Creating genetic resistance to HIV

被引:34
作者
Burnett, John C. [1 ]
Zaia, John A. [1 ]
Rossi, John J. [1 ]
机构
[1] City Hope Natl Med Ctr, Beckman Res Inst, Duarte, CA USA
关键词
IMMUNODEFICIENCY-VIRUS TYPE-1; ZINC-FINGER NUCLEASES; MODIFIED T-CELLS; LENTIVIRAL VECTOR; CURRENT PROGRESS; CLINICAL-TRIAL; IN-VIVO; THERAPY; RIBOZYME; LYMPHOCYTES;
D O I
10.1016/j.coi.2012.08.013
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
HIV/AIDS remains a chronic and incurable disease, in spite of the notable successes of combination antiretroviral therapy. Gene therapy offers the prospect of creating genetic resistance to HIV that supplants the need for antiviral drugs. In sight of this goal, a variety of anti-HIV genes have reached clinical testing, including gene-editing enzymes, protein-based inhibitors, and RNA-based therapeutics. Combinations of therapeutic genes against viral and host targets are designed to improve the overall antiviral potency and reduce the likelihood of viral resistance. In cell-based therapies, therapeutic genes are expressed in gene modified T lymphocytes or in hematopoietic stem cells that generate an HIV-resistant immune system. Such strategies must promote the selective proliferation of the transplanted cells and the prolonged expression of therapeutic genes. This review focuses on the current advances and limitations in genetic therapies against HIV, including the status of several recent and ongoing clinical studies.
引用
收藏
页码:625 / 632
页数:8
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