Increased T cell trafficking as adjunct therapy for HIV-1

Although antiretroviral drug therapy suppresses human immunodeficiency virus-type 1 (HIV-1) to undetectable levels in the blood of treated individuals, reservoirs of replication competent HIV-1 endure. Upon cessation of antiretroviral therapy, the reservoir usually allows outgrowth of virus and appr...

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Príomhchruthaitheoirí: Fryer, H, Wolinsky, S, McLean, A
Formáid: Journal article
Foilsithe / Cruthaithe: Public Library of Science 2018
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author Fryer, H
Wolinsky, S
McLean, A
author_facet Fryer, H
Wolinsky, S
McLean, A
author_sort Fryer, H
collection OXFORD
description Although antiretroviral drug therapy suppresses human immunodeficiency virus-type 1 (HIV-1) to undetectable levels in the blood of treated individuals, reservoirs of replication competent HIV-1 endure. Upon cessation of antiretroviral therapy, the reservoir usually allows outgrowth of virus and approaches to targeting the reservoir have had limited success. Ongoing cycles of viral replication in regions with low drug penetration contribute to this persistence. Here, we use a mathematical model to illustrate a new approach to eliminating the part of the reservoir attributable to persistent replication in drug sanctuaries. Reducing the residency time of CD4 T cells in drug sanctuaries renders ongoing replication unsustainable in those sanctuaries. We hypothesize that, in combination with antiretroviral drugs, a strategy to orchestrate CD4 T cell trafficking could contribute to a functional cure for HIV-1 infection.
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spelling oxford-uuid:6b80b81a-635d-46bd-87c5-2803c887b2462022-03-26T19:04:32ZIncreased T cell trafficking as adjunct therapy for HIV-1Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6b80b81a-635d-46bd-87c5-2803c887b246Symplectic Elements at OxfordPublic Library of Science2018Fryer, HWolinsky, SMcLean, AAlthough antiretroviral drug therapy suppresses human immunodeficiency virus-type 1 (HIV-1) to undetectable levels in the blood of treated individuals, reservoirs of replication competent HIV-1 endure. Upon cessation of antiretroviral therapy, the reservoir usually allows outgrowth of virus and approaches to targeting the reservoir have had limited success. Ongoing cycles of viral replication in regions with low drug penetration contribute to this persistence. Here, we use a mathematical model to illustrate a new approach to eliminating the part of the reservoir attributable to persistent replication in drug sanctuaries. Reducing the residency time of CD4 T cells in drug sanctuaries renders ongoing replication unsustainable in those sanctuaries. We hypothesize that, in combination with antiretroviral drugs, a strategy to orchestrate CD4 T cell trafficking could contribute to a functional cure for HIV-1 infection.
spellingShingle Fryer, H
Wolinsky, S
McLean, A
Increased T cell trafficking as adjunct therapy for HIV-1
title Increased T cell trafficking as adjunct therapy for HIV-1
title_full Increased T cell trafficking as adjunct therapy for HIV-1
title_fullStr Increased T cell trafficking as adjunct therapy for HIV-1
title_full_unstemmed Increased T cell trafficking as adjunct therapy for HIV-1
title_short Increased T cell trafficking as adjunct therapy for HIV-1
title_sort increased t cell trafficking as adjunct therapy for hiv 1
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AT wolinskys increasedtcelltraffickingasadjuncttherapyforhiv1
AT mcleana increasedtcelltraffickingasadjuncttherapyforhiv1