Effector mechanisms in HIV-1 infected elite controllers: Highly active immune responses?

被引：62

作者：

Blankson, Joel N. ^{[1
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Baltimore, MD 21205 USA

来源：

ANTIVIRAL RESEARCH | 2010年 / 85卷 / 01期

关键词：

Elite controller; Elite suppressor; Long-term non-progressor; HLA-B*57; HLA-B*27; Escape mutations; Neutralizing antibody; CD8; CD4; HUMAN-IMMUNODEFICIENCY-VIRUS; CD8(+) T-CELLS; LONG-TERM NONPROGRESSORS; VIRAL REPLICATION CAPACITY; PLASMACYTOID DENDRITIC CELLS; NATURAL-KILLER-CELLS; HIV CONTROLLERS; CLINICAL-COURSE; HLA-C; NEUTRALIZING ANTIBODIES;

D O I：

10.1016/j.antiviral.2009.08.007

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Elite controllers (EC) are HIV-1 infected patients control viral replication to a level of <50copies/ml without antiretroviral therapy. These patients are also known as elite suppressors, or HIV controllers, and they differ from traditional long-term non-progressors (LTNPs) who maintain stable CD4 counts and are asymptomatic without antiretroviral therapy. Recent studies suggest that many EC are infected with replication-competent virus. Thus it appears that host factors such as innate immunity, the humoral immune response, and the cellular immune response are involved in the suppression of viral replication in EC. This article will review the effector mechanisms that are thought to play a role in the remarkable control of viral replication seen in these patients. This article forms part of a special issue of Antiviral Research marking the 25th anniversary of antiretroviral drug discovery and development, Vol 85, issue 1, 2010. (C) 2009 Elsevier B.V. All rights reserved.

引用

页码：295 / 302

页数：8

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