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Immunometabolism and HIV-1 pathogenesis: food for thought
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Immunometabolism and HIV-1 pathogenesis: food for thought
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Immunometabolism and HIV-1 pathogenesis: food for thought
Immunometabolism and HIV-1 pathogenesis: food for thought
Journal Article

Immunometabolism and HIV-1 pathogenesis: food for thought

2021
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Overview
Antiretroviral therapies efficiently block HIV-1 replication but need to be maintained for life. Moreover, chronic inflammation is a hallmark of HIV-1 infection that persists despite treatment. There is, therefore, an urgent need to better understand the mechanisms driving HIV-1 pathogenesis and to identify new targets for therapeutic intervention. In the past few years, the decisive role of cellular metabolism in the fate and activity of immune cells has been uncovered, as well as its impact on the outcome of infectious diseases. Emerging evidence suggests that immunometabolism has a key role in HIV-1 pathogenesis. The metabolic pathways of CD4+ T cells and macrophages determine their susceptibility to infection, the persistence of infected cells and the establishment of latency. Immunometabolism also shapes immune responses against HIV-1, and cell metabolic products are key drivers of inflammation during infection. In this Review, we summarize current knowledge of the links between HIV-1 infection and immunometabolism, and we discuss the potential opportunities and challenges for therapeutic interventions.Immunometabolism has a key role in HIV-1 pathogenesis, with the metabolic state of T cells and macrophages determining their susceptibility to infection, the metabolism of immune cells shaping their response to infection and metabolic products driving inflammation during infection.