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Eradication therapies for HIV Infection: time to begin again.

机译:消除HIV感染的疗法:是时候再次开始。

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摘要

Despite the success of antiretroviral therapy (ART) in decreasing mortality for HIV-1-infected patients, ART has not cured the disease. A persistent viral reservoir in the T cells of HIV patients receiving potent ART is a significant barrier preventing eradication of HIV infection. We will briefly review what is known about the mechanisms that establish and maintain persistent HIV infection despite ART, to create a framework in which to consider approaches to the clearance or eradication of infection ("cure"), or to allow clinical stability in the absence of ART ("functional cure"). With regard to eradication therapies, it could be said that as a field our position is analogous to that of ART early in the HIV pandemic. As then we must now simultaneously develop and optimize platforms and paradigms for the discovery and testing of eradication therapies, and begin to advance candidate therapies toward human testing.
机译:尽管抗逆转录病毒疗法(ART)在降低HIV-1感染患者的死亡率方面取得了成功,但ART尚未治愈该病。接受有效抗病毒治疗的HIV患者T细胞中的持久性病毒库是阻止根除HIV感染的重要障碍。我们将简要回顾一下尽管进行抗逆转录病毒治疗仍能建立和维持持续性HIV感染的机制的已知知识,以建立一个框架,在其中考虑考虑清除或消除感染(“治愈”)的方法,或者在不存在的情况下实现临床稳定性ART(“功能性固化”)。关于根除疗法,可以说,作为一个领域,我们的立场类似于艾滋病毒流行初期的抗逆转录病毒疗法。届时,我们现在必须同时开发和优化用于发现和测试根除疗法的平台和范例,并开始将候选疗法推向人体测试。

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