HIV-1 CCR5 gene therapy will fail unless it is combined with a suicide gene

Sci Rep. 2015 Dec 17:5:18088. doi: 10.1038/srep18088.

Abstract

Highly active antiretroviral therapy (ART) has successfully turned Human immunodeficiency virus type 1 (HIV-1) from a deadly pathogen into a manageable chronic infection. ART is a lifelong therapy which is both expensive and toxic, and HIV can become resistant to it. An alternative to lifelong ART is gene therapy that targets the CCR5 co-receptor and creates a population of genetically modified host cells that are less susceptible to viral infection. With generic mathematical models we show that gene therapy that only targets the CCR5 co-receptor fails to suppress HIV-1 (which is in agreement with current data). We predict that the same gene therapy can be markedly improved if it is combined with a suicide gene that is only expressed upon HIV-1 infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Antiretroviral Therapy, Highly Active
  • CD4-Positive T-Lymphocytes / metabolism
  • Genes, Transgenic, Suicide / genetics*
  • Genetic Therapy / methods*
  • HIV Infections / genetics
  • HIV Infections / therapy*
  • HIV Infections / virology
  • HIV-1 / drug effects
  • HIV-1 / metabolism
  • HIV-1 / physiology*
  • Host-Pathogen Interactions
  • Humans
  • Lymphocyte Count
  • Models, Theoretical
  • Receptors, CCR5 / genetics*
  • Receptors, CCR5 / metabolism
  • T-Lymphocytes, Cytotoxic / metabolism
  • Viral Load

Substances

  • Receptors, CCR5