Combinatorial Strategies for Long-term Control of HIV Infection

Combinatorial Strategies for Long-term Control of HIV Infection

Daekee Kwon 1, Mi-Jung Han 1, Kwang-Won Seo 1, Kyung-Sun Kang 2

1 Stem Cells and Regenerative Bioengineering Institute in Kangstem Biotech, Gwangmyeong SK TechnoPark, Gyeonggi-do, Seoul, South Korea; 2 Stem Cells and Regenerative Bioengineering Institute in Kangstem Biotech, Gwangmyeong SK TechnoPark, Gyeonggi-do; Adult Stem Cell Research Center, College of Veterinary Medicine. Seoul National University. Seoul, South Korea

*Correspondence: Daekee Kwon, Email not available

Abstract

AIDS is a disease caused by a chronic infection of HIV. Recently, long-term control of HIV infection has been demonstrated through the bone marrow transplantation of hematopoietic stem cells (HSC), in which the C-C chemokine receptor type 5 (CCR5) gene is mutated innately. However, it is very difficult to obtain CCR5 mutant HSC that match human leukocyte antigen between donor and recipient. To solve this problem, this review will summarize and discuss various reports related to the generation of patient-specific CCR5 geneedited HSC. The fusion of current gene editing (zinc-finger nuclease, transcription activator-like effector nuclease, and clustered regulatory interspaced short palindromic repeats) and cellular reprogramming technology (somatic cell nuclear transfer, induced pluripotent stem cells technology, and direct phenotypic conversion) enables the generation of patient-specific CCR5 edited HSC. These cells can be useful as valuable therapeutic agents for long-term control of HIV-infected patients in the future. 

Keywords: AIDS. C-C chemokine receptor type 5 (CCR5). Cellular reprogramming. Gene editing. Hematopoietic stem cell transplantation (HSCT). HIV.

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