New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate Models

Antiretroviral therapy (ART) controls human immunodeficiency virus 1 (HIV-1) replication and prevents disease progression but does not eradicate HIV-1. The persistence of a reservoir of latently infected cells represents the main barrier to a cure. “Shock and kill” is a promising strategy involving...

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Main Authors: Katherine M. Bricker, Ann Chahroudi, Maud Mavigner
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/8/1560
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author Katherine M. Bricker
Ann Chahroudi
Maud Mavigner
author_facet Katherine M. Bricker
Ann Chahroudi
Maud Mavigner
author_sort Katherine M. Bricker
collection DOAJ
description Antiretroviral therapy (ART) controls human immunodeficiency virus 1 (HIV-1) replication and prevents disease progression but does not eradicate HIV-1. The persistence of a reservoir of latently infected cells represents the main barrier to a cure. “Shock and kill” is a promising strategy involving latency reversing agents (LRAs) to reactivate HIV-1 from latently infected cells, thus exposing the infected cells to killing by the immune system or clearance agents. Here, we review advances to the “shock and kill” strategy made through the nonhuman primate (NHP) model, highlighting recently identified latency reversing agents and approaches such as mimetics of the second mitochondrial activator of caspase (SMACm), experimental CD8+ T cell depletion, immune checkpoint blockade (ICI), and toll-like receptor (TLR) agonists. We also discuss the advantages and limits of the NHP model for HIV cure research and methods developed to evaluate the efficacy of in vivo treatment with LRAs in NHPs.
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spelling doaj.art-494e3679960d4249b2831abb7e8c3cf02023-11-22T10:11:18ZengMDPI AGViruses1999-49152021-08-01138156010.3390/v13081560New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate ModelsKatherine M. Bricker0Ann Chahroudi1Maud Mavigner2Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USADepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USAAntiretroviral therapy (ART) controls human immunodeficiency virus 1 (HIV-1) replication and prevents disease progression but does not eradicate HIV-1. The persistence of a reservoir of latently infected cells represents the main barrier to a cure. “Shock and kill” is a promising strategy involving latency reversing agents (LRAs) to reactivate HIV-1 from latently infected cells, thus exposing the infected cells to killing by the immune system or clearance agents. Here, we review advances to the “shock and kill” strategy made through the nonhuman primate (NHP) model, highlighting recently identified latency reversing agents and approaches such as mimetics of the second mitochondrial activator of caspase (SMACm), experimental CD8+ T cell depletion, immune checkpoint blockade (ICI), and toll-like receptor (TLR) agonists. We also discuss the advantages and limits of the NHP model for HIV cure research and methods developed to evaluate the efficacy of in vivo treatment with LRAs in NHPs.https://www.mdpi.com/1999-4915/13/8/1560HIV-1 cureshock and killlatency reversing agentsnonhuman primates
spellingShingle Katherine M. Bricker
Ann Chahroudi
Maud Mavigner
New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate Models
Viruses
HIV-1 cure
shock and kill
latency reversing agents
nonhuman primates
title New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate Models
title_full New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate Models
title_fullStr New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate Models
title_full_unstemmed New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate Models
title_short New Latency Reversing Agents for HIV-1 Cure: Insights from Nonhuman Primate Models
title_sort new latency reversing agents for hiv 1 cure insights from nonhuman primate models
topic HIV-1 cure
shock and kill
latency reversing agents
nonhuman primates
url https://www.mdpi.com/1999-4915/13/8/1560
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