In
2012, Daniel Kuritzkes reported results of two stem cell transplants in
patients with HIV. They did not, however, use donors with the Δ32
deletion. One of the men has been followed for two years and the other
for three and a half years. While both are still on HIV treatment,
neither shows traces of HIV in their blood plasma and purified CD4 T
cells using a sensitive culture method (less than 3 copies/ml). They are
also showing a significant decline in HIV antibodies, suggesting a lack
of HIV replication.[49][verification needed]In 2007, a team of doctors
in Berlin, Germany, including Gero Hütter, performed a stem cell
transplant for leukemia patient Timothy Ray Brown, who was also
HIV-positive. From 60 matching donors, they selected a [CCR5]-Δ32
homozygous individual with two genetic copies of a rare variant of a
cell surface receptor. This genetic trait confers resistance to HIV
infection by blocking attachment of HIV to the cell. Roughly one in 1000
people of European ancestry have this inherited mutation, but it is
rarer in other populations..The transplant was repeated a year later
after a relapse. Over three years after the initial transplant and
despite discontinuing antiretroviral therapy, researchers cannot detect
HIV in the transplant recipient's blood or in various biopsies. Levels
of HIV-specific antibodies have also declined, leading to speculation
that the patient may have been functionally cured of HIV. However,
scientists emphasise that this is an unusual case.[46] Potentially fatal
transplant complications (the "Berlin patient" suffered from
graft-versus-host disease and leukoencephalopathy) mean that the
procedure could not be performed in others with HIV, even if sufficient
numbers of suitable donors were found.
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