Frontiers in Immunology,
Journal Year:
2021,
Volume and Issue:
12
Published: Nov. 1, 2021
A
major
barrier
to
human
immunodeficiency
virus
(HIV-1)
cure
is
the
latent
viral
reservoir,
which
persists
despite
antiretroviral
therapy
(ART),
including
across
non-dividing
myeloid
reservoir
found
systemically
in
sanctuary
sites
tissues
and
central
nervous
system
(CNS).
Unlike
activated
CD4+
T
cells
that
undergo
rapid
cell
death
during
initial
infection
(due
replication
kinetics),
kinetics
are
delayed
cells,
resulting
long-lived
survival
of
infected
macrophages
macrophage-like
cells.
Simultaneously,
persistent
inflammation
confers
immune
dysregulation
a
key
driver
co-morbidities
cardiovascular
disease
(CVD)
neurological
deficits
people
living
with
HIV-1
(PLWH).
Macrophage
activation
also
progression
other
infections
SARS-CoV-2,
influenza,
chikungunya
viruses,
underscoring
interplay
between
progression,
pathogenesis,
comorbidity
setting.
This
review
discusses
role
persistence
pathogenesis
related
comorbidities,
SARS-CoV-2
viruses.
special
focus
given
novel
immunomodulatory
targets
for
events
driving
maintenance
diverse
array
infections.
Nature Microbiology,
Journal Year:
2023,
Volume and Issue:
8(5), P. 833 - 844
Published: March 27, 2023
The
development
of
persistent
cellular
reservoirs
latent
human
immunodeficiency
virus
(HIV)
is
a
critical
obstacle
to
viral
eradication
since
rebound
takes
place
once
anti-retroviral
therapy
(ART)
interrupted.
Previous
studies
show
that
HIV
persists
in
myeloid
cells
(monocytes
and
macrophages)
blood
tissues
virologically
suppressed
people
with
(vsPWH).
However,
how
contribute
the
size
reservoir
what
impact
they
have
on
after
treatment
interruption
remain
unclear.
Here
we
report
monocyte-derived
macrophage
quantitative
outgrowth
assay
(MDM-QVOA)
highly
sensitive
T
cell
detection
assays
confirm
purity.
We
assess
frequency
monocytes
using
this
longitudinal
cohort
vsPWH
(n
=
10,
100%
male,
ART
duration
5-14
yr)
find
half
participants
showed
monocytes.
In
some
participants,
these
could
be
detected
over
several
years.
Additionally,
assessed
genomes
from
30
(27%
5-22
utilizing
myeloid-adapted
intact
proviral
DNA
(IPDA)
demonstrate
were
present
40%
higher
total
correlated
reactivatable
reservoirs.
produced
MDM-QVOA
was
capable
infecting
bystander
resulting
spread.
These
findings
provide
further
evidence
meet
definition
clinically
relevant
emphasize
should
included
efforts
towards
an
cure.
PLoS Pathogens,
Journal Year:
2020,
Volume and Issue:
16(6), P. e1008381 - e1008381
Published: June 11, 2020
HIV
invades
the
brain
during
acute
infection.
Yet,
it
is
unknown
whether
long-lived
infected
cells
release
productive
virus
that
can
egress
from
to
re-seed
peripheral
organs.
This
understanding
has
significant
implication
for
as
a
reservoir
and
most
importantly
interplay
between
Given
sheer
number
of
astrocytes
in
human
their
controversial
role
infection,
we
evaluated
infection
vivo
support
We
developed
two
novel
models
chimeric
astrocyte/human
blood
mononuclear
cells:
NOD/scid-IL-2Rgc
null
(NSG)
mice
(huAstro/HuPBMCs)
whereby
transplanted
(non-pseudotyped
or
VSVg-pseudotyped)
uninfected
primary
fetal
(NHAs)
an
astrocytoma
cell
line
(U138MG)
into
neonate
adult
NSG
reconstituted
animals
with
(PBMCs).
also
PBMCs
mimic
biological
course.
As
expected,
xenotransplanted
did
not
escape/migrate
out
barrier
(BBB)
was
intact
this
model.
demonstrate
organs,
at
least
part,
through
trafficking
CD4+
T
brain.
Astrocyte-derived
persists,
albeit
low
levels,
under
combination
antiretroviral
therapy
(cART).
Egressed
evolved
pattern
rate
typical
Lastly,
analysis
cortical
hippocampal
regions
donors
cART
revealed
harbor
0.4–5.2%
integrated
gag
DNA
2–7%
are
mRNA
positive.
These
studies
establish
paradigm
shift
dynamic
interaction
organs
which
inform
eradication
reservoirs.
Human
immunodeficiency
virus
(HIV)
eradication
or
long-term
suppression
in
the
absence
of
antiretroviral
therapy
(ART)
requires
an
understanding
all
viral
reservoirs
that
could
contribute
to
rebound
after
ART
interruption.
CD4
T
cells
(CD4s)
are
recognized
as
predominant
reservoir
HIV
type
1
(HIV-1)-infected
individuals.
However,
macrophages
also
infected
by
HIV-1
and
simian
(SIV)
during
acute
infection
may
persist
throughout
ART,
contributing
size
latent
reservoir.
We
sought
determine
whether
tissue
SIVmac251
suppressed
macaques.
Using
cell-specific
quantitative
outgrowth
assays
(CD4-QVOA
MΦ-QVOA),
we
measured
functional
CD4s
ART-suppressed
SIVmac251-infected
Spleen,
lung,
brain
animals
contained
latently
macrophages,
undetectable
low-level
SIV
RNA,
detectable
DNA.
Silent
genomes
with
potential
for
reactivation
spread
were
identified
blood
monocytes,
although
these
might
not
be
considered
due
their
short
life
span.
Additionally,
produced
MΦ-QVOA
was
capable
infecting
healthy
activated
CD4s.
Our
results
strongly
suggest
can
reestablishment
productive
These
findings
should
design
implementation
future
cure
strategies.
Frontiers in Cellular and Infection Microbiology,
Journal Year:
2022,
Volume and Issue:
12
Published: July 28, 2022
The
persistence
of
latent
reservoir
the
human
immunodeficiency
virus
(HIV)
is
currently
major
challenge
in
curing
HIV
infection.
After
infects
body,
unable
to
be
recognized
by
body’s
immune
system.
Currently,
widely
adopted
antiretroviral
therapy
(ART)
also
unble
eliminate
it,
thus
hindering
progress
treatment.
This
review
discusses
existence
vault
for
treatment,
its
formation
and
factors
affecting
formation,
cell,
tissue
localization,
methods
detection
removing
reservoir,
provide
a
comprehensive
understanding
vault,
order
assist
future
research
play
potential
role
achieving
The
human
immunodeficiency
virus
(HIV)
enters
the
central
nervous
system
(CNS)
within
a
few
days
after
primary
infection,
establishing
viral
reservoirs
that
persist
even
with
combined
antiretroviral
therapy
(cART).
We
show
monocytes
from
people
living
HIV
(PLWH)
on
suppressive
cART
harboring
integrated
HIV,
mRNA,
and/or
proteins
preferentially
transmigrate
across
blood-brain
barrier
(BBB)
to
CCL2
and
are
significantly
enriched
post-transmigration,
more
highly
posttransmigration
than
T
cells
similar
properties.
Using
HIV-infected
ART-treated
mature
cultured
AIDS Patient Care and STDs,
Journal Year:
2023,
Volume and Issue:
37(6), P. 284 - 296
Published: May 15, 2023
Acquired
immunodeficiency
syndrome
(AIDS),
caused
by
the
human
virus
(HIV),
has
become
a
heavy
burden
of
disease
and
an
important
public
health
problem
in
world.
Although
current
antiretroviral
therapy
(ART)
is
effective
at
suppressing
blood,
HIV
still
remains
two
different
types
reservoirs-the
latently
infected
cells
(represented
CD4+
T
cells)
tissues
containing
those
cells,
which
may
block
access
to
ART,
HIV-neutralizing
antibodies
latency-reversing
agents.
The
latter
focus
our
review,
as
blood
viral
load
drops
below
detectable
levels
after
deeper
more
systematic
understanding
tissue
reservoirs
imperative.
In
this
we
take
lymphoid
system
(including
lymph
nodes,
gut-associated
tissue,
spleen
bone
marrow),
nervous
system,
respiratory
reproductive
(divided
into
male
female),
urinary
order,
focusing
on
particularity
importance
each
infection,
infection
target
cell
specific
situation
quantified
DNA
or
RNA
evidence
compartmentalization
pharmacokinetics.
summary,
found
that
present
state
both
similarities
differences.
future,
therapeutic
principle
need
follow
respect
discrepancy
basis
grasping
commonality.
measures
taken
completely
eliminate
whole
body
cannot
be
generalized.
It
necessary
formulate
personalized
treatment
strategies
according
characteristics
various
tissues,
so
realize
prospect
curing
AIDS
soon
possible.
Frontiers in Immunology,
Journal Year:
2019,
Volume and Issue:
10
Published: Sept. 20, 2019
Combination
antiretroviral
therapy
(ART)
suppresses
human
immunodeficiency
virus
(HIV)
replication
and
improves
immune
function,
but
is
unable
to
eradicate
the
virus.
Therefore,
development
of
an
HIV
cure
has
become
one
main
priorities
research
field.
The
obstacle
for
formation
latent
viral
reservoirs,
where
able
"hide"
despite
decades
therapy,
just
reignite
active
once
stopped.
Revealing
hiding
places
thus
central
research,
absence
markers
these
reservoir
cells
greatly
complicates
search
a
cure.
Identification
or
several
marker(s)
latently
infected
would
represent
significant
step
forward
towards
better
description
cell
types
involved
improved
understanding
latency.
Moreover,
it
could
provide
"handle"
selective
therapeutic
targeting
reservoirs.
A
number
cellular
have
recently
been
proposed,
including
checkpoint
molecules,
CD2,
CD30.
CD32a
perhaps
most
promising
as
reported
be
associated
with
very
prominent
enrichment
in
DNA,
although
this
finding
challenged.
In
review,
we
update
on
current
knowledge
about
markers.
We
specifically
highlight
studies
that
characterized
persistently
lymphoid
tissues.