Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirs

HIV’s ability to establish latent reservoirs of reactivation-competent virus is the major barrier to cure. Shock and kill methods consisting of latency reversing agents (LRAs) followed by elimination of reactivating cells through cytopathic effects are under active development. However, the clinical...

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Main Authors: Mark Alan Brockman, R. Brad eJones, Zabrina Lesley Brumme
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00506/full
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author Mark Alan Brockman
Mark Alan Brockman
R. Brad eJones
Zabrina Lesley Brumme
Zabrina Lesley Brumme
author_facet Mark Alan Brockman
Mark Alan Brockman
R. Brad eJones
Zabrina Lesley Brumme
Zabrina Lesley Brumme
author_sort Mark Alan Brockman
collection DOAJ
description HIV’s ability to establish latent reservoirs of reactivation-competent virus is the major barrier to cure. Shock and kill methods consisting of latency reversing agents (LRAs) followed by elimination of reactivating cells through cytopathic effects are under active development. However, the clinical efficacy of LRAs remains to be established. Moreover, recent studies indicate that reservoirs may not be reduced efficiently by either viral cytopathic or CD8+ T-cell-mediated mechanisms. In this perspective, we highlight challenges to T-cell-mediated elimination of HIV reservoirs, including characteristics of responding T-cells, aspects of the cellular reservoirs and properties of the latent virus itself. We also discuss potential strategies to overcome these challenges by targeting the antiviral activity of T-cells towards appropriate viral antigens following latency.
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spelling doaj.art-2263e5ea3e3d439f824457e98ad7117e2022-12-21T23:33:44ZengFrontiers Media S.A.Frontiers in Immunology1664-32242015-10-01610.3389/fimmu.2015.00506161087Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirsMark Alan Brockman0Mark Alan Brockman1R. Brad eJones2Zabrina Lesley Brumme3Zabrina Lesley Brumme4Simon Fraser UniversityBritish Columbia Centre for Excellence in HIV/AIDSGeorge Washington UniversitySimon Fraser UniversityBritish Columbia Centre for Excellence in HIV/AIDSHIV’s ability to establish latent reservoirs of reactivation-competent virus is the major barrier to cure. Shock and kill methods consisting of latency reversing agents (LRAs) followed by elimination of reactivating cells through cytopathic effects are under active development. However, the clinical efficacy of LRAs remains to be established. Moreover, recent studies indicate that reservoirs may not be reduced efficiently by either viral cytopathic or CD8+ T-cell-mediated mechanisms. In this perspective, we highlight challenges to T-cell-mediated elimination of HIV reservoirs, including characteristics of responding T-cells, aspects of the cellular reservoirs and properties of the latent virus itself. We also discuss potential strategies to overcome these challenges by targeting the antiviral activity of T-cells towards appropriate viral antigens following latency.http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00506/fullImmune EvasionT cellsimmune-based therapyCTL escapeHIV latency
spellingShingle Mark Alan Brockman
Mark Alan Brockman
R. Brad eJones
Zabrina Lesley Brumme
Zabrina Lesley Brumme
Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirs
Frontiers in Immunology
Immune Evasion
T cells
immune-based therapy
CTL escape
HIV latency
title Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirs
title_full Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirs
title_fullStr Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirs
title_full_unstemmed Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirs
title_short Challenges and opportunities for T cell-mediated strategies to eliminate HIV reservoirs
title_sort challenges and opportunities for t cell mediated strategies to eliminate hiv reservoirs
topic Immune Evasion
T cells
immune-based therapy
CTL escape
HIV latency
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00506/full
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