People suffering from the immunodeficiency virus may be soon
cured through a bone marrow transplant, German doctors say.
Dr. Gero Huetter, a hematologist of the Clinic for
Gastroenterology, Infections and Rheumatology of the Berlin Charite hospital
and his colleagues said a patient of his appears to have been cured of AIDS
through a bone marrow transplant from a donor who had a genetic mutation known
to help the body resist AIDS infection. The genetic mutation is called Delta 32
and prevents HIV from attacking itself to cells by blocking a receptor called
CCR5. Researchers have long known that about 1 percent of Europeans carry a
genetic mutation that makes their cells resistant to HIV infection.
The patient, a US
citizen living in Berlin,
was suffering from advanced leukemia and HIV two years ago when Huetter treated
the cancer with a bone-marrow transplant. Huetter inserted the bone marrow of a
donor naturally resistant to HIV, the virus that causes AIDS. After twenty
month after the treatment, the man shows no signs of carrying the virus.
“We waited every day for a bad reading,” Dr. Huetter said
adding that he and his colleagues have been unable to find the virus in blood ,
bone marrow, lymph nodes, intestines, or brain.
The patient had to endure powerful radiation and drug
therapy to kill the infected bone marrow cells and disable his immune system, a
treatment that could be fatal to recipients 20-30 percent of the time, Anthony
Fauci, MD, director of the National Institute of Allergy and Infectious
Diseases said. And even if the patient would not die from the bone marrow
transplant, he would have to suffer a great deal of pain.
However, the new treatment might be a proof “that if somehow
you can block the expression of CCR5, maybe by gene therapy, you might be able
to inhibit the ability of the virus to replicate,” he added.
Also, Kevin Robert Frost, chief executive officer of the
American Foundation for AIDS Research welcomed the news saying the case is “a remarkable
and exciting step forward.”
Dr. Catherine Hankins, chief scientific adviser at the UN AIDS
agency in Geneva,
said the therapy “is certainly not a cure but it certainly suggests to us that
if we can go down the route of looking more closely at gene-therapy that might
block that CCR5 receptor. Even if we can find out exactly how this patient
fought HIV, we might learn more about natural protective immunity.”
AIDS researchers will now examine the German case to assess
whether others can benefit from this surprising discovery.
Since 1981, when AIDS was first spotted, the disease has
claimed around 25 million lives. There are 33 million infected people
worldwide, according to the World Health Organization statistics, two-thirds of
whom living in sub-Saharan Africa.