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shRNA-modified CD34+ cells refers to an autologous cell therapy and gene therapy product consisting of hematopoietic stem cells (HSCs) genetically engineered to resist HIV-1 infection. In the specific program led by City of Hope and Benitec Biopharma (NCT01734850), CD34+ cells are transduced with a lentiviral vector (rHIV7-shI-TAR-CCR5RZ) that expresses three distinct RNA-based inhibitors: a short hairpin RNA (shRNA) targeting the HIV-1 tat and rev genes, a TAR decoy to sequester the viral Tat protein, and a ribozyme targeting the CCR5 coreceptor. Once infused back into the patient, these modified cells are intended to engraft in the bone marrow and give rise to a protected population of T cells and macrophages that are resistant to viral entry and replication, potentially providing a long-term functional cure for HIV/AIDS.
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