Controlling HIV without drugs: The Research behind Efficient T Cells

2023-06-04 14:25:00

Research

Controlling HIV without drugs: How it is possible

04.06.2023, 16:25

| Reading time: 3 minutes

Video graphic: How HIV attacks the immune system

Video graphic: How HIV attacks the immune system

The HI virus attacks the human immune system and weakens the defense against infections. The most advanced stage is called AIDS. The virus can be suppressed by antiretroviral therapy.

Video: medicine, health

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Berlin/Boston
Thanks to medication, infected people hardly ever get AIDS. A few can even do without pills altogether. How is that possible?

The diagnosis of being HIV-positive has lost much of its terror in recent years. Thanks to highly effective drugs, infected people have a good chance of a normal life expectancy with a good quality of life. It is often enough to take just one tablet a day to increase the number of HI-Viren to stop in the body. In the meantime, medicine is also focusing on therapies in which several drugs are used at the same time. Research is making rapid progress in this area – and nourishing the hopes of around 38.4 million people worldwide who have to live with the HI virus.

Scientists have known for about 20 years that there are also people who appear to be immune to the virus or who, despite being infected, do not contract AIDS even without medication. Researchers at Harvard University in the USA have now taken a closer look at why this is so. They concentrated on the immune system of these so-called HIV controllers and the highly efficient ones CD8+ T cells. These work like a kind of immune police, searching for infected cells, attaching themselves to them and rendering them harmless. Doctors also say that they send them to “cell death”.


As the scientists found out, some people have particularly efficient T-cells and therefore do not need the support of drugs. To substantiate their findings, the researchers examined the lymph nodes of 40 donors, including HIV controllers, infected people taking medication and people who are not infected.




The HI virus is extremely capable of mutating

The researchers found the study of lymph nodes interesting because CD8+ T cells are not usually as effective at fighting pathogens there as they are in other parts of the body. They were amazed when they found out that HIV-Controller also have extremely effective T cells in their lymph nodes. This finding becomes even more interesting when you consider that the HI virus has a much higher ability to mutate than the Sars-COV2 virus, for example. Comparing SarsCov-2 and HIV is like comparing a snail with a Porsche, says physician Norbert Brockmeyer, who specializes in HIV research. The extreme adaptability of the virus has therefore prevented the development of a vaccine against HIV.

The scientists’ hope now lies in activating the CD8+ T cells and getting them to migrate to the lymph nodes. She is also interested in the difference between people who are controllers from birth and those who have developed into controllers through the administration of medication. They hope someday to find out how CD8+ T cells work trained can be that they independently fight HI viruses. (took)





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