A new study shows that injecting
heat-inactivated HIV can arouse the immune system in some patients, allowing
them temporary freedom from drugs. Ultimately, this approach could lead to a
long-term treatment of HIV.
Researchers extracted HIV and a
sampling of immune system cells (dendritic cells) from 36 patients. The
researchers used heat to inactivate the HIV of 22 randomly selected patients,
and then administered the patients a vaccine comprised of their own dendritic
cells and their inactivated HIV. In 12 of the 22 patients, virus levels dropped
90 percent over 12 weeks.
According to study co-author Felipe
Garcia, an infectious disease physician at the University of Barcelona, the
combination of dendritic cells and inactivated HIV stir the immune system to
attack the live virus circulating in patients’ bodies. In the treated patients,
the immunity to HIV diminished and virus levels increased eventually. After 48
weeks only three participants who received the experimental vaccine maintained
the 90-percent drop in virus levels. The patients in the control group who
received their own unchanged HIV and dendritic cells showed little benefit.
Prior to the study, all participants were being treated with standard
antiretroviral therapy.
Garcia suggests that a therapeutic
vaccine would still be beneficial, even if it offered only long-lasting
temporary effects rather than completely eradicating HIV from the body. He
stated that dropping the virus down to extremely low levels may mean patients
would not need drugs, would not show symptoms, and would not be likely to
transmit the disease to others. He noted that people with these low levels of
virus (elite controllers) already exist, in the less than 1 percent of people
who have been infected with HIV for years, but whose immune systems suppress
the virus.
The study, “A Dendritic Cell–Based
Vaccine Elicits T Cell Responses Associated with Control of HIV-1 Replication,”
was published in the journal Science Translational Medicine (2013; 5 (166):
166ra2).
The Friends of AIDS Foundation is
dedicated to enhancing the quality of life for HIV positive individuals and
empowering people to make healthy choices to prevent the spread of the HIV
virus. To learn more about The Friends of AIDS Foundation, please visit:
http://www.friendsofaids.org.
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