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.

译文

:尽管抗逆转录病毒疗法(ART)可以将HIV-1降至无法检测的水平,但是如果停止治疗,病毒通常会重新出现。病毒的复发归因于带有潜伏性整合前病毒的T细胞的重新活化,最近的研究表明,这些潜伏感染的细胞的增殖有助于维持HIV-1的储存。在本期JCI中,Lee等人。评估了CD4 T细胞亚群,以确定某些人群是否更有可能携带全长,具有复制能力的原病毒。作者确定了含有完整HIV-1前病毒的克隆扩增Th1细胞的富集,表明该极化的子集有助于水库的持久性。在未来针对HIV-1的治疗中,需要考虑针对这些携带前病毒的细胞的策略。

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