Publications by authors named "H Gendelman"

Antiretroviral therapy (ART) improves the quality of life for those living with the human immunodeficiency virus type one (HIV-1). However, poor compliance reduces ART effectiveness and leads to immune compromise, viral mutations, and disease co-morbidities. Here we develop a drug formulation in which a lipid-based nanoparticle (LBNP) carrying rilpivirine (RPV) is decorated with the C-C chemokine receptor type 5 (CCR5) targeting peptide.

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Diagnosing and then treating disease defines theranostics. The approach holds promise by facilitating targeted disease outcomes. The simultaneous analysis of finding the presence of disease pathophysiology while providing a parallel in treatment is a novel and effective strategy for seeking improved medical care.

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An extended action fostemsavir (FTR) lipid nanoparticle (LNP) formulation prevents human immunodeficiency virus type one (HIV-1) infection. This FTR formulation establishes a drug depot in monocyte-derived macrophages that extend the drug's plasma residence time. The LNP's physicochemical properties improve FTR's antiretroviral activities, which are linked to the drug's ability to withstand fluid flow forces and levels of drug cellular internalization.

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Article Synopsis
  • Antiretroviral therapy (ART) significantly enhances the quality of life for individuals with HIV-1, but issues with patient adherence can lead to negative health outcomes, including viral mutations and co-existing medical conditions.
  • A new drug delivery system using lipid nanoparticles (LNP) decorated with CCR5 is designed to effectively target and deposit rilpivirine (RPV) in areas where the virus hides, improving delivery and retention in immune cells.
  • This innovative approach, including the use of focused ultrasound to cross the blood-brain barrier, shows promise in enhancing HIV suppression, especially in hard-to-reach sites within the body such as the brain.
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Disordered immunity, aging, human immunodeficiency virus type one (HIV-1) infection, and responses to antiretroviral therapy are linked. However, how each factor is linked with the other(s) remains incompletely understood. It has been reported that accelerated aging, advanced HIV-1 infection, inflammation, and host genetic factors are associated with host cellular, mitochondrial, and metabolic alterations.

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