Human immunodeficiency virus (HIV) infection commonly results in a myriad of comorbid conditions secondary
to immune deficiency. Infection also affects broad organ system function. Although current antiretroviral therapy
(ART) reduces disease morbidity and mortality through effective control of peripheral viral load, restricted infection in
HIV reservoirs including gut, lymphoid and central nervous system tissues, is not eliminated. What underlies these events
is, in part, poor ART penetrance into each organ across tissue barriers, viral mutation and the longevity of infected cells.
We posit that one means to improve these disease outcomes is through nanotechnology. To this end, this review discusses
a broad range of cutting-edge nanomedicines and nanomedicine platforms that are or can be used to improve ART delivery.
Discussion points include how polymer-drug conjugates, dendrimers, micelles, liposomes, solid lipid nanoparticles
and polymeric nanoparticles can be harnessed to best yield cell-based delivery systems. When completely developed, such
nanomedicine platforms have the potential to clear reservoirs of viral infection.
Keywords: Dendrimers, drug delivery systems, gut associated lymphoid tissue, HIV, HIV reservoir targeted ART, liposomes,
lymphoid tissues, micelles, nanomedicine, polymeric nanoparticles.
Rights & PermissionsPrintExport