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Human immunodeficiency virus type 1 (HIV-1) proviral DNA at the tat exons represents a critical genomic target for curative strategies against HIV/AIDS. The tat gene encodes the Trans-Activator of Transcription (Tat) protein, which is essential for the efficient elongation of viral transcripts by binding to the Trans-Activation Response (TAR) element. Without a functional Tat protein, HIV-1 transcription remains at basal, inefficient levels, effectively preventing viral replication and the production of new virions. Targeting the DNA sequence of the tat exons, particularly through gene-editing technologies like CRISPR/Cas9, aims to permanently disrupt or excise the proviral genome from host cells. This approach is a cornerstone of 'excision' therapy, which seeks to eliminate the latent HIV reservoir that persists in resting CD4+ T cells despite antiretroviral therapy (ART). By disabling the tat gene at the DNA level, researchers hope to achieve a functional cure where the virus can no longer rebound even in the absence of daily medication.
Gene editing and excision of proviral DNA sequences to disrupt viral replication and eliminate the latent reservoir.
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