Elite controllers: A heterogeneous group of HIV-infected patients

MA Navarrete-Muñoz, C Restrepo, JM Benito, N Rallón - Virulence, 2020 - Taylor & Francis
MA Navarrete-Muñoz, C Restrepo, JM Benito, N Rallón
Virulence, 2020Taylor & Francis
The exceptional group of ECs has been of great help, and will continue to provide
invaluable insight with regard to reach a potential functional cure of HIV. However, there is
no consensus on the immune correlates associated to this EC phenotype which preclude
reaching a potential functional cure of HIV. The existing literature studying this population of
individuals has indeed revealed that they are a very heterogeneous group regarding
virological, immunological, and even clinical characteristics, and that among ECs only a very …
Abstract
The exceptional group of ECs has been of great help, and will continue to provide invaluable insight with regard to reach a potential functional cure of HIV. However, there is no consensus on the immune correlates associated to this EC phenotype which preclude reaching a potential functional cure of HIV. The existing literature studying this population of individuals has indeed revealed that they are a very heterogeneous group regarding virological, immunological, and even clinical characteristics, and that among ECs only a very small proportion are homogeneous in terms of maintaining virological and immunological control in the long term (the so-called long-term elite controllers, LTECs). Thus, it is of pivotal relevance to identify the LTECs subjects and use them as the right model to redefine immune correlates of a truly functional cure. This review summarizes the evidence of the heterogeneity of HIV elite controllers (ECs) subjects in terms of virological, immunological and clinical outcomes, and the implications of this phenomenon to adequately consider this EC phenotype as the right model of a functional cure.
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