Advancing the HIV cure agenda: the next 5 years.

PURPOSE OF REVIEW: To explore how ethical considerations, improved diagnostics and data from clinical trials might see the lowering of some of the barriers blocking a cure for HIV infection over the next 5 years. RECENT FINDINGS: Despite the recent well publicized but eventually disappointing case r...

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Asıl Yazarlar: Thornhill, J, Fidler, S, Frater, A
Materyal Türü: Journal article
Dil:English
Baskı/Yayın Bilgisi: 2015
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author Thornhill, J
Fidler, S
Frater, A
author_facet Thornhill, J
Fidler, S
Frater, A
author_sort Thornhill, J
collection OXFORD
description PURPOSE OF REVIEW: To explore how ethical considerations, improved diagnostics and data from clinical trials might see the lowering of some of the barriers blocking a cure for HIV infection over the next 5 years. RECENT FINDINGS: Despite the recent well publicized but eventually disappointing case reports, there remains only one successful HIV cure, the 'Berlin patient'. We will review the data suggesting that more potent agents might achieve in-vivo viral activation and explore the tantalizing phenomenon of 'posttreatment control' following treatment in primary HIV infection. We will also explore how new assays and novel interventions might move the field forward. SUMMARY: There is a need for new agents that can be safely tested to impact the viral reservoir, a more meaningful understanding of how to assay patient samples, and research into mechanisms behind how the reservoir is established and impacted by therapy. With HIV+ve individuals responding so well to antiretroviral therapy, new trials must be tested hand-in-hand with guidance from patient representatives, especially with respect to determining the acceptable risk. The road to a cure is going to be difficult, but it is vital that inevitable disappointments do not detract from the final goal, which remains worth striving for.
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spelling oxford-uuid:c8d51eac-ad6c-47be-90d7-e7a63f6bcaba2022-03-27T06:54:48ZAdvancing the HIV cure agenda: the next 5 years.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c8d51eac-ad6c-47be-90d7-e7a63f6bcabaEnglishSymplectic Elements at Oxford2015Thornhill, JFidler, SFrater, APURPOSE OF REVIEW: To explore how ethical considerations, improved diagnostics and data from clinical trials might see the lowering of some of the barriers blocking a cure for HIV infection over the next 5 years. RECENT FINDINGS: Despite the recent well publicized but eventually disappointing case reports, there remains only one successful HIV cure, the 'Berlin patient'. We will review the data suggesting that more potent agents might achieve in-vivo viral activation and explore the tantalizing phenomenon of 'posttreatment control' following treatment in primary HIV infection. We will also explore how new assays and novel interventions might move the field forward. SUMMARY: There is a need for new agents that can be safely tested to impact the viral reservoir, a more meaningful understanding of how to assay patient samples, and research into mechanisms behind how the reservoir is established and impacted by therapy. With HIV+ve individuals responding so well to antiretroviral therapy, new trials must be tested hand-in-hand with guidance from patient representatives, especially with respect to determining the acceptable risk. The road to a cure is going to be difficult, but it is vital that inevitable disappointments do not detract from the final goal, which remains worth striving for.
spellingShingle Thornhill, J
Fidler, S
Frater, A
Advancing the HIV cure agenda: the next 5 years.
title Advancing the HIV cure agenda: the next 5 years.
title_full Advancing the HIV cure agenda: the next 5 years.
title_fullStr Advancing the HIV cure agenda: the next 5 years.
title_full_unstemmed Advancing the HIV cure agenda: the next 5 years.
title_short Advancing the HIV cure agenda: the next 5 years.
title_sort advancing the hiv cure agenda the next 5 years
work_keys_str_mv AT thornhillj advancingthehivcureagendathenext5years
AT fidlers advancingthehivcureagendathenext5years
AT fratera advancingthehivcureagendathenext5years