GBV-C/HIV共感染对AIDS疾病进程和HIV病毒复制的影响

近年来,一些研究发现,GBV-C/HIV共感染可延缓HIV感染疾病的进程,然而也有一些研究得出不同的结论.本研究收集我国安徽省阜阳市HIV血清学阳性的既往献血员血浆标本,对其进行GBV-C感染的检测,研究GBV-C/HIV共感染与HIV病毒载量和CD4 T淋巴细胞绝对计数的关系.用RT-PCR和酶联免疫法检测,在203人中检出GBV-C感染52例,显示该人群GBV-C的感染率为25.6%,男性感染者(35例,67.3%)高于女性感染者(17例,32.7%).分析发现,GBV-C感染与未感染两组患者的CD4 T淋巴细胞绝对计数和HIV病毒载量数据均无统计学差异.本研究中的HIV-1感染者均未接受ART治疗,因而排除了治疗对疾病进展的影响.研究结果显示,在HIV-1感染晚期的献血人群,GBV-C/HIV共感染对CD4细胞和病毒复制水平无显著影响.由于本研究对象中无HIV-1早期感染者,因而不能判断GBV-C在HIV-1感染的早期对疾病进展有无影响.     

HIV介导的细胞凋亡

细胞凋亡是多细胞生物的一种生理性细胞死亡 ,它和坏死性细胞死亡是两种不同的细胞死亡形式 ,细胞凋亡是细胞内在的有规律的机制引起的 ,它可由细胞内部因素和外部刺激所诱导 ,细胞凋亡有其固有的形态特点 ,这种“自杀”行动对机体的正常发育和新陈代谢都是必要的 ,有助于维持组织稳态 ,对于机体是有利的。如细胞凋亡异常将会给机体带来各种病理后果。另外由于细胞凋亡的可诱导性 ,就为疾病的治疗提供了一条新思路。近年来发现 ,ＨＩＶ病毒也参与了细胞凋亡的诱导和抑制 ,在这些过程中相关的病毒基因的表达和相应蛋白质的合成起着关键性的作…     

HIV整合位点的生物信息学分析

已有研究证明,HIV整合位点的选择,与宿主基因组功能和染色体结构特性之间存在着紧密的联系,但是具体的选择机制还不明确。使用聚类分析、特征提取、分类分析等生物信息学方法,对HIV整合位点序列进行分析和研究,挖掘HIV整合位点序列之间的关系,探索HIV整合位点的选择规律。通过实验和计算,从HIV整合位点集合中提取出了含有6个特征向量的向量集,该向量集与大部分整合位点的特征向量具有较高的相关性,从而提示了HIV整合位点选择中的规律性,即符合向量集的宿主DNA序列可为HIV的整合位点。研究结果为进一步揭示HIV整合位点的选择机制提供了可供参考的依据。     

HIV的发现者——蒙塔格尼尔

对蒙塔格尼尔的生平和学术贡献进行了简略的介绍。蒙塔格尼尔是20世纪最伟大的病毒学家之一，他发明了病毒的体外培养方法，深入研究了病毒的致癌机制，发现了干扰素，特别是在1983年鉴定了艾滋病的病原HIV从而使人们对这种传染病的发生原因有了深入性的理解。蒙塔格尼尔对生命科学发展的贡献使他成为近几年诺贝尔奖的热门人物之一。     

HIV-1中和抗体疫苗研究进展

由于HIV具有与其它微生物极为不同的生物学特点,HIV疫苗的研究面临着前所未有的困难和挑战。20多年来,艾滋病疫苗研究主要采用了诱发中和抗体为主或细胞免疫为主两种策略,然而至今尚无实质性突破。诱发有效中和抗体一直是传统疫苗研发的重要策略,但HIV的高变异、多亚型等特点,使该策略在HIV疫苗研发中的应用成效甚微。近年来,一些具有广谱中和活性的HIV单抗的发现及其相应抗原表位的阐明,给HIV中和抗体疫苗的研究带来了新的希望。综合分析与评述这些进展,对于重新思考艾滋病疫苗和采用更好的策略进行艾滋病疫苗研究会衣纸帮助。     

HIV的实验室检测技术进展

对目前实验室常用的艾滋病毒检测技术的前沿研究进展进行了综述,介绍了本实验室一种新的结合胶体金的H IV检测方法。     

RNA-based gene therapy for the treatment and prevention of HIV: from bench to bedside

Gene therapy is considered a feasible approach for the treatment and prevention of HIV/AIDS. Targeting both viral genes and host dependency factors can interfere with the viral lifecycle and prevent viral replication. A number of approaches have been taken to target these genes, including ribozymes, aptamers, and RNAi based therapies. A number of these therapies are now beginning to make their way into clinical trials and providing proof of principle that gene therapy is a safe and realistic option for treating HIV. Here, we focus on those therapies that have progressed along the pipeline to preclinical and clinical testing.     

ZAP融合蛋白抑制HIV病毒模型的构建及功能分析

ZAP是一种抗病毒因子,能够特异性结合病毒RNA并招募细胞中的RNA酶降解所结合的靶RNA,从而抑制某些病毒的复制,如鼠白血病病毒(MLV)、辛德比斯病毒(SIN).ZAP对HIV病毒抑制作用并不明显.Tat和Rev是HIV编码的两种可以特异性结合HIVRNA的蛋白质,将它们与ZAP构建成融合蛋白,使得融合蛋白通过Tat或Rev结合HIVRNA并通过ZAP降解HIVRNA,从而抑制HIV假病毒载体携带基因的表达.这一结果为抑制HIV病毒提供了一个新思路,也支持了ZAP招募mRNA降解机器降解靶RNA的模型.     

HIV—1抗体阳性血浆中HIV—1病毒基因分型研究

为了解ＨＩＶ抗体阳性血浆中的ＨＩＶ１病毒基因亚型的情况,应用逆转录ＰＣＲ和ＤＮＡ序列测定技术,对６份获自高危人群的抗ＨＩＶ１阳性血浆进行序列分析和基因亚型分型的研究,结果表明均属ＨＩＶ１Ｂ亚型。Ｖ３环氨基酸序列分析指出这些ＨＩＶ１Ｂ亚型病毒株与泰国ＨＩＶ１Ｂ亚型病毒株核苷酸和氨基酸序列相似;同时发现ＨＩＶ１ｃＤＮＡ和氨基酸序列均相同,推测这６份标本可能来自同时感染同一株ＨＩＶ病毒的感染者。本研究对了解高危人群中ＨＩＶ１流行的遗传变异和ＨＩＶ１亚型病毒株的分子流行病分析具有一定的意义。     

HIV Rev-isited

The human immunodeficiency virus type 1 (HIV-1) proteome is expressed from alternatively spliced and unspliced genomic RNAs. However, HIV-1 RNAs that are not fully spliced are perceived by the host machinery as defective and are retained in the nucleus. During late infection, HIV-1 bypasses this regulatory mechanism by expression of the Rev protein from a fully spliced mRNA. Once imported into the nucleus, Rev mediates the export of unprocessed HIV-1 RNAs to the cytoplasm, leading to the production of the viral progeny. While regarded as a canonical RNA export factor, Rev has also been linked to HIV-1 RNA translation, stabilization, splicing and packaging. However, Rev''s functions beyond RNA export have remained poorly understood. Here, we revisit this paradigmatic protein, reviewing recent data investigating its structure and function. We conclude by asking: what remains unknown about this enigmatic viral protein?     

中国HIV阳性参比品库的建立以及HIV不同生物标志物的意义

为建立HIV阳性样品库并分析HIV不同生物标志物的意义,从我国不同地区以及不同人群中收集HIV感染者或可疑感染者血浆,对其进行HIV抗体、抗原、核酸以及基因型的检测,并用WB试剂对其进行抗体的确认检测。结果显示,该样品库共有样品190份,均为HIV阳性,含有我国流行的主要基因型,即B′、BC、AE和B亚型;HIV抗体S/CO值小于10者占11.1%,在10~15之间者占63.2%,大于15的占25.8%;病毒载量在50~103copies/mL者占7.9%,在103~105copies/mL者占82.2%,大于105copies/mL者占10.0%。而且抗体S/CO值大于10者,均为HIV抗体确认阳性,小于10者仅有61.9%为抗体确认阳性,但核酸均大于50copies/mL,而且抗体不确定样品的病毒载量均大于105copies/mL,但抗体不确定的8份样品中仅有4份样品为P24抗原阳性。结果提示该样品库样品来自于HIV感染的不同时期,可用于对HIV的不同试剂进行评价;而且核酸的检测可有助于对HIV早期感染的明确诊断。     

HIV RNA and proviral HIV DNA can be detected in semen after 6 months of antiretroviral therapy although HIV RNA is undetectable in blood

The risk of sexual transmission of HIV is strongly correlated with amounts of genital HIV RNA. Few studies have reported amounts of HIV RNA and HIV DNA in semen in HIV‐infected Chinese patients undergoing antiviral treatment (ART). In this observational study, the amounts of HIV RNA and HIV DNA in semen were assessed after six months of ART in HIV‐infected Chinese individuals, when HIV RNA was undetectable in blood . This study included 19 HIV‐infected Chinese men undergoing ART for six months. Amounts of HIV in paired semen and blood samples were assessed using real‐time PCR. The C2‐V5 region of the HIV envelope (env) genes was cloned and sequenced and genotype and co‐receptor usage predicted based on the sequence. It was found that HIV RNA was undetectable in the plasma of most patients (17/19), whereas HIV RNA could be detected in the semen of most patients (16/19). HIV DNA could be detected in both semen and blood. Genetic diversity of HIV between the seminal and blood compartments was identified. Thus, amounts of HIV RNA and HIV DNA remain high in semen of HIV‐infected Chinese patients after six months of ART treatment, even when HIV RNA was undetectable in blood.     

Modeling Maternal-Infant HIV Transmission in the Presence of Breastfeeding with an Imperfect Test

An important public health question is to determine the probabilities of perinatal HIV transmission and when it occurs, whether antepartum, intrapartum, or postpartum through breastfeeding. However, this is a difficult problem because the presence of HIV infection in an infant can only be ascertained through viral assays in the postpartum period. We propose a model that simultaneously estimates the risks of antepartum, intrapartum, and postpartum transmissions together with the sensitivity of the screening tests for HIV infection. The model allows estimating of infectivity through breast milk during postpartum periods. The methods are illustrated on a South African randomized clinical trial of extended AZT versus a short course of nevirapine in infants whose mothers had no access to antenatal antiretroviral therapy.     

HIV感染动力学模型概述

自1981年美国首次发现艾滋病以来,艾滋病在世界范围内广泛传播,引起医学专家、生物学家、数学家和物理学家等的极大关注。近年来,HIV动力学模型成为HIV治疗领域的研究热点。HIV基本动力学模型的研究有助于实现对未来疾病发展状况的描述与预测,HIV感染控制模型的研究有助于改善HIV病毒患者的治疗方案,对控制模型的优化有利于发现对HIV患者的有效治疗策略。本文概述了几种基本的HIV感染动力学模型,分析比较了它们的性能差异和各自存在的优缺点,介绍了HIV控制模型及其优化控制模型的计算机Matlab/simulink模拟。     

HIV进入抑制剂的研究进展

随着对HIV进入细胞过程的了解,各种进入抑制剂相继问世,目前主要有三大类:吸附抑制剂、辅助受体抑制剂和融合抑制剂.对其中具有代表性的进入抑制剂研究进展进行了介绍,一些进入抑制剂已经进入到了临床试验阶段,其中融合抑制剂T20在2003年便被FDA批准可同其他ARTs联合用于治疗HIV感染者,CCR5拮抗剂Maraviro...     

Prevalence of HIV Indeterminate Western Blot Tests and Follow-up of HIV Antibody Sero-Conversion in Southeastern China

HIV-indeterminate Western blotting(WB) results are typically obtained in WB confirmatory assays, and the number of indeterminate samples may increase with the detection of HIV infections, which will present considerable challenges for the management of HIV/AIDS. Nucleic acid detection has been used as a laboratory test for screening suspected or indeterminate samples. However, the effectiveness of these assays for the differential diagnosis of HIV-indeterminate WB samples remained undetermined. In this study, 210 subjects with HIV-indeterminate WB results were detected from 6360 positive HIV screening samples between 2015 and 2016 in southeastern China, in which HIV-indeterminate WB results accounted for 3.30%. The highest proportion of indeterminate results was observed in pregnant and lying-in women receiving physical examinations(16.67%), followed by that in voluntary blood donors(8.82%). The most common WB band patterns were p24, gp160 and p24, and gp160. The follow-up study revealed that the highest negative and positive conversion rates of HIV antibodies were in samples with a single p24 band(80.28%), and with gp160 and p24 bands(86.21%), respectively. Among the Env, Gag, and Pol antibodies, samples with a Gag band showed the highest negative conversion rate(81.25%), whereas the highest positive conversion rate was observed in samples with an Env band(56.76%). In addition, quantitative and qualitative HIV nucleic acid testing exhibited the highest sensitivity(96.3%) and specificity(97.85%), respectively. Our results indicate a lower proportion of HIV indeterminate WB results in southeastern China compared to previous reports, and the follow-up re-examination of patients with HIV indeterminate results should be performed. Nucleic acid testing facilitates the identification of HIV infections.