%0 Journal Article %T CCR5 as a Natural and Modulated Target for Inhibition of HIV %A Bryan P. Burke %A Maureen P. Boyd %A Helen Impey %A Louis R. Breton %A Jeffrey S. Bartlett %A Geoff P. Symonds %A Gero H¨¹tter %J Viruses %D 2014 %I MDPI AG %R 10.3390/v6010054 %X Human immunodeficiency virus type 1 (HIV-1) infection of target cells requires CD4 and a co-receptor, predominantly the chemokine receptor CCR5. CCR5-delta32 homozygosity results in a truncated protein providing natural protection against HIV infection¡ªthis without detrimental effects to the host¡ªand transplantation of CCR5-delta32 stem cells in a patient with HIV (¡°Berlin patient¡±) achieved viral eradication. As a more feasible approach gene-modification strategies are being developed to engineer cellular resistance to HIV using autologous cells. We have developed a dual therapeutic anti-HIV lentiviral vector (LVsh5/C46) that down-regulates CCR5 and inhibits HIV-1 fusion via cell surface expression of the gp41-derived peptide, C46. This construct, effective against multiple strains of both R5- and X4-tropic HIV-1, is being tested in Phase I/II trials by engineering HIV-resistant hematopoietic cells. %K CCR5 %K C46 %K gene therapy %K HIV %K stem cell transplantation %U http://www.mdpi.com/1999-4915/6/1/54