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Gene Therapy for HIV and Chronic Infections (Hardcover, 2015 ed.)
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Gene Therapy for HIV and Chronic Infections (Hardcover, 2015 ed.)
Series: American Society of Gene & Cell Therapy, 848
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This book centers on gene therapy and gene transfer approaches to
prevent or treat chronic virus infections. The main focus is on the
Big Three: human immunodeficiency virus (HIV-1), hepatitis B virus
(HBV) and hepatitis C virus (HCV). Ample anti-HIV drugs are
currently available in the clinic and the development of an
effective combination therapy has dramatically improved the
lifespan and quality of life of infected individuals. A similar
trend can already be recognized for HBV and HCV: the development of
multiple (directly acting) antiviral drugs and plans to control or
even cure the infection. However, approaches that help prevent
infection, or which provide long-lasting treatment (such as a cure)
remain important goals. Immunization through gene transfer vehicles
encoding immunogenic viral proteins shows promise in preventing
infections with complex, highly variable, viruses such as HIV-1 or
HCV. Gene therapy applications for virus infections have been
discussed since the early 1990's. Whereas a true cure seems
difficult to achieve for HIV-1 due to its intrinsic property to
deposit its genome into that of the host, such attempts may be
within reach for HCV where spontaneous viral clearance occurs in a
small percentage of the infected individuals. The prospect of
original gene therapy approaches may provide alternative ways to
reach the same endpoint by, for example, silencing of CCR5
expression post-transcriptionally. Many alternative antiviral
strategies have been developed based on a variety of novel
molecular methods: e.g. ribozymes. Some studies have progressed
towards pre-clinical animal models and a few antiviral gene
therapies have progressed towards clinical trials. This book
provides an overview of this rapidly progressing field, while
focusing on the interface of gene therapy and
immunology/vaccinology.
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