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AIDS

Spain to trial promising HIV treatment

Researchers at a Spanish hospital announced have announced they will start trials next year of a therapeutic vaccine for patients who already have HIV, the virus that causes Aids.

Spain to trial promising HIV treatment
Barcelona's Hospital Clinic said it would conduct the trial as part of a four-year research project being carried out with other centres in Spain, Belgium and The Netherlands. Photo: Josep Lago/AFP

A therapeutic vaccine treats a disease rather than preventing it.

Barcelona's Hospital Clinic said it would conduct the trial as part of a four-year research project being carried out with other centres in Spain, Belgium and The Netherlands.

“The goal is to achieve a functional cure of HIV,” said Josep Maria Gatell, director of the Hospital Clinic's infectious disease unit.

“This would mean that we are able to control HIV in infected people without having to provide them with anti-retroviral treatment their whole lives,” he told a news conference.

More than 30 million people worldwide are infected with HIV, most of them living in developing countries, Gatell said.

“Although combined anti-retroviral therapy has proven to be highly effective to prevent clinical progression and death, by itself it is unable to eradicate the infection and other alternative approaches are urgently needed,” he added.

The therapeutic vaccine research project has received €6 million ($8.3 million) in funding from the EU's executive European Commission.

The trial is being conducted on an updated version of a vaccine unveiled by the same research team in January 2013 which was found to temporarily brake growth of the HIV virus in infected patients.

That vaccine was tested on 36 people carrying the virus and was found to be safe for humans.

It led to a dramatic drop in the amount of HIV detected in some patients but it lost its effectiveness after a year, when the patients had to return to their regular combination therapy of expensive anti-retroviral drugs.

The vaccine, dubbed VIH-TriMix-ARNm, is based on the patient's own RNA, a nucleic acid in all living cells which conveys genetic information. RNA is also being used to try to develop new treatments against cancer.

Researchers have tested the updated vaccine on animals and the first results will be known during the first half of 2014.

After carrying out toxicity tests on people in 2014, the first phase of clinical trials in humans will begin at the Hospital Clinic in 2015. The aim is to determine the appropriate dose and the vaccine's safety.

If the vaccine passes this phase, researchers will start testing its effectiveness on 40 patients and two control groups of 15 people each in either 2016 or 2017.

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HEALTH

Spanish scientists make breakthrough identifying HIV resistance gene

A rare genetic mutation that causes a form of muscular dystrophy affecting the limbs also protects against HIV infection, Spanish scientists reported Thursday.

Spanish scientists make breakthrough identifying HIV resistance gene
Photo: peshkova/Depositphotos

The breakthrough comes a decade after American Timothy Brown, known as the “Berlin Patient,” became the first person cured of HIV after a bone marrow transplant from a donor with a mutation of the CCR5 gene.

The newly-discovered mutation concerns the Transportin 3 gene (TNPO3) and is far more rare. 

It was identified several years ago among members of a family in Spain who were suffering from type 1F limb-girdle muscular dystrophy.   

Doctors studying the family learned that HIV researchers were interested in the same gene because it plays a role in transporting the virus inside cells.   


Role of TNPO3 in HIV infection (credit: Rodríguez-Mora S, et al., 2019).

They then got in touch with geneticists in Madrid, who took blood samples from those family members and infected the blood with HIV — revealing a welcome surprise.   

The lymphocytes — white blood cells that are an important part of the immune system — of people with the rare muscular illness were naturally resistant to HIV, it emerged.

“This helps us to understand much better the transport of the virus in the cell,” Jose Alcami, a virologist at the Carlos III Health Institute and co-author of a paper published in US journal PLOS Pathogens on the subject, told AFP.   

HIV is among the most studied viruses, he said, adding however that much remained to be learned, such as why five percent of patients who are infected do not develop AIDS.

“There are mechanisms of resistance to infection that are very poorly understood,” he said.

READ MORE: Spanish team develop biosensor to detect HIV within a week of infection

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