Viral and Host Biomarkers of HIV Remission Post Treatment Interruption

Curr HIV/AIDS Rep. 2022 Jun;19(3):217-233. doi: 10.1007/s11904-022-00607-z. Epub 2022 Apr 19.

Abstract

Purpose of review: HIV rebound/remission after antiretroviral therapy (ART) interruption is likely influenced by (a) the size of the inducible replication-competent HIV reservoir and (b) factors in the host environment that influence immunological pressures on this reservoir. Identifying viral and/or host biomarkers of HIV rebound after ART cessation may improve the safety of treatment interruptions and our understanding of how the viral-host interplay results in post-treatment control. Here we review the predictive and functional significance of recently suggested viral and host biomarkers of time to viral rebound and post-treatment control following ART interruption.

Recent findings: There are currently no validated viral or host biomarkers of viral rebound; however, several biomarkers have been recently suggested. A combination of viral and host factors will likely be needed to predict viral rebound and to better understand the mechanisms contributing to post-treatment control of HIV, critical steps to developing a cure for HIV infection.

Keywords: Biomarkers; HIV; Post-treatment controllers; Viral rebound.

Publication types

  • Review
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Retroviral Agents* / therapeutic use
  • Biomarkers
  • HIV Infections* / drug therapy
  • Humans
  • Viral Load

Substances

  • Anti-Retroviral Agents
  • Biomarkers