Recent advances in RNAi-based strategies for therapy and prevention of HIV-1/AIDS

Adv Drug Deliv Rev. 2016 Aug 1:103:174-186. doi: 10.1016/j.addr.2016.03.005. Epub 2016 Mar 21.

Abstract

RNA interference (RNAi) provides a powerful tool to silence specific gene expression and has been widely used to suppress host factors such as CCR5 and/or viral genes involved in HIV-1 replication. Newer nuclease-based gene-editing technologies, such as zinc finger nucleases (ZFN), transcription activator-like effector nucleases (TALEN) and the clustered regularly interspaced short palindromic repeats (CRISPR)/Cas9 system, also provide powerful tools to ablate specific genes. Because of differences in co-receptor usage and the high mutability of the HIV-1 genome, a combination of host factors and viral genes needs to be suppressed for effective prevention and treatment of HIV-1 infection. Whereas the continued presence of small interfering/short hairpin RNA (si/shRNA) mediators is needed for RNAi to be effective, the continued expression of nucleases in the gene-editing systems is undesirable. Thus, RNAi provides the only practical way for expression of multiple silencers in infected and uninfected cells, which is needed for effective prevention/treatment of infection. There have been several advances in the RNAi field in terms of si/shRNA design, targeted delivery to HIV-1 susceptible cells, and testing for efficacy in preclinical humanized mouse models. Here, we comprehensively review the latest advances in RNAi technology towards prevention and treatment of HIV-1.

Keywords: AgoshRNA; CCR5; HIV-1; Humanized mice; Lentiviral vector; RNAi; shRNA-miR; si/shRNA.

Publication types

  • Review

MeSH terms

  • Acquired Immunodeficiency Syndrome / genetics
  • Acquired Immunodeficiency Syndrome / prevention & control*
  • Acquired Immunodeficiency Syndrome / therapy*
  • Acquired Immunodeficiency Syndrome / virology
  • Animals
  • Clustered Regularly Interspaced Short Palindromic Repeats
  • Gene Editing
  • HIV Infections / genetics
  • HIV Infections / prevention & control*
  • HIV Infections / therapy*
  • HIV Infections / virology
  • HIV-1*
  • Humans
  • RNA Interference*
  • RNA, Small Interfering / genetics
  • RNAi Therapeutics / methods*

Substances

  • RNA, Small Interfering