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New Therapeutic Approaches Aimed at Eliminating Persistent HIV Reservoirs in Infected Individuals Receiving Antiretroviral Therapy Tae-Wook Chun, Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of Health Department of Health and Human Services

New Therapeutic Approaches Aimed at Eliminating Persistent HIV Reservoirs in Infected

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New Therapeutic Approaches Aimed at Eliminating Persistent HIV Reservoirs in Infected Individuals Receiving Antiretroviral Therapy. Tae-Wook Chun, Ph.D. Laboratory of Immunoregulation National Institute of Allergy and Infectious Diseases National Institutes of Health - PowerPoint PPT Presentation

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Page 1: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

New Therapeutic Approaches Aimed at Eliminating Persistent

HIV Reservoirs in InfectedIndividuals ReceivingAntiretroviral Therapy

Tae-Wook Chun, Ph.D.Laboratory of Immunoregulation

National Institute of Allergy and Infectious DiseasesNational Institutes of Health

Department of Health and Human Services

Page 2: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 3: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 4: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 5: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Potential Strategies for Eradication of HIV

Early initiation of antiretroviral therapy

Use of immune-modulating agents

Addition of newer classes

of drugs

Use of virus “purging” agents

Use of HIV-specific killing agent

Page 6: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Potential Strategies for Eradication of HIV

Early initiation of antiretroviral therapy

Use of immune-modulating agents

Addition of newer classes

of drugs

Use of virus “purging” agents

Use of HIV-specific killing agent

Page 7: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Potential Strategies for Eradication of HIV

Early initiation of antiretroviral therapy

Use of immune-modulating agents

Addition of newer classes

of drugs

Use of virus “purging” agents

Use of HIV-specific killing agent

Page 8: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 9: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 10: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 11: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 12: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Potential Strategies for Eradication of HIV

Early initiation of antiretroviral therapy

Use of immune-modulating agents

Addition of newer classes

of drugs

Use of virus “purging” agents

Use of HIV-specific killing agent

Page 13: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 14: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 15: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 16: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 17: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 18: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 19: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Potential Strategies for Eradication of HIV

Early initiation of antiretroviral therapy

Use of immune-modulating agents

Addition of newer classes

of drugs

Use of virus “purging” agents

Use of HIV-specific killing agent

Page 20: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 21: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 22: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Persistence of HIV in Gut-Associated LymphoidTissue despite Long-Term Antiretroviral TherapyTae

Persistence of HIV in Gut-Associated Lymphoid

Tissue despite Long-Term Antiretroviral Therapy

Chun et al.

Page 23: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Effect of Raltegravir Intensification on Immunologic and Virologic Parameters of HIV-Infected, Aviremic Individuals

Buzon et al., Nature Medicine, 16 (4): 460-5, 2010

Page 24: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected

Changes in Levels of Cell-Associated Unspliced HIV RNA in Infected Individuals who Underwent Intensification of ART

Yukl et al., personal communication

Page 25: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected
Page 26: New Therapeutic Approaches  Aimed at Eliminating Persistent  HIV Reservoirs in Infected