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London man clear of HIV after stem cell transplant

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Stem cells

By Chioma Obinagwam with Agency Report

The man in Britain is the treatment’s second worldwide success after a US man known as the “Berlin patient” 12 years ago.

Human Immunodeficiency Virus (HIV) can develop into  Acquired Immunodeficiency Virus (AIDS) months or years after contracting the infection.

A man in London has become the second person to be clear of HIV after a stem cell transplant, doctors have said.

Stem cell can be defined as an undifferentiated cell of a multicellular organism which is capable of giving rise to indefinitely more cells of the same type, and from which certain other kinds of cell arise by differentiation.

Until now, Timothy Ray Brown from the US was the only person thought to have been cured of HIV after undergoing a transplant in Berlin 12 years ago.

Confiance News gathered that the unidentified man in the UK, who is being called “the London patient”, received bone marrow stem cells from a donor with a rare genetic mutation that resists HIV infection.

Almost three years on, and more than 18 months after coming off antiretroviral drugs, highly sensitive tests show no signs of the man’s previous HIV infection.

“There is no virus there that we can measure. We can’t detect anything,” said Ravindra Gupta, a professor and HIV biologist who treated the man, Reuters reports.

Timothy Ray Brown was the only other person known to have been cured of AIDS via stem cells

Timothy Ray Brown, known as the ‘Berlin Patient’, is the only other person known to have been ‘cured’ of HIV via transplant.

He said that despite the patient appearing “functionally cured,” it is “too early to say he’s cured”.

The London patient was diagnosed with HIV in 2003 but did not start to take drugs to control the infection until 2012.

He developed Hodgkin lymphoma in later 2012 and agreed to a stem cell transplant to treat the cancer in 2016.

His doctors believed that with the right kind of donor, the London patient could find an HIV cure as well as cancer treatment.

Doctors found a donor with a gene mutation that confers natural resistance to HIV.

Around 1 percent of people descended from northern Europeans have inherited the mutation from both parents and are immune to most HIV.

The donor had this double copy of the mutation, which Dr Gupta described as “an improbable event”.

“That’s why this has not been observed more frequently,” he added.

The transplant changed the man’s immune system, giving him the donor’s mutation and HIV resistance.

He then voluntarily stopped taking HIV drugs to see if the virus would come back.

Antiretroviral drug Truvada is an HIV medication.

HIV patients rely on life-long daily medication to suppress the virus, and when the drugs are stopped, the virus usually comes back within two to three weeks.

However the virus did not return in the London patient’s case and there is still no trace of the virus after 18 months off the drugs.

Stem cell transplants are known to be hard on the body, starting with radiation or chemotherapy to damage the existing immune system and make room for a new one.

The failure rate of such transplants is high.

Dr. Gero Hutter, the German doctor who treated the first cured patient Mr. Brown, who is still free of the virus, described the latest case as “great news” and “one piece in the HIV cure puzzle”.

 

 

(Sky News)

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