Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV Reservoirs

Abstract. Host immune surveillance can achieve powerful clearance of infectious pathogens. Acute human immunodeficiency virus type I (HIV-1) infection can establish viral reservoirs in humans, and persistent chronic activation by the virus exhausts the immune system and ultimately causes acquired im...

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Main Authors: Guo-Fen Re, Bei-Bei Tang, Jing Kou, Chen Hong, Yi-Qun Kuang
Format: Article
Language:English
Published: Wolters Kluwer Health - Lippincott Williams Wilkins 2022-10-01
Series:​​​​​​​​Infectious Diseases & Immunity
Online Access:http://journals.lww.com/10.1097/ID9.0000000000000066
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author Guo-Fen Re
Bei-Bei Tang
Jing Kou
Chen Hong
Yi-Qun Kuang
author_facet Guo-Fen Re
Bei-Bei Tang
Jing Kou
Chen Hong
Yi-Qun Kuang
author_sort Guo-Fen Re
collection DOAJ
description Abstract. Host immune surveillance can achieve powerful clearance of infectious pathogens. Acute human immunodeficiency virus type I (HIV-1) infection can establish viral reservoirs in humans, and persistent chronic activation by the virus exhausts the immune system and ultimately causes acquired immunodeficiency syndrome. Although antiretroviral therapy (ART) can reduce the viral load and viremia in patients, latent HIV-1 reservoirs are still the biggest challenge that needs to be overcome to eradicate the virus. However, the low or absent viral antigen expression and epitope mutation caused during durable ART result in host immune escape and reservoir cell inaccessibility. In addition, durable ART accompanied by inflammation and persistent activation of immune cells, especially dysfunction and/or exhaustion of T cells. With the development of immunology, genetics, and genetic engineering technology, researchers can construct chimeric antigen receptors (CARs) to modify immune cells to enhance HIV clearance. The important research goals of creating CARs to modify natural killer (NK) and T cells are an attempt to enhance the functional effects of immune cells and restore the function of the immune system. This article reviews the latent characteristics of HIV, the development of CAR molecules, and the strategies for reprogramming T cells and NK cells with CARs, and aims to clear the HIV reservoirs and related potential problems.
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institution OA Journals
issn 2096-9511
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language English
publishDate 2022-10-01
publisher Wolters Kluwer Health - Lippincott Williams Wilkins
record_format Article
series ​​​​​​​​Infectious Diseases & Immunity
spelling doaj-art-7fdc39eed89b4efba0163b5f07a7336f2025-08-20T02:09:48ZengWolters Kluwer Health - Lippincott Williams Wilkins​​​​​​​​Infectious Diseases & Immunity2096-95112693-88392022-10-012425326210.1097/ID9.0000000000000066202210000-00008Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV ReservoirsGuo-Fen Re0Bei-Bei Tang1Jing Kou2Chen Hong3Yi-Qun Kuang41 NHC Key Laboratory of Drug Addiction Medicine, First Affiliated Hospital of Kunming Medical University, Kunming Medical University, Kunming, Yunnan 650032, China3 Center for Translational Medicine, Huaihe Clinical College, Huaihe Hospital of Henan University, Kaifeng, Henan 475000, China4 Institute of Infection and Immunity, Henan University, Kaifeng, Henan 475000, China.3 Center for Translational Medicine, Huaihe Clinical College, Huaihe Hospital of Henan University, Kaifeng, Henan 475000, China1 NHC Key Laboratory of Drug Addiction Medicine, First Affiliated Hospital of Kunming Medical University, Kunming Medical University, Kunming, Yunnan 650032, ChinaAbstract. Host immune surveillance can achieve powerful clearance of infectious pathogens. Acute human immunodeficiency virus type I (HIV-1) infection can establish viral reservoirs in humans, and persistent chronic activation by the virus exhausts the immune system and ultimately causes acquired immunodeficiency syndrome. Although antiretroviral therapy (ART) can reduce the viral load and viremia in patients, latent HIV-1 reservoirs are still the biggest challenge that needs to be overcome to eradicate the virus. However, the low or absent viral antigen expression and epitope mutation caused during durable ART result in host immune escape and reservoir cell inaccessibility. In addition, durable ART accompanied by inflammation and persistent activation of immune cells, especially dysfunction and/or exhaustion of T cells. With the development of immunology, genetics, and genetic engineering technology, researchers can construct chimeric antigen receptors (CARs) to modify immune cells to enhance HIV clearance. The important research goals of creating CARs to modify natural killer (NK) and T cells are an attempt to enhance the functional effects of immune cells and restore the function of the immune system. This article reviews the latent characteristics of HIV, the development of CAR molecules, and the strategies for reprogramming T cells and NK cells with CARs, and aims to clear the HIV reservoirs and related potential problems.http://journals.lww.com/10.1097/ID9.0000000000000066
spellingShingle Guo-Fen Re
Bei-Bei Tang
Jing Kou
Chen Hong
Yi-Qun Kuang
Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV Reservoirs
​​​​​​​​Infectious Diseases & Immunity
title Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV Reservoirs
title_full Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV Reservoirs
title_fullStr Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV Reservoirs
title_full_unstemmed Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV Reservoirs
title_short Chimeric Antigen Receptor-Modified Immune Cells for Eradication of HIV Reservoirs
title_sort chimeric antigen receptor modified immune cells for eradication of hiv reservoirs
url http://journals.lww.com/10.1097/ID9.0000000000000066
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AT jingkou chimericantigenreceptormodifiedimmunecellsforeradicationofhivreservoirs
AT chenhong chimericantigenreceptormodifiedimmunecellsforeradicationofhivreservoirs
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