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Man appears free of HIV after stem cell transplant


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Man appears free of HIV after stem cell transplant

By Jacquelyne Froeber

A 42-year-old HIV patient with leukemia appears to have no detectable HIV in his blood and no symptoms after a stem cell transplant from a donor carrying a gene mutation that confers natural resistance to the virus that causes AIDS, according to a report published Wednesday in the New England Journal of Medicine.

"The patient is fine," said Dr. Gero Hutter of Charite Universitatsmedizin Berlin in Germany. "Today, two years after his transplantation, he is still without any signs of HIV disease and without antiretroviral medication."

The case was first reported in November, and the new report is the first official publication of the case in a medical journal. Hutter and a team of medical professionals performed the stem cell transplant on the patient, an American living in Germany, to treat the man's leukemia, not the HIV itself.

However, the team deliberately chose a compatible donor who has a naturally occurring gene mutation that confers resistance to HIV. The mutation cripples a receptor known as CCR5, which is normally found on the surface of T cells, the type of immune system cells attacked by HIV.

The mutation is known as CCR5 delta32 and is found in 1 percent to 3 percent of white populations of European descent.

HIV uses the CCR5 as a co-receptor (in addition to CD4 receptors) to latch on to and ultimately destroy immune system cells. Since the virus can't gain a foothold on cells that lack CCR5, people who have the mutation have natural protection. (There are other, less common HIV strains that use different co-receptors.)

People who inherit one copy of CCR5 delta32 take longer to get sick or develop AIDS if infected with HIV. People with two copies (one from each parent) may not become infected at all. The stem cell donor had two copies.

While promising, the treatment is unlikely to help the vast majority of people infected with HIV, said Dr. Jay Levy, a professor at the University of California San Francisco, who wrote an editorial accompanying the study. A stem cell transplant is too extreme and too dangerous to be used as a routine treatment, he said.

"About a third of the people die [during such transplants], so it's just too much of a risk," Levy said. To perform a stem cell transplant, doctors intentionally destroy a patient's immune system, leaving the patient vulnerable to infection, and then reintroduce a donor's stem cells (which are from either bone marrow or blood) in an effort to establish a new, healthy immune system.

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"About a third of the people die [during such transplants], so it's just too much of a risk," Levy said. To perform a stem cell transplant, doctors intentionally destroy a patient's immune system, leaving the patient vulnerable to infection, and then reintroduce a donor's stem cells (which are from either bone marrow or blood) in an effort to establish a new, healthy immune system.

When you are faced with either A. dying from AIDS, or B. a 1/3 chance of dying from treatment, is it really too much of a risk?

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When is it going to be cost effective to completely irraticate this disease is what I want to know.

A long long long time. People in Africa can't even afford the basic meds to treat it, let alone a surgery. Also, something like 1/3 of all HIV infected citizens in the US don't know they even have it.

But this is a great step in the right direction. Science is amazing.

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A long long long time. People in Africa can't even afford the basic meds to treat it, let alone a surgery. Also, something like 1/3 of all HIV infected citizens in the US don't know they even have it.

But this is a great step in the right direction. Science is amazing.

It's not science.. It's Jesus

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during obamas term do you think they will lift the ban on embryonic stem cell research?

There really isn't a ban on the research from what I understand, but rather that government funds wouldn't be used to fund the research (someone correct me if I'm wrong). Will government funding be made available under Obama? I'm thinking yeah, it will.

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good thing bush banned stem cell research.
I would hope you are kidding. Sadly, I know you are not.
Embryonic stem cell research, not Adult Stem Cells (which was probably used in this experiment). And the embryonic ban was government owned cell lines, not private.

Just keeping it honest.

Thank you.
honest like dick cheney?
Now, your just being trollish.
Can you refute what I posted?
He can't. Nobody can.
Since they said the stem cell was from a donor, I'm assuming it was an adult stem cell transplant as well.
That's right, it even said it was (from blood and bone marrow).

Of course the news makers just say "stem cells" in order to garner support for embryonic stem cell research because they know most people are ignorant of the difference like ChocolateCitySkin.

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during obamas term do you think they will lift the ban on embryonic stem cell research?
There is no ban on research.

The gov't just says it won't fund it. I mean, think about it, look how much conflict arises over the gov't funding abortion providers. Do you really want the gov't involved in another moral conflict the likes of abortion?

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i think if embryonic stem cells can save lives there shouldn't be a ban on it
But that's just the point. Nobody knows if they will do anything.

Supporters use buzz words like "potential" or "promising", but in reality they have thus far largely proved useless or even dangerous (cancer).

Adult stem cell research OTOH should get tons of funding. In foreign countries like Brazil they have used them to regenerate damaged portions of hearts and other organs. On people too, not animals.

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