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| THSY03 |
HIV Persistence and Eradication |
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Symposia Session
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| Venue: |
Session Room 9 |
| Time: |
26.07.2012, 11:00 - 12:30 |
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Co-Chairs:
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Steven G. Deeks, United States Françoise Barré-Sinoussi, France
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| This session is directed to clinicians and scientists interested in better understanding the rapid advances in knowledge related to HIV latency, persistence, compartments and therapeutic approaches. With an increasing number of HIV-infected individuals achieving viral control thanks to antiretroviral drugs, the challenge of long-term administration of treatment, currently life-long, including drug toxicity and economic cost, calls for a scientific effort at understanding the principles of viral latency. This session will discuss basic principles of latency and present the advent of new therapeutic concepts. Practical considerations and challenges will also be highlighted. At the completion of the session, participants will be knowledgeable about the key concepts regarding identification of cellular and tissue reservoirs as well as transcriptional control of proviral gene expression. Session participants will also have learnt about therapeutic targeting of the latent reservoir using gene therapy approaches, immunomodulators and new families of purge drugs and the prospects for developing a cure. |
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11:00
| Introduction
| 11:02 THSY0301 Powerpoint Webcast | The memory cell and the latent virus
V. Planelles, United States
| 11:20 THSY0302 | Molecular mechanisms of latency
B. Berkhout, Netherlands
| 11:38 THSY0303 | Improving means to activate/eliminate latent HIV reservoirs
J. Zack, United States
| 11:56 THSY0304 | Immunopathogenesis and reservoirs
M. Benkirane, France
| 12:14
Webcast | New frontier in HIV research: the French perspective
G. Fioraso, France
| 12:24
| Conclusion
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| Powerpoints presentations |
| The memory cell and the latent virus - Vicente Planelles | |
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Rapporteur report
Track A report by Jason Brenchley
The theme of this session was the
discussion of mechanisms underlying HIV persistence and novel
therapeutic interventions. Dr. Vincent Planelles (University of Utah)
discussed memory CD4 T cells as a main source of latent HIV. He
presented a model of in vitro differentiation of naïve CD4 T cells into
different subsets of memory CD4 T cells with concomitant HIV infection
with single cycle virus. Using this model he showed that limiting
amounts of cyclin T and phosphorylation of CDK9 decreases HIV
transcription in unstimulated memory and naïve CD4 T cells. He was able
to use this model to screen putative therapeutics to drive HIV from
latent pools. Dr. Benjamin Berkout (University of Amsterdam) used a cell
line model of latency to sequence small RNAs and
unexpectedly found antisense strand HIV sequences which could result in
double stranded RNA species which decrease HIV transcription. He then
discussed in vitro activation of CD4 T cells with immature dendtric
cells as a method to drive HIV from latency. This induction of HIV
replication from latency involved both cell to cell interactions and
soluble factors produced by the dendritic cells. Dr. Jerome Zack (UCLA)
discussed methods to activate and eliminate latent HIV reservoirs. He
used prostratin or byrostatin as therapies to purge HIV from latency.
Using an innovative approach of nanoparticle delivery of these compounds
to CD4 T cells, he was able to selectively activate CD4 T cells to
increase HIV transcription in vitro. He was able to synthesize cost
effective analogs of prostratin and byrostatin which more efficiently
increased HIV transcription. Dr. Monsef Benkirane (CNRS) discussed a
role for SAMHD1 in the immunopathogenesis and replication of HIV. Even
though it is believed that SAMHD1 is thought to restrict HIV
predominantly in myeloid cells, he presented data suggesting that SAMHD1
function is also present in resting CD4 T cells and can reduce HIV
infection. Introduction of the accessory protein Vpx in trans led to
enhanced HIV infection of quiescent CD4 T cells. The French minister of
higher education and research closed the session. Geneviève Fioraso
discussed the French commitment to HIV research and announced a signed
agreement between ANRS and the NIH to increase collaborative research
effort.
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