Unravelling the mechanisms of durable control of HIV-1

被引:182
作者
Walker, Bruce D. [1 ,2 ]
Yu, Xu G. [1 ]
机构
[1] Massachusetts Gen Hosp, Ragon Inst MGH & Harvard, Cambridge, MA 02139 USA
[2] Howard Hughes Med Inst, Chevy Chase, MD 20815 USA
基金
美国国家卫生研究院;
关键词
HUMAN-IMMUNODEFICIENCY-VIRUS; CD4(+) T-CELLS; HLA CLASS-I; NATURAL-KILLER-CELLS; LONG-TERM SURVIVOR; LOW-LEVEL VIREMIA; ELITE CONTROLLERS; NEUTRALIZING ANTIBODIES; DENDRITIC CELLS; VIRAL CONTROL;
D O I
10.1038/nri3478
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Untreated HIV-1 infection typically progresses to AIDS within 10 years, but less than 1% of infected individuals remain healthy and have normal CD4(+) T cell counts and undetectable viral loads; some individuals have remained this way for 35 years and counting. Through a combination of large population studies of cohorts of these 'HIV-1 controllers' and detailed studies of individual patients, a heterogeneous picture has emerged regarding the basis for this remarkable resistance to AIDS progression. In this Review, we highlight the host genetic factors, the viral genetic factors and the immunological factors that are associated with the controller phenotype, we discuss emerging methodological approaches that could facilitate a better understanding of spontaneous HIV-1 immune control in the future, and we delineate implications for a 'functional cure' of HIV-1 infection.
引用
收藏
页码:487 / 498
页数:12
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