[HTML][HTML] HIV persistence: clonal expansion of cells in the latent reservoir

KJ Kwon, RF Siliciano - The Journal of clinical investigation, 2017 - Am Soc Clin Investig
The Journal of clinical investigation, 2017Am Soc Clin Investig
While antiretroviral therapy (ART) can reduce HIV-1 to undetectable levels, the virus
generally reappears if treatment is stopped. Resurgence of the virus is due to the
reactivation of T cells harboring latent integrated provirus, and recent studies indicate that
proliferation of these latently infected cells helps maintain the HIV-1 reservoir. In this issue of
the JCI, Lee et al. evaluated CD4+ T cell subsets to determine whether certain populations
are more likely to harbor full-length, replication-competent provirus. The authors identified …
While antiretroviral therapy (ART) can reduce HIV-1 to undetectable levels, the virus generally reappears if treatment is stopped. Resurgence of the virus is due to the reactivation of T cells harboring latent integrated provirus, and recent studies indicate that proliferation of these latently infected cells helps maintain the HIV-1 reservoir. In this issue of the JCI, Lee et al. evaluated CD4+ T cell subsets to determine whether certain populations are more likely to harbor full-length, replication-competent provirus. The authors identified an enrichment of clonally expanded Th1 cells containing intact HIV-1 proviruses, suggesting that this polarized subset contributes to the persistence of the reservoir. Strategies to target these provirus-harboring cells need to be considered for future therapies aimed toward HIV-1 cure.
The Journal of Clinical Investigation
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