Cover Image: March 2012 Scientific American Magazine See Inside

Blocking HIV's Attack [Preview]

Scientists have rid one man of HIV by preventing the virus from entering certain immune cells. But the treatment was dangerous and likely unrepeatable. Can they figure out a safer, more broadly achievable way to help millions more?















Share on Tumblr



DISRUPTED JIGSAW: HIV (red pieces in this conceptual drawing) normally attaches to protein projections on immune cells (white pieces). By removing the projections, scientists hope to render immune cells resistant to HIV. Image: Illustration by Owen Gildersleeve, Photograph by Sam Hofman

In Brief

  • HIV makes use of a particular protein called CCR5, which is found on the surface of some immune cells, to infect those cells.
  • Some people have inherited a specific mutation that disables their copies of the CCR5 protein, thus offering them greater protection against infection with HIV.
  • Investigators are trying gene-editing techniques to modify immune cells so that they lack the CCR5 protein, making them resistant to HIV as well.
  • Preliminary results from safety studies of the gene-editing approach in humans are encouraging, but there is still a long way to go.

A little more than three years ago a medical team from Berlin published the results of a unique experiment that astonished HIV researchers. The German group had taken bone marrow—the source of the body’s immune cells—from an anonymous donor whose genetic inheritance made him or her naturally resistant to HIV. Then the researchers transplanted the cells into a man with leukemia who had been HIV-positive for more than 10 years. Although treatment of the patient’s leukemia was the rationale for the bone marrow transplant therapy, the group also hoped that the transplant would provide enough HIV-resistant cells to control the man’s infection. The therapy exceeded the team’s expectations. Instead of just decreasing the amount of HIV in the patient’s blood, the transplant wiped out all detectable traces of the virus from his body, including in multiple tissues where it could have lain dormant. The German researchers were so surprised by the spectacularly positive results that they waited nearly two years before publishing their data.

The news seemed too good to be true. And yet five years after undergoing his initial treatment, the so-called Berlin patient (who later disclosed his identity as Timothy Ray Brown of California) still shows no signs of harboring the AIDS virus—despite not taking HIV-fighting, antiretroviral drugs for all this time. Of the more than 60 million people who have been infected with HIV over the past few decades, Brown is so far the only individual who appears to have well-documented eradication of the infection.


This article was originally published with the title Blocking HIV's Attack.



Subscribe     Buy This Issue

Already a Digital subscriber? Sign-in Now
If your institution has site license access, enter here.

2 Comments

Add Comment
View
  1. 1. DHWeiss 04:39 PM 3/15/12

    We all admire your hard work in bringing your readers the latest news, but you are way behind on this one. The so-called "Berlin Patient" was reported online quite some time ago. The latest developments in HIV eradication concern flushing out hidden reservoirs of the virus that replenish seemingly "blocked" copies of it. CCR5 mutations delay the onset of AIDS but do not cure those infected with HIV.

    Reply | Report Abuse | Link to this
  2. 2. dhanush 09:20 PM 8/11/12

    I know a man from thiruvananthapuram in Kerala, India give single dose medicines for AIDS at a price below 2000 and is said to be effective but he does not like publicity of any kind or patent

    Reply | Report Abuse | Link to this
Leave this field empty

Add a Comment

You must sign in or register as a ScientificAmerican.com member to submit a comment.
Click one of the buttons below to register using an existing Social Account.

More from Scientific American

See what we're tweeting about

Scientific American Editors

More »

Free Newsletters


Get the best from Scientific American in your inbox

Solve Innovation Challenges

Powered By: Innocentive

  SA Digital
  SA Digital

Email this Article

Blocking HIV's Attack: Scientific American Magazine

X
Scientific American Magazine

Subscribe Today

Save 66% off the cover price and get a free gift!

Learn More >>

X

Please Log In

Forgot: Password

X

Account Linking

Welcome, . Do you have an existing ScientificAmerican.com account?

Yes, please link my existing account with for quick, secure access.



Forgot Password?

No, I would like to create a new account with my profile information.

Create Account
X

Report Abuse

Are you sure?

X

Institutional Access

It has been identified that the institution you are trying to access this article from has institutional site license access to Scientific American on nature.com. To access this article in its entirety through site license access, click below.

Site license access
X

Error

X

Share this Article

X