR5 as a Component of an HIV-1 Therapeutic Strategy
title_fullStr Targeting CCR5 as a Component of an HIV-1 Therapeutic Strategy
title_full_unstemmed Targeting CCR5 as a Component of an HIV-1 Therapeutic Strategy
title_short Targeting CCR5 as a Component of an HIV-1 Therapeutic Strategy
title_sort targeting ccr5 as a component of an hiv 1 therapeutic strategy
topic antiretroviral drugs
CCR5Δ32
CCR5 monoclonal antibodies
CCR5 small molecule inhibitors
HIV-1 drug resistance
zinc finger nucleases
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.816515/full
work_keys_str_mv AT hagermohamed targetingccr5asacomponentofanhiv1therapeuticstrategy
AT theodoregurrola targetingccr5asacomponentofanhiv1therapeuticstrategy
AT rachelberman targetingccr5asacomponentofanhiv1therapeuticstrategy
AT mackenziecollins targetingccr5asacomponentofanhiv1therapeuticstrategy
AT ilkerksariyer targetingccr5asacomponentofanhiv1therapeuticstrategy
AT michaelrnonnemacher targetingccr5asacomponentofanhiv1therapeuticstrategy
AT brianwigdahl targetingccr5asacomponentofanhiv1therapeuticstrategy