Once his CD4 cell had fired off IL-2 as an instruction to destroy HIV-infected cells, the efficiency with which his HLA displayed HIV in the surface of cells meant that the effect of the IL-2 was amplified and speeded up, ensuring his fifth and final characteristic, and the one that has probably purged all the HIV-infected cells from his body: a strong and broad CD8 T-suppressor cell response to HIV-infected cells.
In addition, however, he had genetic factors that ensured this early immune response was particularly fast and efficient, which may have ensured that his already slow-acting HIV never had the time to develop resistance to the immune response. Instead, that response did what it does with the majority of viruses that are not HIV - it cleared it. It is possible that there are other Cs out there.
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He was sought out and tested because he had received blood from an HIV positive donor but otherwise was not in one of the populations at high risk of HIV and was asymptomatic. So there could be other elite controllers who have eliminated their infecton who we don't know about because we never knew they had HIV.
On the other hand, testing programmes have not uncovered similar patients. Could vaccines or gene therapies be designed that would induce changes mimicking what happened in tis person naturally?
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The answer is no, not at present. There have also been attempts to block nef function before, but nothing that has worked. It shows that circumstances can arise, however rarely, which allow for a spontaneous cure or profound remission of HIV — and the proof that it can happen is what spurs cure researchers on to make it happen more often.
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Zaunders J et al. Journal of Virus Eradication, issue 2. Online publication, June The Sydney Blood Bank Cohort: implications for viral fitness as a cause of elite control.
May See abstract here. The search for a cure. Primary tabs View active tab Preview email. Subject had an unusual combination of factors inhibiting HIV replication. Gus Cairns.
In unique case, Australian man appears to have cleared his HIV infection | aidsmap
The Sydney Blood Bank Cohort Subject C was infected in , aged 34, when he needed a blood transfusion after a car accident. The woman, in her victim impact statement read out on her behalf, revealed the man told her he still loved her even though he blamed her for infecting him. This woman said her former partner told her that nobody would want to be with her.
The man, who lives in Dublin but came originally from Africa , was convicted after a trial in Dublin Circuit Criminal Court earlier this month of intentionally or recklessly causing serious harm to the two women on dates between November and June Garda Colm Kelly told Dominic McGinn SC, prosecuting, that the man commenced relationships with both women about the same time in Gda Kelly said one woman found out she was pregnant in early and tested positive for HIV during ordinary neonatal screening.
The court heard Dr John Lambert was treating both women at the time and realised they had named the same man as their partner.
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The man denied any knowledge of the second woman when the doctor spoke to him about her. He was advised against engaging in unprotected sex and prescribed antiretroviral medication, which would have eliminated his symptoms and rendered him non infectious. The second woman said she had isolated herself from everyone, including her family, and that it had affected her ability to look after her daughter. She said she felt she could not have a healthy relationship because of the damage done and that she would need a lot of therapy to feel happy again. He had sex with eight of them in Brighton, in East Sussex, between October that year and February , before fleeing to north-east England, where he targeted two more men.
His six-week trial heard that he refused treatment and ignored advice from doctors. When they refused, he tampered with condoms, tricking them into thinking that he was practising safe sex. Afterwards, Rowe became aggressive, and taunted some of his victims in text messages. Given the facts of this case and your permissive, predatory behaviour, I cannot see when you would no longer be a danger to gay men.
Related My life, a life story of a man infected
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