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Treatment strategy may lead to HIV cure
https://medicalxpress.com ^ | 21 OCTOBER 2021 | by Albert Einstein College of Medicine

Posted on 10/21/2021 11:45:07 AM PDT by Red Badger

Armed with a novel strategy they developed for bolstering the body's immune response, scientists at Albert Einstein College of Medicine have successfully suppressed HIV infections in mice—offering a path to a functional cure for HIV and other chronic viral infections. Their findings were published today in the Journal of Clinical Investigation.

The research involved proteins designed to selectively stimulate the immune system's CD8+ "killer" T cells to multiply and specifically attack HIV-infected T cells. Co-corresponding author Steven Almo, Ph.D., developed the synthetic proteins, known as synTac (short for "synapse for T-cell activation"). Dr. Almo is professor and chair of biochemistry, professor of physiology & biophysics, the Wollowick Family Foundation Chair in Multiple Sclerosis and Immunology, and director of the Macromolecular Therapeutics Development Facility at Albert Einstein College of Medicine.

HIV infects the immune system's CD4+ T cells. For the past 25 years, people infected with HIV have been able to control their infection through antiretroviral therapy (ART)—a combination of several drugs that prevent HIV from infecting new CD4+ T cells and multiplying within them. "Although ART works remarkably well at keeping HIV in check indefinitely, it is a stalemate and not a checkmate," said co-corresponding author Harris Goldstein, M.D., professor of pediatrics and of microbiology and immunology and the Charles Michael Chair in Autoimmune Diseases at Albert Einstein College of Medicine and director of the Einstein-Rockefeller-CUNY Center for AIDS Research.

"ART's long-term use can cause substantial side effects," noted Dr. Goldstein. "And once ART is halted, latent HIV viruses—which can persist for years in CD4+ T cells—invariably emerge from their hiding places to revive the infection. Our JCI paper shows that synTac proteins, by greatly boosting the quantity of protective HIV-specific CD8+ T cells, were able to eliminate these infected cells.

"It's unlikely that any treatment strategy can remove all latently infected T cells," said Dr. Goldstein. "Our goal with synTac is a 'functional cure,' in which the powerful immune response induced by synTac suppresses HIV to undetectable levels even after they discontinue ART."

The researchers first tested their anti-HIV synTac proteins on human blood samples infected with either HIV or cytomegalovirus (CMV), a common type of herpes virus that can infect and kill immunosuppressed patients. For blood from human donors infected with either HIV or CMV, synTacs specific for mobilizing immune responses against those viruses triggered selective and vigorous multiplication of CD8+ T cells that exhibited potent HIV or CMV anti-viral activity.

Next, the researchers intravenously injected synTacs specific for HIV or CMV into virus-infected mice with "humanized" immune systems that permit infection by viruses affecting people, such as HIV and CMV. The synTac proteins triggered human HIV-specific CD8+ T cells to increase 32-fold and increased human CMV-specific CD8+ T cells by 46-fold. In both the HIV- and CMV-infected mice, the large numbers of synTac-stimulated human CD8+ T cells potently suppressed the viral infections—suggesting that synTacs may offer new opportunities for functionally curing HIV and treating CMV and other viral infections.

"A key asset of the synTac platform," said Dr. Almo, "is how easily we can program synTac proteins to combat any of the many diseases in which T cells play a role—including disease targets that extend well beyond viruses. For example, an ongoing clinical trial involving patients with head and neck cancer is assessing synTac's ability to selectively activate anti-cancer T cells. And since synTacs can turn off, as well as activate T cells, they're also under study for treating type 1 diabetes and other autoimmune diseases by turning off T cells that mistakenly attack people's healthy tissues." Dr. Almo is also co-leader of the cancer therapeutics program at the Albert Einstein Cancer Center.

Other authors involved in the research were Ph.D. student Mengyan Li, Scott J. Garforth, Ph.D., Kaitlyn E. O'Connor, Hang Su, Ph.D., Danica Lee, and Alev Celikgil, M.D., all from Einstein; Rodolfo J. Chaparro, Ph.D., and Ronald Seidel, Ph.D., from Cue Biopharma; R. Brad Jones, Ph.D., from Weill Cornell Medical College in New York; and Ravit Arav-Boger, M.D., from the Medical College of Wisconsin.

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More information: Mengyan Li et al, T-cell receptor-specific immunotherapeutics drive selective in vivo HIV and CMV-specific T-cell expansion in humanized mice, J Clin Invest (2021).

doi.org/10.1172/JCI141051.

Journal information: Journal of Clinical Investigation

Provided by Albert Einstein College of Medicine


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1 posted on 10/21/2021 11:45:07 AM PDT by Red Badger
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To: Red Badger

HIV can convert its RNA genome into DNA and insert the DNA fragment into host cell DNA. HIV genome carries information to make two specific enzymes which accomplish that function. The aptly named Reverse transcriptase and integrase. Then, the transformed genome can be reactivated and new HIV can be made. To fully eliminate HIV those transformed DNA’s need to get HIV DNA edited out. Maybe use CRISPR technology or some yet undiscovered cell functionality.
Either way, it’s easier to not get HIV in the first place, than it is to live with it or cure it.


2 posted on 10/21/2021 12:04:59 PM PDT by Getready (Wisdom is more valuable than gold and diamonds, and harder to find.)
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To: Red Badger
Never has so much money been spent on an easily preventable disease which affects so few.

3 posted on 10/21/2021 12:05:07 PM PDT by Governor Dinwiddie (LORD, grant thy people grace to withstand the temptations of the world, the flesh, and the devil.)
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To: Governor Dinwiddie

Got that right. But it does affect more than the infected. I think about 750 000 die globally annually from it’s ravages...then you got society bearing the support...and the bereavement, etc. The SHTF with this disease.


4 posted on 10/21/2021 12:13:25 PM PDT by Getready (Wisdom is more valuable than gold and diamonds, and harder to find.)
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To: Red Badger

There IS a 100% prevention for AIDS. Sit down and close your mouth.


5 posted on 10/21/2021 1:52:22 PM PDT by nagant
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To: Red Badger
I am glad they experimented with the mice first rather than the humans first./s


6 posted on 10/21/2021 2:15:10 PM PDT by magooey (The Mandate of Heaven resides in the hearts of men.)
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To: magooey

Where did they find gay mice?

Disneyworld..............................


7 posted on 10/22/2021 5:54:26 AM PDT by Red Badger (Homeless veterans camp in the streets while illegal aliens are put up in hotels.....................)
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