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Another step toward an HIV cure

Two HIV-infected men also suffering from blood cancer appear to be free of the virus after receiving chemotherapy and bone marrow transplants—a breakthrough that raises hope that a cure for AIDS is possible. “We’re being very careful not to say that these patients are cured, but the findings to date are very encouraging,” Dr. Daniel Kuritzkes of Brigham and Women’s Hospital in Boston tells Nature.com. The patients’ recovery from both lymphoma and HIV mirrored the case of Timothy Ray Brown, who remains HIV-free after receiving a bone marrow transplant six years ago from a donor with a rare genetic mutation that promotes resistance to HIV. The Boston patients, however, received ordinary bone marrow transplants, suggesting that in their cases the virus was wiped out not by a rare gene, but by a combination of the donor white blood cells, chemotherapy, and anti-retroviral drugs. Currently, people with HIV can keep the virus at bay with anti-retrovirals, but because the virus hides out in the body, it rebounds if the drugs are not taken. In the new treatment, HIV did not return after the two patients were taken off medication. Bone marrow transplants are very dangerous—a third patient in the study died—and are not practical for most of the 34 million people in the world infected with HIV, but the Boston cases may lead to new strategies for fighting the virus. “I think this changes the game,” says Kevin Robert Frost, CEO of the Foundation for AIDS Research.

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