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Targeting Th17 cells in HIV-1 remission/cure interventions
Augustine Fert1, Laurence Raymond Marchand2, Tomas Raul Wiche Salinas1
1Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada; Département de Microbiologie, Infectiologie et Immunologie, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada.
Trends in Immunology
|June 6, 2022
Summary
Identifying T helper 17 (Th17) cells as key viral reservoirs offers new avenues for HIV-1 remission. Targeting these cells may overcome major barriers to curing HIV-1 infection.
Area of Science:
- Immunology
- Virology
- Infectious Diseases
Background:
- Effective antiretroviral therapies (ARTs) have been developed for human immunodeficiency virus type 1 (HIV-1), but curing the infection remains challenging.
- Persistent viral reservoirs (VRs) in long-lived CD4+ T cells, ongoing viral transcription, and impaired mucosal immunity contribute to inflammation and hinder HIV-1 remission.
- Recent findings implicate T helper 17 (Th17) cells as significant reservoirs for transcriptionally active HIV-1.
Purpose of the Study:
- To review the functional characteristics of Th17 cells, drawing parallels with their role in autoimmune diseases.
- To explore how insights into Th17 cell function can inform novel strategies for HIV-1 remission and potential cure.
- To highlight the potential of targeting Th17 cells for overcoming barriers to HIV-1 eradication.
Main Methods:
- This review synthesizes existing knowledge from fundamental immunology research on Th17 cells.
- It integrates recent discoveries linking Th17 cells to HIV-1 persistence and viral reservoirs.
- The review extrapolates findings from autoimmunity research to the context of HIV-1 infection.
Main Results:
- Th17 cells possess functional features that make them susceptible to maintaining persistent, transcriptionally competent HIV-1 reservoirs.
- Understanding Th17 cell biology, particularly in autoimmunity, provides a framework for investigating their role in HIV-1 pathogenesis.
- Knowledge of Th17 cell regulation and function can be leveraged to develop targeted interventions.
Conclusions:
- Th17 cells represent a critical cellular reservoir contributing to HIV-1 persistence.
- Targeting Th17 cells offers a promising, novel strategy for achieving HIV-1 remission and potentially a cure.
- Further research into Th17 cell-directed therapies is warranted for advancing HIV-1 cure agendas.
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