HIV remains a major global health problem, with over 40 million people infected worldwide. And while people living with HIV have been treated with anti-retroviral therapy for over 30 years, this favored therapeutic option merely prevents the progression of the disease to AIDS - it doesn't cure patients of HIV.

The new research shows that HIV targets and disables a pathway involving a number of biological molecules that are key in blocking viral activity and clearing infection.

The discovery, which opens the door to a new era of HIV research focused on curing people living with the virus, has just been published in international journal, EBioMedicine.

During any viral infection our immune system produces a powerful molecule (Interferon), which 'interferes' with the infection and the replication of viruses. Interferon activates an assembly line of molecules in our cells -- via the Interferon signalling pathway - which causes the body to make antivirals that help to clear the infection.

However, when patients are being treated with anti-retroviral therapy, HIV is not fully cleared by our immune system. Therefore, the scientists investigated whether HIV was somehow blocking the Interferon signalling pathway and thus avoiding the immune response that is designed to cure viral infection. The findings confirmed their suspicions.

Authors show that HIV inhibits effective IFN-α signalling via degradation of essential JAK/STAT pathway components. They found that STAT1 and STAT3 are specifically reduced in HIV infected cells, while total STAT levels were not reduced.  Furthermore, IFN-α pre-treatment significantly inhibited HIV infection/replication.  

The research lead said: "We discovered that HIV promotes the destruction of the anti-viral Interferon signalling pathway. Essentially, HIV uses the machinery in our own cells to do this, and the virus is thus able to reduce the production of many important anti-viral molecules. Without these anti-viral molecules, our immune system can't clear viral infections."

"Our new revelation sheds new light on how HIV avoids elimination, which, in turn, may explain why HIV is still not a curable disease. We feel this discovery could mark a paradigm shift in our understanding of how this virus evades our immune response. It should open the door to a new era of HIV research aiming to cure and eradicate this deadly virus."

http://www.ebiomedicine.com/article/S2352-3964(18)30090-2/fulltext