Related Experiment Video
Updated: Mar 13, 2026

High Throughput In Vitro Assessment of Latency Reversing Agents on HIV Transcription and Splicing
Published on: January 22, 2019
Ongoing Clinical Trials of Human Immunodeficiency Virus Latency-Reversing and Immunomodulatory Agents
Héloïse M Delagrèverie1, Constance Delaugerre1, Sharon R Lewin2
1INSERM U941, Université Paris Diderot, Laboratoire de Virologie, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris , France.
Abstract:
In chronic human immunodeficiency virus (HIV)-1 infection, long-lived latently infected cells are the major barrier to virus eradication and functional cure. Several therapeutic strategies to perturb, eliminate, and/or control this reservoir are now being pursued in the clinic. These strategies include latency reversal agents (LRAs) designed to reactivate HIV-1 ribonucleic acid transcription and virus production and a variety of immune-modifying drugs designed to reverse latency, block homeostatic proliferation, and replenish the viral reservoir, eliminate virus-producing cells, and/or control HIV replication after cessation of antiretroviral therapy. This review provides a summary of ongoing clinical trials of HIV LRAs and immunomodulatory molecules, and it highlights challenges in the comparison and interpretation of the expected trial results.
Insights
Strategies targeting the latent HIV-1 reservoir, including latency reversal agents (LRAs) and immunomodulatory drugs, are being tested in clinical trials to achieve a functional cure for HIV.
Area of Science:
- Virology
- Immunology
- Clinical Medicine
Background:
- Latently infected cells represent a significant barrier to eradicating human immunodeficiency virus (HIV)-1.
- Current therapeutic strategies aim to disrupt, eliminate, or control this viral reservoir.
Approach:
- This review summarizes ongoing clinical trials investigating HIV latency reversal agents (LRAs) and immunomodulatory molecules.
- It examines strategies designed to reactivate HIV transcription, eliminate infected cells, and control viral replication.
Key Points:
- LRAs aim to reactivate HIV-1 transcription and virus production from latent reservoirs.
- Immunomodulatory drugs are explored for reversing latency, blocking proliferation, and enhancing immune control.
- Clinical trials are evaluating the efficacy and safety of these novel therapeutic approaches.
Conclusions:
- The development of effective strategies against the latent HIV-1 reservoir is crucial for achieving a functional cure.
- Challenges remain in comparing and interpreting results from diverse clinical trials.
- Further research is needed to optimize therapeutic interventions for HIV eradication.
Related Concept Videos
Retrovirus Life Cycles
Size and Structure of Viral Genomes

