While there is currently no widely available cure for HIV, decades of scientific progress have transformed our understanding of the virus and brought researchers closer to answering one of the biggest questions in HIV: can HIV be cured?1 Here, we explore why finding a cure remains challenging, the approaches being investigated, and how collaboration is helping advance HIV cure research. |
Since the start of the HIV epidemic, researchers, scientists, and healthcare professionals have tirelessly worked to understand the virus and develop effective treatments . These advancements allow people living with HIV to suppress the virus to undetectable levels, not only improving their own health but also preventing transmission to others (Undetectable = Untransmittable [U=U]).2
Even with the medical advancements over the last 40 years, the quest for an HIV/AIDS cure remains of great importance. Managing HIV through antiretroviral (ARV) therapies has been a vital step, but there is so much more to do.
“We believe that ViiV Healthcare has the right science, has the best team, and has the right tools that we can bring forward together to find a [HIV] cure for our patients in the near term.” – Hangfei Qi, Translational Research, HIV Cure, Viiv Healthcare
Treatments today have become far more convenient for people living with HIV, vastly improving their life expectancy and quality of life.3 Despite this, taking lifelong medication is essential and can be emotionally and physically challenging.4 Not taking medication exactly as prescribed can cause HIV to become resistant to one or more ARVs, which makes the treatment less effective.5 Side effects from ARVs and other HIV-related health issues can also impact their daily lives.6
Even whilst taking ARVs, people living with HIV often have higher levels of inflammation and immune activity than those without HIV.7 This persistent inflammation can increase the risk of other health problems such as heart disease, cancer, and brain issues.8
Combined with the social stigma associated with HIV, these concerns highlight the urgent need to find a cure for HIV.9
The greatest challenge to curing HIV permanently is the virus’ ability to hide and remain dormant in pockets of healthy immune cells, specifically CD4+ T-cells. These hidden HIV pockets are called ‘latent reservoirs’ and consist of HIV-infected immune cells that enter a resting state, also known as a ‘latent state’.9,10
In these cells, HIV has integrated into the genome and become dormant. Even if a person has successfully suppressed their HIV through ARV treatment, the latent reservoir can reactivate if treatment is stopped. This is a major hurdle in the quest to find a cure for HIV.9,10
Current treatments stop HIV from infecting new cells. However, ARVs do not affect the cells that already have HIV integrated into their genome. These infected cells are long-lived and allow HIV to hide from the immune system.11 Unmasking the HIV hiding in these cells and eliminating them is a challenge.
At ViiV Healthcare, we are committed to tackling these complexities of HIV cure research. Despite the challenges posed by the latent reservoir, we remain steadfast in our pursuit of finding a cure to help end the HIV epidemic. We’re here until HIV isn’t.
OUR APPROACH TO FINDING A CURE FOR HIV
ViiV’s scientists are at the forefront of HIV research, leading groundbreaking studies and developing new techniques aimed at an HIV cure. ViiV’s pursuit of a cure centres around identifying, creating, and developing medicines that are not only highly effective but also well-tolerated. Fully understanding and eliminating the dormant latent reservoir of HIV is a complex task that requires ongoing collaboration among research teams.
The road to an HIV cure calls for innovation, creativity, and most of all, persistence.
Our ‘induce and reduce’ strategy
Getting to an HIV cure requires many different steps and methods. Our long-term goal is a 'sterilising cure', which means completely eliminating the virus from the body. For now, our first target is a 'functional cure', where the virus is controlled without the need for constant treatment.12
Unless we can find a way to expose the hidden HIV and selectively target the latent reservoir, ongoing treatment will be required to keep the virus at bay. Currently, ViiV’s HIV cure research aims to target the latent reservoirs through the concept of ‘induce and reduce’.13
We aim to drive the HIV that is lying dormant in human immune cells – the reservoir – out of hiding (induce) so that we can eliminate it (reduce). The ‘induce and reduce’ agents will be used alongside suppressive ARV therapy to protect healthy cells from the virus.13
If successful, the advancement of these agents could hold the answer to the question ‘Can HIV be cured?’.
ViiV Healthcare’s approach to HIV cure (‘Induce and Reduce’)
- HIV can remain hidden for a long time in cells throughout the body (known as the HIV reservoir). Antiretroviral therapy (ART) does not clear HIV reservoir cells.
- Induce HIV expression to expose viral targets, such as HIV envelope proteins, and enable the cell to be recognised as harbouring HIV.
- Reduce the HIV reservoir by targeting newly exposed viral proteins and destroying cells containing HIV.
Reactivating the virus in an effective and safe way has been a major challenge, but pioneering research on the ‘induce and reduce’ strategy in 2020 — published in the journal Nature — showcased a scientific breakthrough.13
A new class of drugs known as IAP inhibitors (inhibitors of apoptosis) has been studied over recent years. IAP inhibitors activate a signalling pathway that could induce the hidden HIV to reactivate and become visible. This groundbreaking research that ViiV collaborated on showcases efforts to push the dormant virus out of hiding in two HIV animal models.13
OUR COLLABORATIONS: JOINING FORCES TO FIND A CURE FOR HIV
At ViiV, we are bringing together experts from different fields to explore various methods and compounds in the quest to cure HIV. We have active collaborations with pharma, biotech companies, government agencies, academic institutions, and not-for-profit organisations, all focused on ending the epidemic. These collaborations play a key role in advancing HIV cure research.
ViiV has worked with partners on the groundbreaking ‘induce and reduce’ research, which was heralded as ‘amongst the top ten most remarkable discoveries of 2020’ by the journal Nature.14
Developing an HIV cure is complex, requiring long-term commitment. At ViiV Healthcare, we aim to progress research from lab to clinical studies. Our mission: cure HIV, alleviate treatment burden and stigma, and leave no person living with HIV behind.
It is our life’s work to end the HIV epidemic, and we will be here until HIV isn’t.
If you or someone you know is living with HIV, you can actively contribute to the search for an HIV cure by participating in an HIV clinical trial or study.
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Abbreviations
AIDS, acquired immunodeficiency syndrome; ART, antiretroviral therapy; ARV, antiretroviral; CD4, cluster of differentiation 4; CCR5, C-C chemokine receptor type 5; CRISPR, clustered regularly interspaced short palindromic repeats; DNA, deoxyribonucleic acid; IAP, inhibitor of apoptosis protein; PEP, post-exposure prophylaxis; U=U, undetectable equals untransmittable. |
References
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- HIV.gov. Viral Suppression and an Undetectable Viral Load. Accessed September 2026. https://www.hiv.gov/hiv-basics/staying-in-hiv-care/hiv-treatment/viral-suppression
- Tseng A, Seet J, Phillips EJ. The evolution of three decades of antiretroviral therapy: challenges, triumphs and the promise of the future: Three decades of antiretroviral therapy. Br J Clin Pharmacol. 2015;79(2):182-194.
- de Los Rios P, Okoli C, Castellanos E, et al. Physical, emotional, and psychosocial challenges associated with daily dosing of HIV medications and their impact on indicators of quality of life: Findings from the Positive Perspectives study. AIDS Behav. 2021;25(3):961-972.
- NIH.gov. HIV Treatment. 2025 Accessed September 2026. https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-treatment-adherence
- NIH.gov. HIV Medicines and Side Effects. 2026 Accessed September 2026. https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-medicines-and-side-effects
- HIV.gov. Suboptimal CD4 Cell Recovery. 2025. Accessed September 2026. https://clinicalinfo.hiv.gov/en/guidelines/hiv-clinical-guidelines-adult-and-adolescent-arv/suboptimal-cd4-cell-recovery
- Hileman CO, Funderburg NT. Inflammation, immune activation, and antiretroviral therapy in HIV. Curr HIV/AIDS Rep. 2017;14(3):93-100.
- Bonney EY, Lamptey H, Kyei GB. HIV cure: an acceptability scientific agenda. Curr Opin HIV AIDS. 2023;18(1):12-17.
- NIH. What is a Latent HIV Reservoir? 2025 Accessed September 2026. https://hivinfo.nih.gov/understanding-hiv/fact-sheets/what-latent-hiv-reservoir
- Castro-Gonzalez S, Colomer-Lluch M, Serra-Moreno R. Barriers for HIV cure: The latent reservoir. AIDS Res Hum Retroviruses. 2018;34(9):739-759.
- Xu W, Li H, Wang Q, et al. Advancements in developing strategies for sterilizing and functional HIV cures. Biomed Res Int. 2017;2017:6096134.
- Nixon CC, Mavigner M, Sampey GC, et al. Systemic HIV and SIV latency reversal via non-canonical NF-κB signalling in vivo. Nature. 2020;578(7793):160-165.
- Viruses, microscopy and fast radio bursts: 10 remarkable discoveries from 2020. Nature. 2020;588(7839):596-598.
- Hsu J, Van Besien K, Glesby MJ, et al. HIV-1 remission and possible cure in a woman after haplo-cord blood transplant. Cell. 2023;186(6):1115-1126.e8.
- Sáez-Cirión A, Mamez AC, Avettand-Fenoel V, et al. Sustained HIV remission after allogeneic hematopoietic stem cell transplantation with wild-type CCR5 donor cells. Nat Med. 2024;30(12):3544-3554.
- Peluso MJ, Sandel DA, Deitchman AN, et al. Correlates of HIV-1 control after combination immunotherapy. Nature. 2026;650(8100):187-195.
- Gaebler C, Kor S, Allers K, et al. Sustained HIV-1 remission after heterozygous CCR5Δ32 stem cell transplantation. Nature. 2026;650(8102):701-709.
- Myhre AE, Meyer-Myklestad MH, Gullaksen HH, et al. Long-term HIV-1 remission achieved through allogeneic haematopoietic stem cell transplant from a CCR5Δ32/Δ32 sibling donor. Nat Microbiol. 2026;11(5):1374-1386.
- NIH – National Cancer Institute. Stem Cell and Bone Marrow Transplants for Cancer. 2023. Accessed September 2026. https://www.cancer.gov/about-cancer/treatment/types/stem-cell-transplant
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NP-GBL-HVX-COCO-230025 October 2026
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